Please carefully complete the application form below. For ease of collecting the appropriate information, all requisite questions appear on a single page. Bolded questions below are mandatory. The IBAS Indigenous Broker Development Program is proudly supported by SGI CANADA.

Question Title

1. Enter your information as the main application contact:

Question Title

2. What is the full legal name of your brokerage?

Question Title

3. If different from #2, what business name is your brokerage operating under (leave blank if same)?

Question Title

4. How many branch office locations does your brokerage operate in Saskatchewan?

Question Title

5. How many total employees does your brokerage have in Saskatchewan?

Question Title

6. Does your brokerage currently have Indigenous employees in Saskatchewan?

Question Title

7. Does your brokerage have First Nations, Métis, or Inuit ownership?

Question Title

8. Is your brokerage's funding request for up to the full eligible amount of $25,000?

Question Title

9. Do you anticipate requiring mid-project advancements on your reimbursement funding to assist with cash flow?

Question Title

10. If your brokerage is successful, the employee(s) who is/are subject to the received funding will most likely be located where? Check the below location(s) that is/are most probable.

Question Title

11. If approved, how does your brokerage intend to use — or prioritize use of — the program funding?

Question Title

12. How does your brokerage currently engage with Indigenous communities? Leave blank if not applicable.

Question Title

13. Tell us a bit about why your brokerage is submitting an application under this program. Why is it important to you / your business?

Applicant declaration: By submitting this application, I hereby attest that the information contained within is both accurate and true. I acknowledge and agree the submission in its entirety may be shared with the Program Advisory Committee and other IBAS representatives, including but not limited to employees and legal counsel.

T