New AKWESASNE FABLAB COHORT 6

Iohahi:io Akwesasne Education & Training Institute

16 Iohahi:io Road, Akwesasne, Akwesasne, Quebec H0M 1A1

AKWESASNE FABLAB COHORT 6

First Name

Last Name

Cell Phone

General Information

Street

Address 2

City

State/Province

Zip/Postcode

Country

Birth Date

SIN

(9 digits)

Gender

First Nation Community

Education

Do you have a high school diploma?

Yes No Not Selected

Name of High School

If not, what is the highest grade you have completed?

Work Experience

Employer

Job Title

Employment Start Date

Employment End Date

Duties

Accomplishments

Please describe some of the qualities that you feel make you a suitable candidate for the course of study that you are applying for.

What do you hope to achieve or gain upon completion of this program?

What steps do you plan to take next after completing your studies at Iohahi:io?

Transportation

Do you have access to transportation?

Yes No Not Selected

Assessment Date/Time

Client Release of Information

I give consent to release my name and contact information as well as any information regarding performance and/or attendance in the Iohahi:io course to potential employers who are seeking candidates for employment, as well as funding, social assistance agencies, Office of Vital Statistics (OVS) and educational institutions. In addition, I give consent to release my personal information and/or photograph to Iohahi:io Akwesasne Education & Training Institute for promotional purposes for internal and/or external publications.

APPLICATION SELECTION PROCESS: Applications missing essential components may be flagged for follow-up or disqualified. Applicants will be notified via the provided email. PLEASE NOTE: Emails that do not work may lead to disqualification if applicants cannot be contacted. APPLICATION CHECKLIST: 1) Complete the Application Form *Ensure all fields are completed. *Ensure the applicant provides valid and active email address. *This email will be used to notify applicants of their selection or disqualification. 2) Accomplishment Section is required. 3) Previous Work/Education Experience is required. 4) Program Requirements *Verification applicants meet eligibility criteria. *Some programs are selected by grant administered requirements such as age, qualifications, prerequisites, or certifications.

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