AYSP Application

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