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Online Application Form

Get Help Today!

Please note: Applications to the Northern Ontario Men's Centre have been suspended. For more information click here.

Submitting a program application to Teen Challenge Canada is simple. Fill out the information required below, submit your application, and one of our admission coordinators will be in touch with you. 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 us weekly to demonstrate your continued interest in the program. Please note, depending on availability, 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