Rebel Entrepreneur - Application Form Your Name* Email* Phone*Are you between the ages of 15 and 29, inclusive?* Yes No How old are you?*Please enter a number from 15 to 29.Are you unemployed?* Yes No “Unemployed means you are available for work but do not have work and includes those: who are on temporary layoff with an expectation of recall, have actively looked for work in the past four weeks or have a new job to start within four weeks.” Are you employed?* Yes No How many hours do you work per week? Are you receiving Employment Insurance (EI)?* Yes No Are you on Income Assistance?* Yes No Are you legally entitled to work in Canada?* Yes No Are you currently living on Vancouver Island, the Gulf Islands, or Powell River?* Yes No Are you a full-time student, or enrolled in high school?* Yes No Are you currently participating in another government funded program?* Yes No Which program?*Have you applied to any other ETHOS programs?* Yes No Name of Program*Do you have a Business Concept, or an existing Business in need of support?* Yes No Do you have access to a computer?* Yes No Do you have access to a webcam?* Yes No How did you learn about the Rebel Entrepreneur Program?*
