APPLICATION FOR PARTICIPATION

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Applications due by: JUNE 1 2023

The IAA will take place in-person and online in the summer into the fall:

*Locations for in person offerings to be announced this Spring

Acceptance will be based upon:

Successful applicants will be notified by: JUNE 8 2023

For more information on IAA click here. If you have further questions related to the application process please email: valine@circleonphilanthropy.ca

Name: *

First and last name

Email address *

Cell number *

Mailing address

Emergency contact: name and relationship *

Emergency contact: phone number *

Organization *

Share the name of the organization & list any teammates who are also applying to IAA

What is your role at the organization? *

Please share a bit about your Indigenous ancestry and the communities you are accountable to. *

What does abundance mean to you? *

What is your biggest, boldest dream for philanthropy?
*

Why do you want to participate in IAA? *

What are you hoping to learn? *

Do you have any dietary restrictions or preferences?
*

Room sharing may be an option at the in-person gatherings. Please include any requests or considerations when pairing roommates.

Do you have any requests or needs to ensure your comfort and wellbeing while attending this gathering?

Do you have any accessibility needs we should be aware of?

This question encompasses helping enable your participation on virtual platforms as well as in person.

By submitting this form, you agree to: you must SELECT ALL before submitting
*

*share your name, organization and contact information with other participants.

*participate fully in the IAA program, including all in-person and virtual days to the best of my ability

*I recognize that The Circle has the right to implement health and well-being measures to ensure a successful and safe gathering

Required

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