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Online Application Form

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Applying to Teen Challenge is simple. Just fill out the information required below and submit your application along with the processing fee. Acceptance of your application will be dependent on meeting all admission requirements.

If you are accepted, you will be placed on a waiting list pending available space. When a bed becomes available, your entrance day will be scheduled. To maintain your position on the waiting list, you are required to call the centre weekly to demonstrate your continued interest in the program. You may be asked to participate in a program at a centre in a province outside of your residence.

STEP 1

Provide us your contact information.
STEP 2

Tell us about yourself and your current circumstances.
STEP 3

Process your form...easy as 1,2,3

Contact Information
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What is your first choice for a treatment Centre

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Please check the box below


SUBMIT APPLICATION