Champions of Change Application - Global Indigenous Development Trust

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Champions of Change Application Form

Student Name

Email Address

Address (Include Province/Country)

Organization / Band

Phone Number

What are your goals with the program?

What Motivates you to become a Champion of Change?

Describe your experience with community involvement and/or leadership. Include any specific challenges you face(d) and how you work(ed) to resolve them.

Do you have any questions or additional information you would like to share with us?

What hardware do you have to fully participate in the virtual course? (ie. laptop/computer, camera, microphone, speakers, reliable internet connection)

Do you self-identify as First Nations, Metis or Inuit?

Yes No

If you identify with an indigenous community, please let us know which one:

Would you like to apply for a scholarship based on finacial need?

Yes No

What Timezone are you in?

PT – Vancouver / Seattle MT – Calgary / Denver CT – Winnipeg / Chicago ET – Toronto / New York AT – Halifax NT – St. John's Other

Attach a CV/Resume if available

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Our vision is a global network of thriving communities working together for the wellbeing of all.

info@globalindigenoustrust.org

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Toronto ON, M5C 1C4

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Thank you for applying to Champions of Change Master Class.

Your application has been received.

Proceed to Payment

Sponsorship options available – inquire at: Registration@globalindigenoustrust.org