Smiles4Canada Application Form

Quick Quiz - Are you eligible?

In 2023, we are accepting a limited number of applications per region. If we reach that quota before May 1st, the application window will close early. Please ensure that you submit your complete application as early as possible to be considered.

What province does the candidate live in? *   
What year was the candidate born? *   
*Only eligible birth dates are displayed.*
What is the size of the community you live in? *   

What is the size of your family unit? *   
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