2016 Eagle Spirit High Performance Camp Application Form

2016 EAGLE SPIRIT HIGH PERFORMANCE CAMP APPLICATION FORM

CAMP DATES: MAY 20-22, 2016

APPLICATION DEADLINE: MARCH 15, 2016

We hope to see you at our10th Annual Eagle Spirit High Performance Camp! Please complete this form and review the checklist prior to submitting your application. You can sendcompleted applications by email fax, (514) 398-8169 or my mail to First Peoples’ House, c/o Eagle Spirit Camp, 3505 Peel street, Montreal, Quebec, H3A 1W7.

CAMPER INFORMATION:

First Name: ______Last Name: ______

Mailing Address: ______

Telephone: ______Age: ____ Birth date (mm/dd/yy) ______

Camper’s Email Address: ______Parent /Guardian Telephone ______Email Address: ______

Emergency Contact Information: ______

Nation/Community Affiliation (if applicable): ______Sweatshirt Size (S, M, L, XL, 2XL): ______

Allergies / Food Intolerances: ______

Medical Condition(s) / Accessibility needs (if applicable): ______

CAMPER QUESTIONS:

Please elaborate & submit approximately 150-250 words for each response in word document:

1. What are your passions and interests (i.e. academic, athletic, social, community, cultural, etc.)?

2. What does education mean to you?

3. Provide examples of how you have been a leader in your community / school / family:

4. What are your future goals and dreams?

CHECKLIST FOR COMPLETING APPLICATION:

___ One signed letter of reference from someone who can attest to your character, community involvement, school participation (must be a person unrelated to you with contact information provided).

___ Complete all Camper Questions in Word document

___ Secure round trip travel costs from home community to McGill University.

Please note:All food and accommodations are covered for the duration of the camp. You only are responsible for your travel costs to McGill University and spending money.

I certify and agree that the submitted information is true and complete:

______

Name of Applicant Signature Date

______

Parent or Guardian Name Signature Date

Please send completed and signed application form and camper questions by email, fax or mail by MARCH 15, 2016.

Thank you for completing your application and for your interest in the Eagle Spirit High Performance Camp. We look forward to reviewing your application. If your application is complete and you are accepted to attend the camp, you will be notified by April 1, 2016.

For more information about the camp, please visit our website:

Sincerely,

Paige Isaac, B. Sc.

First Peoples’ House Coordinator

Kakwirano:ron Cook, B.A.

Indigenous Community Outreach Administrator

First Peoples’ House | 3505 Peel Street, Montreal, Quebec, H3A 1W7 | T: 514.398.3217 | F: 514.398.8169