Skip survey header

Local Champions 2020 Application

Welcome and thanks for your interest in Local Champions. Please answer the questions below and submit your application no later than December 13, 2019.

Please note priority will be given to applicants that reside within the City of Victoria.Successful applicants will be notified by January 10th, 2020 and the kick-off weekend intensive will take place February 1-2, 2020.

Please remember to press "submit" when you have completed your application. You may press "save and continue" at any point to save your answers and come back to complete your application at any time.

If you have any questions, please contact Gary Pemberton at GPemberton@victoria.ca
This question requires a valid email address.
This question requires a valid date format of MM/DD/YYYY.
calendar
13. The cost of the Local Champions Program to the participant is $150 (market value of $2000). We do not want this to be a barrier and a limited number of scholarships and subsidies for childcare and transportation are also available. Applicants may also secure a Community Sponsorship through a community organization. Do you have a community organization sponsor? *This question is required.
15. I understand that if selected for Local Champions, I am committing to attend a minimum of 5 training sessions on the dates outlined, including the mandatory kick-off learning intensive. I understand that to contribute meaningfully to the program, I will be expected to participate to participate in class projects and complete homework assignments. *This question is required.
Please provide a personal reference contact for this program (someone who can speak to your character, strengths, etc.)
 
This question requires a valid email address.
19. How did you hear about Local Champions? *This question is required.