Exit Access Application Form 2016 Access Program - Student Application Question Title 1. Contact Information Name: * Address 1: * Address 2: City: * Province/Country: * Postal Code: * Primary Email Address: * Non-School Email Address: Cell Phone #: * Alt Phone #: Question Title 2. What post-secondary institution do you attend? SFU BCIT UBC Douglas College None Currently Other If other, please specify Question Title 3. Educational Information Program of Study Specialization (if known) GPA Question Title 4. When will you be graduating from your program of study? Month Year Date of Graduation N/A January February March April May June July August September October November December Date of Graduation Month menu N/A 2015 2016 2017 2018 Not Sure Date of Graduation Year menu Question Title 5. Why are you interested in the Access Program? Question Title 6. Please select the career sectors you are interested in. This information will be taken into consideration when pairing you with your Connector. Accounting & Auditing Administrative & Support Advertising, Marketing & Public Relations Aerospace / Aviation Agriculture, Forestry & Fishing Architectural Services Arts, Entertainment & Media Banking Biotechnology & Pharmaceutical Communications Community, Social Services & Non-profit Construction, Trades & Mining Consulting Services Customer Service & Call Centre Design Education, Training & Library Employment & Recruitment Agency Engineering Entrepreneurship Environmental Event Management Finance, Economics & Investment Financial Services General Business Administration Government & Policy Health & Social Care, Practitioner & Technician Hospitality & Tourism Human Resources Industry Information Technology Installation, Maintenance & Repair Insurance International Trade Legal Manufacturing & Production Personal Care Project Management Property Restaurant & Food Service Retail & Wholesale Sales Science & Research Telecommunications Warehousing & Distribution Other (please specify) Question Title 7. Please describe some of your interests, hobbies, extracurricular activities, and/or volunteer experiences. Question Title 8. Students are strongly encouraged to participate on committees. This is a great opportunity for students to further develop leadership skills, build new relationships and earn additional points in the program. Each committee is chaired by an Access alumni who has graduated with Distinction from the program. Please indicate which committee you would be interested in participating on. Ranking from 1 to 5. 1 being most interested to 5 least interested. 1 2 3 4 5 Case Competition - working with a business or not for profit, this committee will help identify the business problem, research and write the case and galvanize your fellow Access students in participating as teams in a Case Competition. 1 2 3 4 5 Skill Development Workshop Committee - This committee will identify areas of interest for example (resume building, interview skills, how to build your personal brand) and will plan and execute two workshops. 1 2 3 4 5 Networking Skills and Social Committee - we all know how important networking is to business success - this committee will plan two events that will bring Access students and the business community (mentors) together in a social setting. 1 2 3 4 5 Marketing Communications - this committee loves social media, marketing and communications. Your role is to write and encourage others to write about their experiences in the program, share relevant articles and market the work of other committees. 1 2 3 4 5 Community Engagement - this committee is for those interested in bringing Access students and the community together whether it's a Food Bank Drive, a community clean up, or something else. Question Title 9. How did you hear about this program? Word of Mouth Student (Set) Rep Campus Club Event School Faculty Web Other (please specify) Question Title 10. Please review the following commitments of our program, which will be required of you if you are accepted.i. Attendance at both orientation and graduation is mandatory.ii. Ability to attend, in person, the minimum required number of events, workshops, and mentor meetings is a must.iii. Missed mandatory requirements will mean incompletion of the program. Yes, I understand and agree. Next
