ABORIGINAL MANAGEMENT PROGRAM APPLICATION FORM …

1 1 | Page AMP APPLICATION 09/2019 ABORIGINAL MANAGEMENT PROGRAM APPLICATION FORM INFORMATIONF irst Name* Last Name* Date of Birth* (month/date/year) I identify my gender as Woman Man Non-binary Two-spirit Are you someone with trans experience (meaning your gender does not align with your sex assigned at birth)? Yes NoPrimary E-Mail* Secondary E-mail Primary Phone #* Secondary Phone # Permanent Mailing Address: Street* Address Line 2 City* Province* Postal Code* Current Mailing Address: Street* (if different from above) Address Line 2 City* Province* Postal Code* Emergency Contact: Name: Phone: E- mail: ABORIGINAL Heritage - Please select the option that is relevant to your heritage.

2 Photocopies of relevant documentation must be provided with the APPLICATION refer to the supporting documents list below for examples. ABORIGINAL Identity * First Nations (Status or Non-Status) M tis InuitCommunity Affiliation *2 | Page AMP APPLICATION 09/2019 selection committee is looking for commitment to your education and future career goals. Please provide us with information on your educational background. Have you taken courses at the college or university level or other professional development courses? If yes, please provide additional details including: PROGRAM Name, Institution, Years of Study, Graduated (yes/no). Education Details Highest Level of Math Completed? * How would you rate your skill level Microsoft Excel?

3 * Beginner Intermediate AdvancedMicrosoft Word? * Beginner Intermediate AdvancedZoom?* Beginner Intermediate AdvancedAll coursework and assignments are to be submitted electronically to the PROGRAM manager (you will receive details about this after acceptance into AMP). No handwritten or emailed submissions will be accepted. Please let us know if you have your own personal laptop. If no , please contact the Ch nook office. Do you have your own personal laptop computer? * Yes NoIf yes, does your laptop computer have Microsoft Word and Excel?* Yes No3 | Page AMP APPLICATION 09/2019 We may use Skype to conduct interviews. If you have Skype, please tell us your Skype ID. Answer "no" if you do not.

4 * S kype ID Yes No DELIVERYIn light of the current COVID-19 pandemic, the 2022 ABORIGINAL MANAGEMENT PROGRAM (AMP) will be offered online (via Zoom) from Feb 28 to May 3, 2022. Classes will be in-person for the following dates: May 10-13 and June 6-10. The health, safety and wellbeing of our students, faculty and staff remains our priority. We continue to follow the ongoing guidance and direction of the Provincial Health Officer and the Public Health Authorities with respect to protecting public INFORMATIONT uition and Travel FeesThe base amp tuition for all students is $6,000 and covers PROGRAM fees , course materials, and the graduation.

5 Travel expenses, per diems and accommodation during in-person classes (May 10-13 and June 6-10) will be covered by the Ch'nook Assistance Ch nook has tuition bursaries available to successful applicants on a case-by-case basis. To be eligible for a bursary for tuition expenses, you must demonstrate that you have first pursued one of the following funding opportunities. Check one of the boxes below to indicate acknowledgment that, should you be accepted to the AMP, you will apply for the chosen funding opportunity AND demonstrate the outcome of the APPLICATION to Ch nook BEFORE being eligible for a Ch nook bursary. Travel expenses, per diems and accommodation during in-person classes (May 10-13 and June 6-10) will be covered by the Ch'nook Office.

6 Band funding OR M tis Association Funding OR Inuit Designated Organization funding as applicable Funding provided by at least one organization under ASETS: Funding provided by your work place note that most funders will require formal acceptance into a PROGRAM prior to making funding decisions. Ch'nook is available to assist with funding applications or referrals to funding sources. 4 | Page AMP APPLICATION 09/2019 DOCUMENTSTo apply for Ch nook's ABORIGINAL MANAGEMENT Certificate PROGRAM , you must submit all of the following required documentation along with this completed APPLICATION form. Failure to provide any of the following will result in your APPLICATION not being considered. Essay Resum Proof of Heritage Two professional referencesMake sure you attach all required documentation for this APPLICATION and email it to: Please note that we do not return any materials provided with the APPLICATION .

7 Please attach your documents in a .docx or .pdf file format and name the file/s including your first name and last name (example: ). A) 750 Word EssayThe essay needs to reflect the following headings: A short BIO (introduce yourself!) Educational goals and career plans Past experience and/or courses related to business Why you would like to participate in the ABORIGINAL MANAGEMENT PROGRAM What is the business idea you would like to work on over the course of the PROGRAM (this could be anexisting business idea that you are involved with personally or for your community, or a new business ideathat you would like to pursue in the future either on your own or for your community)?Note: Over the course of the PROGRAM you will complete a business capstone project where you will develop and p itch a business plan using the knowledge you have gained in your classes as well as the advice and feedback given by the Sauder faculty, business professionals and your peers over the duration of the PROGRAM .

8 B) Resum Provide us with your up to date | Page AMP APPLICATION 09/2019 C) Proof of HeritagePlease include Proof of Heritage which may include the following: Certificate of Indian Status M tis Membership Card Inuit Beneficiary Card Parent/grandparent heritage information and documents showing your relationship to them; or Letter ofacknowledgement from First Nation, M tis Association or Inuit agreement there are any challenges in obtaining these documents, please contact our office for assistance. D) ReferencesPlease attach two (2) signed letters of reference. Professional references are QUESTIONSP lease assist us by telling us how you heard about the Ch nook AMP certificate? * Web/search engine, advertisement in newspaper/online news Ch nook poster/printed materials Referred by corporationName: From a teacher or counsellor at school AMP alumni Name: Ch'nook presentation or event AND CONSENTA condition of acceptance into the AMP is that you are able to attend all mandatory classes:See schedule | Page AMP APPLICATION 09/2019 Feb 2022: Feb 28, Monday (6:00 pm 8:30 pm PT), delivered on Zoom March 2022: March 7, Monday (6:00 - 8:30 pm PT), delivered on Zoom March 10, Thursday (6:00 - 8:30 pm PT), delivered on Zoom March 22, Tuesday (6:00 - 8:30 pm PT), delivered on Zoom March 29, Tuesday (6:00 - 8:30 pm PT), delivered on Zoom April 2022: April 5, Tuesday (6:00 - 8.

9 30 pm PT), delivered on Zoom April 9, Saturday (9:00 am - 4:00 pm PT), delivered on ZoomApril 14, Thursday (6:00 - 8:30 pm PT), delivered on Zoom April 21, Thursday (6:00 - 8:30 pm PT), delivered on Zoom April 26 Tuesday (6:00 - 8:30 pm PT), delivered on Zoom May 2022: May 3, Tuesday (6:00 - 8:30 pm PT), delivered on Zoom May 10, Tuesday, in-person at UBC (9:00 am to 4:30 pm)May 11, Wednesday, in-person at UBC (9:00 am to 4:30 pm)May 12, Thursday, in-person at UBC (9:00 am to 4:30 pm)May 13, Friday, in-person at UBC (9:00 am to 4:30 pm)May 19, Thursday (6:00 - 8:30 pm PT), delivered on Zoom May 24, Tuesday (6:00 - 8:30 pm PT), delivered on Zoom May 31, Tuesday (6:00 - 8:30 pm PT), delivered on Zoom JUNE 2021: June 6, Monday, in-person at UBC (9:00 am to 4:30 pm)June 7, Tuesday, in-person at UBC (9:00 am to 4:30 pm)June 8, Wednesday, in-person at UBC (9:00 am to 4:30 pm)June 9, Thursday, in-person at UBC (9:00 am to 4:30 pm)June 10, Thursday, in-person at UBC (9:00 am to 4:30 pm) - Graduation7 | Page AMP APPLICATION 09/2019 I confirm that I am able to attend all AMP required classes: Yes NoThe AMP is an intensive PROGRAM and we require students to attend all mandatory classes, including evening sessions, special presentations and weekend dates.

10 In addition, students are required to complete homework assigned throughout the duration of AMP. Both attendance and homework completion are required in order to pass the PROGRAM and receive an AMP certificate. If you answered no to any of the above dates, please provide us with more information: hereby declare that I have read and fully understand the guidelines for Ch'nook's AboriginalManagement Certificate PROGRAM (AMP) and I have answered all questions that are relevant to hereby certify that all of the information provided on the APPLICATION form and in the supportingdocumentation is true and correct. If I am found to have knowingly given false information Iunderstand that my APPLICATION will be , I hereby give consent to Ch nook and its employees to use information provided as a means ofassessing my AMP I am chosen to participate in the AMP, I hereby give consent to Ch nook and its employees to takevideos and photos and permission to share these and my contact information with Ch nook s fundingpartners for the purposes of promoting Ch nook and for contacting me regarding future employmentopportunities and/or other.