APIA Alaska Native Cultural Health and Resilience (ANCHR) Gathering and ETR Career Fair
Aang Aang!
The Fourth Annual ANCHR Gathering, Join us in Unalaska
July 10th - July 13th, 2025
Full Name
*
First Name
Last Name
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Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Are you a Veteran of Active Service Member?
*
Yes (Veteran)
Yes (Active Service Member)
No
If yes, are you an enrolled in the SSG Fox SPGP?
*
Yes
No
Will you be requiring travel and lodging assistance to attend the event *Eligibility criteria must be met prior to authorization
*
Yes
No
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Do you have a traditional Alaska Native/American Indian name/nickname? If so, what is it and what does it mean?
Current grade, if a High School Minor Attendee
9th
10th
11th
12th
Expected Graduation Year
Gender
*
Male
Female
Other
Prefer not to say
Pronouns
Birthdate
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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Are you a Tribal Enrollee?
*
Yes
No
If yes, what tribe?
Do you experience any health issues or special needs (including behavioral) that may affect your ability to participate in any part of the program (including physical activity)?
*
Yes
No
If yes, please explain what health issues or special needs we may need to accommodate.
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Employment Information
Current Employment Status: Check all that is applicable
*
Job Seeker
Part-time
Full-time
Subsistence
Self-employed
Retired
Do you experience any barriers to employment?
*
Yes
No
If yes, please explain
What trainings would you like to attend / see in your community?
*
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Emergency Contact Information:
In case of an emergency, who should we contact?
Name
*
First Name
Last Name
Relationship
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Registration and Consent Form
Parent/Guardian Contact Information (For High School Student Attendees, age 18 and below) - Please provide information for your parent/guardian below.
Name
First Name
Last Name
Email
example@example.com
By checking below, I hereby give permission to my high school student to participate in this gathering
*
Yes
No
N/A (adult attendee)
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Initial
*
Initial
*
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Initial
*
Initial
*
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Participation will be denied if application is incomplete
If signed and completed waiver is not on file or if the signature of the adult participant or the signature of the parent/guardian of a minor participant and the dates are not on this waiver.
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
*
Thank you for submitting your application!
Registered participants will receive, via email, the ANCHR agenda (1) week prior to the event. If you have any questions, please contact Jenna Larson at jennal@apiai.org or call (907)222-4279 or (907)276-2700.
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