To apply for participation in the 6-month Katimavik National Experience from January to June 2020, please complete all the questions below. 
 
The National Experience is open to all young Canadians aged 17-25 years old. Candidates must be between 17 and 25 years old as of the start date of the program, at the beginning of January. Katimavik is committed to providing an inclusive, diverse, respectful environment and encourages applications from young adults of all backgrounds, genders, religions, and cultures. 
 
In selecting participants, consideration will be given to ensuring equal representation of Canada’s diversity, as well as the individual’s motivation to learn, willingness to experience new things, and interest in making a positive impact in communities.
 
During the selection process, Katimavik may contact you by phone to request additional information.

Please note that there are a limited number of spots available and we are unable to accommodate all requests for participation. If you are not selected at this time, we encourage you to reapply for the next program beginning in July 2020. 
 

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* 1. This form must be completed by the person who will be participating in the National Experience. If you require assistance to complete the form, please contact us at info@katimavik.org. 

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* 2. Last name

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* 3. First name

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* 4. Address

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* 5. City

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* 7. Postal code

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* 8. Email

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* 9. Phone number

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* 10. Alternate email or phone number

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* 11. Date of birth

Date of birth

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* 12. Which gender do you identify with?

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* 13. Do you self-identify with any of the following?

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* 14. If you identify as First Nations, Inuit, or Métis, please specify which Nation you are from:

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* 15. Are you a Canadian citizen or able to demonstrate that you are legally residing in Canada?

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* 16. How many people live in your hometown?

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* 17. What is your first language?

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* 18. What is your level of knowledge / understanding of French?
(this question is for information purposes only and will not affect your eligibility in the program)

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* 20. What is your average household income? 
(this question is for information purposes only and will not affect your eligibility in the program)

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* 21. Please share some information about yourself and your experiences (cultural identity, hobbies, life experiences, school, work, interests, etc) that make you a good candidate for this program. (max. 800 characters)

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* 22. How interested are you in learning about the following?

  Not at all Not really Somewhat Yes Very much
Indigenous knowledge, Truth and Reconciliation
Volunteerism
Professional experience
Life skills
Cultural discovery
Learning another language
Environmental stewardship
Group living

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* 23. Why are you motivated to participate in the Katimavik National Experience? How do you think this experience will contribute to attaining your life goals? (max. 800 characters)

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* 24. Please share any other details that you would like us to know about that would help the selection process. (max. 800 characters)

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* 25. Do you have any health concerns or dietary restrictions/allergies that we should be informed of when placing you in a group? (this question is for information purposes only and will not affect your eligibility in the program)

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* 26. How did you hear about the program?

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* 27. Completion of application (required)

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