Northern Youth in Service Application
This form is to apply for Northern Youth in Service (NYiS). If you haven't already, please read about the program at https://nya.ca/nyis/.
Questions About You
Your Name
*
First Name
Last Name
Home community
*
What ways can we reach you?
*
Facebook
Text me
Call me
Email
Other
Your Phone Number
Best email to reach you
example@example.com
Your name on Facebook
Date of birth (you must be 15-30 to apply for NYiS, but we may have other funding opportunities if you fall outside of this age range)
*
-
Year
-
Month
Day
Date
Gender
*
Male
Female
Other
Are you Indigenous?
*
First Nations
Inuit
Métis
Non-Indigenous
Your Address
Street Address
PO BOX
Community
Territory
Postal Code
Project and Program Questions
What project area are you applying for?
Land & Environment
Culture & Language
Healthy Living
Arts & Creativity
Youth Leadership
Other
Do you have a project idea?
*
Yes
Kind of
No
If you have an idea, tell us a little bit about it:
Would you like to apply by yourself or as part of a team?
By myself
Part of a team
Unsure
Do you have someone in your community who could mentor you or support your project?
Yes
No
If you answered yes above, who?
Do you have access to the internet and a device (computer or phone)?
*
Yes, always
Yes, sometimes
Rarely
Never/not right now
What is your availability like? Are you in school, working, or do you have other responsibilities? Please tell us when you would be able to work on a project (ie 2 hours/week on Saturday afternoons).
NYiS projects will take around 5 hours a week until march or until your project is done. Are you able to commit this amount of time to your project?
*
Yes
Maybe
No
NYiS Participants are required to complete some assignments to help the design their projects. Do you agree to do these assignments (a few hours worth over a few weeks time)
*
Yes
No
Would you be interested in travelling for in-person training later this year, once safe and allowed to do so?
Yes
Maybe
No
Do you have any questions about NYiS?
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