Rebel Entrepreneur - Application Form Your Name*Email* Phone*Are you between the ages of 15 and 29, inclusive?*YesNoHow old are you?*Please enter a number from 15 to 29.Are you unemployed?*YesNo“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?*YesNoHow many hours do you work per week?Are you receiving Employment Insurance (EI)?*YesNoAre you on Income Assistance?*YesNoAre you legally entitled to work in Canada?*YesNoAre you currently living on Vancouver Island, the Gulf Islands, or Powell River?*YesNoAre you a full-time student, or enrolled in high school?*YesNoAre you currently participating in another government funded program?*YesNoWhich program?*Do you have a Business Concept, or an existing Business in need of support?*YesNoDo you have access to a computer?*YesNoDo you have access to a webcam?*YesNoHow did you learn about the Rebel Entrepreneur Program?*