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If you are interested in joining our waitlist for service please complete the form below and our Client Services Representative, Heather will be in contact. To contact Heather please email

Horizon Application/Referral Form

Please enclose any supporting documentation (i.e.: educational reports/ medical reports etc.). Failure to include supporting documentation can delay the applicant’s admission.

Personal Information

Referral Source

(if applicable)

Education History

Additional Programs Attended 

(Including on the Job Training)

Click or drag a file to this area to upload.

Employment History

Please include any Employment/Volunteer Experience

Health History


The Horizon Achievement Centre requires all participants to arrange their own transportation to and from their placements.

Comments Section

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