Film Training Initiative Application Form/educational Assistance
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1FILM TRAINING INITIATIVE APPLICATION FORM
EDUCATIONAL ASSISTANCE
Please answer the following questions as completely as possible. Feel free to submit a draft application to the
Film & Sound Commission and we can review it for completeness.
Name of Applicant ______________________________________________ Email ______________________________
Address ______________________________________________________ Postal Code_________________________
Telephone ___________________________ Yukon Health Care Card Number_________________________________
Yukon Resident
Yes
No
(Note: applicant must be a Canadian Citizen or a permanent resident of Canada and have lived in Yukon for at least one
continuous year to be a Yukon resident.)
Previous film experience and training: (Please attach resume)
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Description of educational program: (Attach a copy of official course literature and certificate of acceptance)
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Date of program (start/end): __________________________________________________________________________
Educational Institute ________________________________________________________________________________
(If a mentor, please attach mentor’s resume)
Explain how this program will develop your skills and further your career:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Please attach a budget for the full cost of your educational project. Include tuition, texts and any required consumable
materials as line items, and show the basis for these figures (e.g., Course literature).
I submit that, to the best of my knowledge, all aspects of this proposed project will be in compliance with existing
municipal, territorial and federal codes, guidelines and laws and I declare that myself and my business is in good
standing and that any debts owed the Yukon Government are in good standing.
Signature
Date
Submit your completed application to:
Yukon Film & Sound Commission
Department of Economic Development
Box 2703, Whitehorse, Yukon, Y1A 2C6
Phone: (867) 667-5400 Fax: (867) 393-6944
YG(4934EQ)F1 Rev. 05/2015
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