Indigenous Awareness Grant Application Which course are you interested in? Indigenous Awareness Working Effectively with Indigenous Peoples® Business Name * Please select your business type Sole Proprietorship Partnership Corporation Primary Contact * Position/Title * Do you self identify as? * Select all that apply Woman Man Trans Two-Spirit Genderqueer/Non-Binary I prefer not to say Other / prefer to specify Do you consider yourself to be a person with disability? * Select all that apply Yes No Visable Non-Visable or Invisable I prefer not to say Do you identify as First Nations, Metis or Inuk (Inuit ?) * Select all that apply Yes No I prefer not to say Has your business been in existance for more than a year? * Yes No Number of Participants * How many staff are interested in this training? Number of participants cannot exceed 50 people. Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone (###) ### #### Website / Social Media Links http:// Which date are you able to begin the self-guided course? * Reminder you only have 30 days to complete the training. MM DD YYYY I, hereby consent to the collection, use, and disclosure of my personal information by Indigenous Business Development Services for the following purposes: * 1. To process my application for Indigenous Awareness Business Grant, and promote future IBDS promotions, events and/or other business resources. 2. I understand that the information collected may include but is not limited to my name, contact information, demographic details, and any other information relevant to the stated purposes. 3. I understand that my information will be used solely for the purposes outlined above and will not be shared with third parties without my explicit consent, except as required by law. I acknowledge that I have the right to withdraw this consent at any time by contacting Sy-Lynne Bell at director@ibdsbc.ca. Yes, I confirm that I have read and understood the terms of this consent form and agree to the collection, use, and disclosure of my personal information as described herein. No, I do not give permission Thank you for submitting your application, we will get back to you shortly.