Ch nook Aboriginal Management Certificate Program (AMP) 2015 Application Form

Transcription

1 Ch nk Abriginal Management Certificate Prgram (AMP) 2015 Applicatin Frm Abriginal entrepreneurs are the key t building a healthy ecnmy bth n and ff reserve. The Abriginal Management Certificate Prgram adpts a hands-n apprach t understanding hw t describe and think thrugh a business mdel fr yur business idea, cuncil r ecnmic develpment crpratin. The Ch nk Abriginal Management Certificate integrates Abriginal values with the business skills required fr success in managing existing businesses r in develping new and successful nes. AMP Applicatin Instructins Fill ut the nline frm in ne sitting. Be ready t cmplete the nline applicatin frm in ne sitting because yu cannt save it and cme back t it later. Nte: by pressing the back buttn r clicking backspace while filling ut the applicatin yu may lse the infrmatin yu have already put in. Fr technical assistance please cntact ur ffice at Applicatin Checklist T apply fr Ch nk's Abriginal Management Certificate Prgram, yu must submit all f the fllwing required dcumentatin. Failure t prvide any f the fllwing will result in yur applicatin nt being cnsidered. 1) 1,000 Wrd Essay* The essay needs t reflect the fllwing headings: intrductin, educatinal gals and career plans, cmmunity invlvement, cntributins t family/schl, persnal challenges and imprtance f the Abriginal Management Prgram t yur future. We recmmend that yu cmplete yur essay in a wrd dcument befrehand and then cpy and paste the essay int the nline applicatin frm. Send by Uplad 2) Resume/CV* Prvide us with yur up t date resume. Send by Uplad 1 Ch nk Indigenus Business Educatin # Main Mall, Vancuver BC V6T 1Z2 T: F: chnkadmin@ch-nk.ubc.ca

2 Ch nk Abriginal Management Certificate Prgram (AMP) 2015 Applicatin Frm 3) Prvide the Name f Three References The selectin cmmittee cnsiders applicants wh demnstrate relevant experience, cntribute t and maintain a cnnectin with their cmmunity and demnstrate leadership qualities. Enter the name and cntact infrmatin f three references. Infrmatin in the reference letter shuld include: Name, , Phne number, and the referee's relatinship t applicant. Please nte that each referee will need t send an riginal signed reference letter t the Ch'nk ffice. Mail reference letters t: Ch'nk Indigenus Business Educatin, Sauder Schl f Business, University f British Clumbia Main Mall Vancuver, BC V6T 1Z2 Reference #1 Name* First Last * Phne* Reference #2 Name* First Last * Phne* 2 Ch nk Indigenus Business Educatin # Main Mall, Vancuver BC V6T 1Z2 T: F: chnkadmin@ch-nk.ubc.ca

3 Ch nk Abriginal Management Certificate Prgram (AMP) 2015 Applicatin Frm Reference #3 Name* First Last * Phne* 4) Mail the three (3) riginal, signed reference letters t: Ch nk Indigenus Business Main Mall Sauder Schl f Business, University f British Clumbia Vancuver BC V6T 1Z2 General Questins Please assist us by telling us hw yu heard abut the Ch nk AMP certificate?* Web/search engine, advertisement in newspaper/nline news Ch nk pster/printed materials Referred by crpratin Frm a teacher r cunsellr at schl Ch nk presentatin r event AMP alumni Ch'nk presentatin r event Other If referred by a crpratin r an AMP alumni, please tell us which ne/wh. 3 Ch nk Indigenus Business Educatin # Main Mall, Vancuver BC V6T 1Z2 T: F: chnkadmin@ch-nk.ubc.ca

4 Ch nk Abriginal Management Certificate Prgram (AMP) 2015 Applicatin Frm Persnal Infrmatin Name* First Last Date f Birth* mm/dd/yyyy Gender* Male Female Primary * Secndary Hme Phne* Cell/Wrk/Other Phne Permanent Mailing Address: Address* British Clumbia Street Address Address Line 2 City Prvince Pstal Cde 4 Ch nk Indigenus Business Educatin # Main Mall, Vancuver BC V6T 1Z2 T: F: chnkadmin@ch-nk.ubc.ca

5 Ch nk Abriginal Management Certificate Prgram (AMP) 2015 Applicatin Frm Mailing Address: Only fill ut if separate frm permanent address Address British Clumbia Street Address Address Line 2 City Prvince Pstal Cde Abriginal Heritage Please fill in the sectin that is relevant t yur heritage. Abriginal Status* Status First Natin Nn-Status First Natin Métis Inuit Cmmunity Affiliatin* Educatin The selectin cmmittee is lking fr cmmitment t yur educatin and future career gals. Please prvide us with infrmatin n yur educatinal backgrund. High Schl Qualificatins Please state Grade Cmpleted, Date Cmpleted 5 Ch nk Indigenus Business Educatin # Main Mall, Vancuver BC V6T 1Z2 T: F: chnkadmin@ch-nk.ubc.ca

6 Ch nk Abriginal Management Certificate Prgram (AMP) 2015 Applicatin Frm Pst Secndary Studies Have yu taken curses at the cllege r university level r ther prfessinal develpment curses? If yes, please prvide additinal details including: Prgram Name, Institutin, Years f Study, Graduated (yes/n) Tuitin Fees Please check the ptin that best applies t yu:* All tuitin fees are due 30 days after frmal acceptance int the prgram. $6000 Tuitin nly $10,000 Tuitin and htel accmmdatin in Vancuver $12,000 Tuitin, htel accmmdatin in Vancuver and air travel x 4 rund trips t Vancuver Funding What are yur anticipated surces f funding?* (Please nte that mst funders will require frmal acceptance int a prgram prir t making funding decisins). Ch'nk is available t assist with funding applicatins r referrals t funding surces. Self-funded Band funding ASETS funding (Friendship Centre, NWAC, CAP, etc) Wrk Other 6 Ch nk Indigenus Business Educatin # Main Mall, Vancuver BC V6T 1Z2 T: F: chnkadmin@ch-nk.ubc.ca

7 Ch nk Abriginal Management Certificate Prgram (AMP) 2015 Applicatin Frm Bursary Ch'nk has a limited number f bursaries that are ffered t successful applicants n a case by case basis. Prir t applying fr a bursary, students must demnstrate that they have exhausted all ther surces f funding. Please let us knw if yu are intending n applying fr a bursary frm Ch'nk.* Yes N If s, fr hw much Ch nk bursaries will nt cver any fees, expenses r csts ver and abve the tuitin fees nted abve (max bursary is fr tuitin, htel and travel t/frm Vancuver). Fr mre infrmatin, please see Ch nk AMP Travel Plicy. Declaratin and Cnsent A cnditin f acceptance int the AMP is that yu are able t attend all fur (4) prgram mdules. I cnfirm that I am able t attend all AMP Mdules as fllws: Mdule 1: Mnday January 26th t Sunday February 1st* Yes N 7 Ch nk Indigenus Business Educatin # Main Mall, Vancuver BC V6T 1Z2 T: F: chnkadmin@ch-nk.ubc.ca

8 Ch nk Abriginal Management Certificate Prgram (AMP) 2015 Applicatin Frm Mdule 2: Wednesday March 4th t Sunday March 8th* Yes N Mdule 3: Wednesday April 22nd t Sunday April 26th* Yes N Mdule 4: Sunday May 24th t Friday May 29th* Yes N If yu answered n t any f the abve dates, please prvide us with mre infrmatin: 1. I hereby declare that I have read and fully understand the guidelines fr Ch'nk's Abriginal Management Certificate Prgram (AMP) and I have answered all questins that are relevant t me. 2. I hereby certify that all f the infrmatin prvided n the applicatin frm and in the supprting dcumentatin is true and crrect. If I am fund t have knwingly given false infrmatin I understand that my applicatin will be disqualified. 8 Ch nk Indigenus Business Educatin # Main Mall, Vancuver BC V6T 1Z2 T: F: chnkadmin@ch-nk.ubc.ca

9 Ch nk Abriginal Management Certificate Prgram (AMP) 2015 Applicatin Frm 3. Further, I hereby give cnsent t Ch nk and its emplyees t use infrmatin prvided as a means f assessing my AMP applicatin. 4. If I am chsen t participate in the AMP, I hereby give cnsent t Ch nk and its emplyees t take vides and phts and permissin t share these and my cntact infrmatin t with Ch nk s funding partners fr the purpses f prmting Ch nk and fr cntacting me regarding future emplyment pprtunities and/r ther events. 5. Finally, I give cnsent t Ch nk t use/publish my name and bigraphical infrmatin in Ch nk publicatins and websites fr the purpses f advertising and prmting the Abriginal Management Certificate Prgram. I have read and Agree t the Abve* Agree Disagree Please Sign Yur Name* Date* Make sure that yu have upladed all f the required dcumentatin fr this applicatin as well as arranging t any ther dcuments listed n the checklist. Please nte that we d nt return any materials prvided with the applicatin. We thank yu fr yur interest in the Ch nk Abriginal Management Certificate Prgram. Applicatins are assessed n a bi-weekly basis. 9 Ch nk Indigenus Business Educatin # Main Mall, Vancuver BC V6T 1Z2 T: F: chnkadmin@ch-nk.ubc.ca