Summer Work Experience Program Form

I do swear that I have personal knowledge of the matters discussed in this application and
state that:
– To the best of my knowledge, all statement made and material provided by or on behalf of
the undersigned are true and correct;

– The proposed project complies with municipal, territorial or federal laws;

– If approved, I agree to supply relevant receipts requested by Aboriginal Affairs and Northern
Development Canada (AANDC) and Kivalliq Partners in Development; and

– I make this declaration believing that it to be true and knowing that it is of the same force
and effect as if made under oath.