UBC Okanagan Indigenous Community Support Letter Form

UBC Okanagan Indigenous Community Support Letter Form
This form should be used by a selected representative of a community organization who can verify and support the applicants Indigenous Personal Statement and highlight their connection and contribution to Indigenous community.
REFEREE INSTRUCTIONS

Please complete this recommendation form by its deadline date. For details regarding the deadline, please consult with the applicant.
Applicant Information
Name*

First NameLast Name
Email*
Referee Information
Name of Referee*

First NameLast Name
Association/Organization/Institution*
Email*
Recommendation
Please attach a letter of support in relation to the applicant’s Indigenous Personal Statement and highlight their connection and contribution to Indigenous community.*

Please upload a PDF file.
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The letter should include:
- An introduction of the community supporter including their own background and history, such as their family, clan, Nation, community name, membership, etc.
- Their relationship to the applicant.
- Verification and details of the applicant’s involvement with and contribution to Indigenous community as written in their Personal Statement.
- Any other information the community supporter would like the reviewers to be aware of.
- Letters must be on letterhead with contact information (name, phone number, email).
  - If letterhead cannot be provided, the referee may be contacted for verification.
Declaration
I hereby declare that the information on this application is, to the best of my knowledge, correct and complete in accordance with the UBC Student Code of Conduct and false information and identification would result in discipline for non-academic misconduct. I understand that the Dean of the College of Graduate Studies at the University of British Columbia's Okanagan campus reserves the right to revoke any scholarship offering resulting, where necessary, in the need for a student to withdraw from his/her degree program if any of the information in this reference is found to be untrue, or if evidence of fraudulent submission of documentation is found.*

I have read and agree with the declaration.
Please verify that you are human*
Your personal information is collected under the authority of section 26(c) of the Freedom of Information and Protection of Privacy Act (FIPPA). Questions about the collection of this information may be directed to gradadmin.ubco@ubc.ca.
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UBC Okanagan Indigenous Community Support Letter Form

Applicant Information

Referee Information

Recommendation

Declaration