LinC 2019 Application Form
Kia ora - thanks for your application for LinC Incubator or Cultivator 2019 . Any queries please contact us on
PLEASE NOTE: LINC APPLICATIONS ARE NOW CLOSED - ANY FURTHER APPLICATIONS WILL BE ADDED TO THE WAITLIST
CONTACT AND PERSONAL INFORMATION
Name (first and last name)
Contact numbers (cell and landline if you have them)
Age (please indicate your age group)
Ethnicity (please select your ethnicity below)
MELAA (Middle Eastern/Latin American/African)
Iwi (if you indicated Māori above please tell us your iwi)
Te Atiawa o Te Waka-a-Maui
Rangitāne o Wairau
Ngāti Apa ki te Rā Tō
Ngāti Tama ki Te Tau Ihu
Ngā Maata waka
Which programme are you applying for?
Why would you like to be involved in the LinC Project Incubator/Cultivator?
What community/ies are you involved with and what role do you have in them?
Are you involved in any organisations that work with communities and what is your role? (e.g. Govt, NGO, philanthropic)
What things/projects/initiatives have you been involved with organising and leading over the last 3 years?
What future ideas do you have for your community?
REFEREES (Please name 2 people from your community or organisation who you have been involved in over the last few years and support you in your community work).
Referee 1 (Please list name, contact email and number)
Referee 2 (Please list name, contact email and number)
Thank you so much for taking the time to complete this application form - we will be back in touch with you after December 6th
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