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AYSP Application .pdf



Original filename: AYSP Application.pdf
Author: LDelcol

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Application

Aboriginal Youth Summer Program
APPLICATION INSTRUCTIONS
Complete ALL SECTIONS of this application (there are THREE pages)
Please print clearly!
Ask your parent or legal guardian to complete SECTION E of the application, and sign it.
A $100 fully refundable deposit is required to guarantee your spot in the Program. Payment of the
deposit is to be completed by credit card by a parent/guardian in SECTION E. This deposit will be
refunded in full upon attendance and successful completion of the Program.
Fax, mail or email the completed application form to Lisa Del Col, Aboriginal Law Program Coordinator
by May 30th, 2012
Within a week of the application deadline, a program representative will contact you via email with
further instructions. Be sure to provide us with an email address in SECTION B. Once your application
has been processed and you have been accepted, a Welcome Package will be emailed to you.

PROGRAM DATES AND FEES
The Program will run from Sunday, July 8th to Saturday, July 14th, 2012.
Thanks to generous grants from the Law Foundation of Ontario and the Law School Admissions Council,
program fees, food and accommodation for twenty (20) Aboriginal youth will be fully subsidized upon
acceptance into the program. Some travel assistance is available. Requests for travel assistance can be
made in SECTION G of this application. Additional, non-subsidized program spots may be available for a
nominal fee. Contact Lisa Del Col for more information on these additional spots.

SECTION A – STUDENT INFORMATION
Last name: _____________________________ First Name: ____________________________
Preferred name: _________________________ Date of Birth (MM/DD/YYYY) _______________
Gender:

Male

Female

School Name: ___________________________

Current (2011/2012) Grade Level: __________
Aboriginal Status:

Status

School Board: ___________________________

Non-Status

Métis

Inuit

SECTION B – CONTACT INFORMATION
Mailing Address: ________________________________________________________________
City: _________________________

Province: ______________________________

Postal Code: ______________________

Phone Number: _________________________

Student’s email: ________________________

Parent’s/guardian’s email: ______________________

SECTION C – HOW DID YOU HEAR ABOUT THIS PROGRAM?
High School

University Representative

Website

Friend

Relative

Other _________________

SECTION D - PERSONAL STATEMENT
In your own words, please explain why you should be accepted to the AYSP. In this statement, you may
wish to highlight your interest in the law, your educational and career aspirations, and what you hope to
achieve from the AYSP. If you run out of space, you may attach additional pages to this document.

SECTION E – LETTER OF SUPPORT
Please attach to this application a letter of support from a guidance counsellor, teacher, principal, Band
leader, or similar community representative. The individual writing the letter should demonstrate the
applicant’s interest in law and vouch for the applicant’s commitment to attending the AYSP.

SECTION F

TO BE FILLED OUT BY PARENT OR GUARDIAN ONLY

I have read this application, and all information enclosed is accurate to the best of my
knowledge. I understand that this program involves supervised overnight stays at the
University of Toronto, and give my son/daughter or legal dependant permission to attend this
program.
Name: ________________________________

Relationship: ______________________________

Signature: _____________________________

Date: ____________________________________

I, the undersigned authorize the University of Toronto to deduct $100 from my credit card as a
refundable deposit for the 2012 Aboriginal Youth Summer Program.
(Charge will only be processed if acceptance is granted and the offer is confirmed by the student)

Visa

Mastercard

Amex

Cardholder’s Name: ______________________________

Card Number: ____________________________

Expiry Date: ________________________

Signature: _______________________________

Current Date: _______________________

SECTION G – TRAVEL SUBSIDY REQUEST
If you wish to access a travel subsidy to attend the Aboriginal Youth Summer Program, please complete
this section. If you do not require travel assistance, leave this section blank. All travel subsidy requests
will be reviewed following the acceptance stage to determine the most equitable disbursement of travel
subsidies.
Point of Origin: ______________________________

Distance from Toronto (in km): __________

Method of Transportation: _____________________

Approximate Cost: ____________________

IMPORTANT DATES & PROGRAM CONTACT INFORMATION
Application deadline:
Offers of admission:
Deadline to accept offer:
Program run date:

May 31, 2012
June 7, 2012
June 13, 2012
July 8 – 14, 2012

Questions about the Aboriginal Youth Summer Program can be directed to:
Lisa Del Col
Aboriginal Law Program Coordinator
University of Toronto, Faculty of Law
Toronto, Ontario
M5S 2C5

Tel: 416-978-2583
Fax: 416-987-8-2648
Email: lisa.delcol@utoronto.ca


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