• How did you hear about the IAYI Program? * Friend/family member Facebook (please specify below: post, ad, on friend/organization’s timeline?) Twitter LinkedIn Internet search (Google, etc.) Media (TV, Radio, Newspaper) Community Organization Past participant of a program School presentation Poster/promotional brochure of Canada World Youth Recruitment Consultant Web site of Canada World Youth Other Web sites (specify below) Other (specify)
• Specify
• Please specify the organization that referred you to the IAYI program *
• First name *
• Last name *
• Birth date * (Ex: 1987-12-29)
• What is the best way to reach you? *

  Email Text messaging Cell phone Home phone

• Primary phone number *
• Additional phone number
• Street address * Apt. 
• City *
• Province * Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon
• Postal code *
• E-mail *
• Please re-enter your e-mail address *
• Facebook name
• Gender * FemaleMaleOther
  
• Citizenship * CanadianPermanent resident
• Do you identify as being of Aboriginal ancestry * YesNo
• I identify as:

  (you can select more than one)

• First Nation (specify name)
•   On reserveOff reserve
• Metis (specify name)
•   In communityOff community
• Inuit (specify name)
•   In communityOff community
• What is your approximate annual family income? * under $35,000 $35,000 to $54,999 $55,000 to $74,999 $75,000 to $99,999 $100, 000 and over

  Indicate the annual income of your parents (or guardians), even if you no longer live at home. (Income includes: employment income, self-employment, and government sources such as social assistance, child benefits, employment insurance, student loans etc.) This information is needed to ensure that we are reaching all socio-economic groups as well as for statistical purposes . It will be kept confidential and not used for any other purpose.

• Number of people dependent on this income 
• What is your approximate annual personal income? * under $35,000 $35,000 to $54,999 $55,000 to $74,999 $75,000 to $99,999 $100, 000 and over

  Indicate your personal annual income (income includes: employment income, self-employment, and government sources such as social assistance, child benefits, employment insurance, student loans, etc.). This information is needed to ensure that we are reaching all socio-economic groups as well as for statistical purposes. It will be kept confidential and not used for any other purpose.

• Number of people dependent on this income 
• What is the size of your Community? *

  Rural (less than 10,000 inhabitants) Urban (more than 10,000 inhabitants)

• Language Skills *

  English	None Fair Good Excellent
  French	None Fair Good Excellent
  Spanish	None Fair Good Excellent
  Cree	None Fair Good Excellent
  Inuktitut	None Fair Good Excellent
  Do you speak any other languages? If yes, which ones?
  1.	None Fair Good Excellent
  2.	None Fair Good Excellent

• What knowledge, skills and experience are you hoping to gain by participating in a Canada World Youth program? *

• Is this the first time you are applying to Canada World Youth? * Yes
  No
• Are you currently attending school?* not studying
  studying full-time
  studying part-time
• If currently studying, specify Name of Institution and Academic Program
• Have you completed high school, or the equivalent (ex:GED)? * Yes
  No
• Name of institution where completed high school or GED
• Date completed*
• After high school/GED what is the highest level of education you have completed? Some college credit, no degree Trade/technical/vocational training Associate degree Bachelor’s degree Master’s degree Professional degree Doctorate degree
• Name of institution where completed
• Program completed
• Date completed
• Are you currently employed? * unemployed
  working full time
  working part-time
  other
• If working, please specify your position, company name, date started

• Have you participated in another youth leadership or exchange program? International Aboriginal Youth Internship Initiative or International Youth Internship
  Canada World Youth
  Katimavik
  Youth Challenge International
  Canadian Crossroads International
  CUSO International
  Me to We
  University Exchange Program
  Québec Sans Frontières
  Northern Youth Abroad
  SWAP
  Other
•   If IAYI or IYI, please specify the year and the Canadian organisation
• What do you expect to be your biggest challenges living abroad and how will you deal with these challenges? *

• Youth volunteers are required to pay or raise a certain amount of money for their project (to cover the cost of passport photos, passport, personal travel items, etc.). Share some preliminary ideas you have on how you will fund raise to contribute to your participation. *
• Do you have a valid passport? (must be valid 6 months after the completion of your program)? * YesNo
• If yes, please indicate the expiry date of your passport. * (Ex: 2025-12-29)
• Do you face any barriers to obtaining a passport? * YesNo
  
• If yes, please check all that apply to your situation. (Before answering this question, please visit Eligibility criteria to review eligibility and application process). Please select all that apply to you. * I do not have the money for the application fee
  I do not have a guarantor for my application (guarantor must have known the applicant for a minimum of 2 years)
  I do not have my birth certificate
  I do not have documents to prove my identity
  I do not live in a community where I can access passport photos
• What are your dates of availability to participate in a program? *
• What are your dates of availability to participate in a program? * July 15, 2019 - January 30, 2020
  July 15, 2020 - January 30, 2021
• Are there any special support systems that you feel you will need in order to be successful on the program? *

• Canada World Youth is committed to equity in recruitment and diversity. We welcome applications from persons with disabilities, persons of any sexual orientations and gender identities , and others who may contribute to nurture the diversity of our volunteer teams.

• I want my name to be added to Canada World Youth's mailing lists
•  

• HOW DID YOU HEAR ABOUT US

• As a registered non-profit organization, Canada World Youth depends on cost-effective methods to attract and recruit motivated and dynamic youth volunteers to our programs. Telling us how you heard about us helps us to find others like you. The answers you give in this section are for our research only and will not affect selection outcome.

• How did you first hear about Canada World Youth? * Friend/family member Facebook (please specify below: post, ad, on friend/organization’s timeline?) Twitter LinkedIn Internet search (Google, etc.) Media (TV, Radio, Newspaper) Community Organization Past participant of a program School presentation Poster/promotional brochure of Canada World Youth Recruitment Consultant Web site of Canada World Youth Other Web sites (specify below) Other (specify)
• Specify

• Curriculum Vitae (CV)/Résumé and Letter of Intent

  The next important step is to attach a copy of your CV and a letter of intent.

  The letter of intent allows us to learn more about you and why you want to participate in a CWY program. The letter of intent should answer the following questions:
  Why are you interested in participating in the Pathways to Indigenous Youth Leadership Program (IAYI)?
  What do hope to gain (skills, knowledge, values) by participating in the Pathways to Indigenous Youth Leadership Program (IAYI)?
  What do you hope to share (skills, knowledge, values) by participating in the Pathways to Indigenous Youth Leadership Program (IAYI)?

• Attach your resume Limit 1MB
• Attach your Letter of Intent Limit 1MB

• Declaration

  By checking the box below and submitting the application form, I (name of applicant), certify that all the information provided on this application form is true, correct and free from misstatement or false statement. I consent to Canada World Youth collecting this information and acknowledge that the information may be used for determining my eligibility for my application to the program and subsequent program evaluation and monitoring purposes.

  I am aware that this information is collected and administered in accordance with the CWY Privacy Policy and adheres to all relevant privacy laws.

• I agree *

Send