2016 EAGLE SPIRIT HIGH PERFORMANCE CAMP APPLICATION FORM
CAMP DATES: MAY 20-22, 2016
APPLICATION DEADLINE: MARCH 15, 2016
We hope to see you at our 10th Annual Eagle Spirit High Performance Camp! Please complete this form and
review the checklist prior to submitting your application. You can send completed applications by email to
aboriginalcommunity@mcgill.ca by fax, (514) 398-8169 or my mail to First Peoples’ House, c/o Eagle Spirit
Camp, 3505 Peel street, Montreal, Quebec, H3A 1W7.
CAMPER INFORMATION:
First Name: _______________________________ Last Name: _____________________________________
Mailing Address: __________________________________________________________________________
Telephone: _________________ Age: ____ Birth date (mm/dd/yy) _________________________________
Camper’s Email Address: ___________________________________________________________________
Parent /Guardian Telephone ________________ Email Address: _________________________________
Emergency Contact Information: ____________________________________________________________
Nation / Community Affiliation (if applicable): _________________________________________________
Sweatshirt Size (S, M, L, XL, 2XL): ____________________________________________________________
Allergies / Food Intolerances: _______________________________________________________________
Medical Condition(s) / Accessibility needs (if applicable): _______________________________________
CAMPER QUESTIONS:
Please elaborate & submit approximately 150-250 words for each response in word document:
1. What are your passions and interests (i.e. academic, athletic, social, community, cultural, etc.)?
2. What does education mean to you?
3. Provide examples of how you have been a leader in your community / school / family:
4. What are your future goals and dreams?
CHECKLIST FOR COMPLETING APPLICATION:
___ One signed letter of reference from someone who can attest to your character, community involvement,
school participation (must be a person unrelated to you with contact information provided). ___ Complete all Camper Questions in Word document
___ Secure round trip travel costs from home community to McGill University.
Please note: All food and accommodations are covered for the duration of the camp. You only are responsible
for your travel costs to McGill University and spending money.
I certify and agree that the submitted information is true and complete:
________________________________________________________________________________________
Name of Applicant
Signature
Date
_________________________________________________________________________________________
Parent or Guardian Name
Signature
Date
Please send completed and signed application form and camper questions by email, fax or mail by
MARCH 15, 2016.
Thank you for completing your application and for your interest in the Eagle Spirit High Performance Camp.
We look forward to reviewing your application. If your application is complete and you are accepted to attend
the camp, you will be notified by April 1, 2016.
For more information about the camp, please visit our website: www.eaglespiritacademy.com
Sincerely,
Paige Isaac, B. Sc.
First Peoples’ House Coordinator
Kakwirano:ron Cook, B.A.
Indigenous Community Outreach Administrator
First Peoples’ House | 3505 Peel Street, Montreal, Quebec, H3A 1W7 | T: 514.398.3217 | F: 514.398.8169