SEMI Program Application Form
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you a Concordia University or Community member?
*
Yes, Undergraduate student
Yes, Graduate student
Yes, Alumni
No
Other
What are your personal pronouns?
*
She/her
He/him
They/them
Prefer not to say
Other
What languages are you proficient in?
*
English (Oral & written)
French oral
French written
Other
What stream of the SEMI program are you applying to?
*
Project stream
Placement stream
Project name
*
Project steam only
Please share any website or social media links about your project:
*
Project stream only
Project vision (executive summary/elevator pitch)
*
Project stream only
What stage is your project? How long have you been organizing? What are you currently focusing on within your project?
*
Project stream only
How many team members are involved with the project? Do you know if they intend on applying to the SEMI program?
*
Project stream only
What stakeholders are involved in your project?
*
Project stream only
Have you secured any financial support for your project? If so, from where?
*
Project stream only
What is your role within the project? Now and ideally in the future?
*
Project stream only
What would a mentor be able to support you with? How could mentorship, within the context of your project, support your own personal development?
*
Project stream only
What is your personal/professional development goal in applying to the SEMI program?
*
Project stream only
What prior experience do you have engaging in the Social Solidarity Economy (SSE)? &/or what is motivating you to participate in the SSE?
Placement stream only
What sectors of the SSE interest you? (most to least)
*
If other, please elaborate:
Placement stream only
I am currently proficient in (pick as many as apply to you):
Financial management & accounting
Project management & administration
Human resources management
Policy & bylaw development
Public speaking
Community organizing & campaigning
Communications & social media
Journalism & long-form writing
Graphic design
Event & volunteer coordination
Grant writing
Physical labour (landscaping, cleaning, farming, etc.)
Photography & videography
Cooking & food services
Web development, programming & coding
Construction trades (carpentry, electrical, plumbing, etc.)
Other
I would like to develop skills in the following fields (top 3 choices):
Financial management & accounting
Project management & administration
Human resources management
Policy & bylaw development
Public speaking
Community organizing & campaigning
Communications & social media
Journalism & long-form writing
Graphic design
Event & volunteer coordination
Grant writing
Physical labour (landscaping, cleaning, farming, etc.)
Photography & videography
Cooking & food services
Web development, programming & coding
Construction trades (carpentry, electrical, plumbing, etc.)
Other
What would be your ideal role within an SSE project placement?
*
Placement stream only
Within the context of a SSE project placement, what would you hope to gain from mentorship support?
*
Placement stream only
What is your personal/professional development goal in applying to the SEMI program?
*
Please insert the most recent version of your CV:
*
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Desired level of involvement with your mentor?
*
Desired timeline of involvement in the SEMI program? (beginning/end date)
*
Do you have the capacity to remotely meet with a mentor at least 5 times within your desired timeline?
*
Yes, definitely
Yes, probably
Probably not
No
Expected effort that you can to give towards the project or placement?
*
How did you hear about the SEMI program?
SEIZE direct connection
SEIZE social media
SEEnet/RDN direct connection
SEEnet/RDN social media
Word of mouth
Other
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