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Applicant Information

Have you graduated within the last 3 years?(Required)

Yes

This program is for individuals who graduated from their program of study WITHIN the last 3 years.

Have you applied for this program before?(Required)

Yes

If you answered "Yes" to the previous question, indicate when you applied.

MM slash DD slash YYYY

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email(Required)

Date of Birth(Required)

MM slash DD slash YYYY

Are you a Canadian citizen?(Required)

Yes

If no, are you authorized to work in Canada?

Yes

Education

School(Required)

Location

Dates of Attendance(Required)

From To

Did you graduate?(Required)

Yes

Diploma(Required)

University(Required)

Location(Required)

Dates of Attendance(Required)

From To

Did you graduate?(Required)

Yes

Degree(Required)

if you haven't graduated yet, put 'In Progress'

University

Location

Dates of Attendance

From To

Did you graduate?

Yes

Degree

University

Location

Dates of Attendance

From To

Did you graduate?

Yes

Degree

Please list any relevant school work related to Canadian politics (courses, thesis, research, etc):

Please request a copy of your academic transcript from your degree granting institution. This must be sent UCC National Office, Suite 500-130 Albert Street, Ottawa ON, K1P 5G4

I have requested the transcript to be sent to UCC office at the address above.(Required)

Yes

Languages

English(Required)

Fluent

Good

Fair

Poor

French(Required)

Fluent

Good

Fair

Poor

Ukrainian(Required)

Fluent

Good

Fair

Poor

Other Language

Fluency

Fluent

Good

Fair

Poor

Other Language

Fluency

Fluent

Good

Fair

Poor

Employment/Volunteer History

Company

Phone

Address

Supervisor

Dates

From To

Job Title

Responsibilities

Company

Phone

Address

Supervisor

Dates

From To

Job Title

Responsibilities

Company

Phone

Address

Supervisor

Dates

From To

Job Title

Responsibilities

Ukrainian Canadian Community Involvement

Organization

Phone

Address

Supervisor

Position/Role

Responsibilities

Organization

Phone

Address

Supervisor

Position/Role

Responsibilities

Organization

Phone

Address

Supervisor

Position/Role

Responsibilities

References

Please list three references. At least one should be from the Ukrainian Canadian community

Full Name(Required)

Relationship(Required)

Organization(Required)

Phone

Email(Required)

Full Name(Required)

Relationship(Required)

Organization(Required)

Phone

Email(Required)

Full Name

Relationship

Organization

Phone

Political Affiliation

Are you a member of a federal political party?(Required)

Yes

Are you a member of a provincial political party?(Required)

Yes

Please attach a personal statement no longer than 750 words including relevant biographical details, your expectations of the internship program, the reasons for your interest in the program and your future plans after its completion should be offered a placement.

File(Required)

Max. file size: 256 MB.

Please attach a current C.V./resume

File(Required)

Max. file size: 256 MB.

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Date(Required)

MM slash DD slash YYYY

Signature(Required)

DEADLINE: December 31, 2023

Application Checklist: □ Completed Application Form □ Academic Transcript requested for UCC National Office in Ottawa □ C.V./Resume □ Personal Statement □ Signed and Dated

Completed Application Form

Academic Transcript requested for UCC National Office in Ottawa

C.V./Resume

Personal Statement

Signed and Dated

Parliamentary Internship Program Application Form