M̓i tel'nexw Leadership Transformation
Scholarship Application Form for Indigenous Learners
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Leadership Information
Tell us about your cultural connection?
Tell us about your leadership focus?
Back
Next
Next Steps
Why would you like to join M̓i tel'nexw Leadership Society?
Are you able to attend all four sessions, every Thursday, from September 17 to October 8, from 9:30am to 11:30am via ZOOM on a computer with internet?
Yes
No
Any other information that might support your application?
Applicant's Signature, I understand this is an application for a scholarship to attend M̓i tel'nexw Leadership Society not a guaranteed seat in the program.
Name of Applicant
First Name
Last Name
Date Signed by Applicant
-
Month
-
Day
Year
Date
Submit
Should be Empty: