Application for Rebel Entrepreneur | ETHOS Career Management Group

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?*

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?*

Rebel Entrepreneur - Application Form