BIA Leadership Fund

The following information will be used to determine your eligibility for the BIA Leadership Fund.

Section 1 - Applicant Business Information

BIAFinancialIncentiveRecTypeId

Name of BIA

Contact First Name

Contact Last Name

Title

Telephone Number

Please enter number without spaces

Fax

Contact Email

Mailing Address

Street Number, Name and Suite.

City

Province

Postal Code

Please indicate your educational background

Section 2 - Business Improvement Area Information

What is your position within the BIA?

Are you a full time or part time staff of the BIA?

How many number of hours per week?

Section 3 - Reference Information

Reference 1

First Name

Last Name

Organization Name

Address

Street Number, Name and Suite.

City

Province

Daytime Telephone Number

Relationship to you

Skills/Project of yours that this reference might discuss

Reference 2

First Name

Last Name

Organization Name

Address

Street Number, Name and Suite.

City

Province

Daytime Telephone Number

Relationship to you

Skills/Project of yours that this reference might discuss

Section 4 - User Consent Details

Declaration (Authorization)

I declare the information provided in this application to be true, complete and accurate to the best of my ability

Yes

Permission to use Photograph

I authorize and hereby grant permission to the City of Toronto to post my photograph and bio on the City's BIA Leadership Fund web page

Yes

Section 5 - Documents and Drawings

Document - Non discrimination and Anti Harassment Signed Form

Non discrimination and Anti Harassment Policy Form

Document - Letter of Intent.

Document - Updated Resume or Curriculum Vitae

Document - Photo.

Document - Short Bio.

Document - Letter of Support from the BIA chair

The personal information on this form is collected under the legal authority of the City of Toronto Act, S.O. 2006, Chapter 11. Schedule A, s. 136(c). The information is used to determine program eligibility; for statistical reporting; and for outcomes follow-up and evaluation. Questions about this collection can be directed to the Manager of Entrepreneurship Services, Economic Development and Culture, 100 Queen Street West, Main Floor, City of Toronto Office, Toronto, Ontario, M5H 2N2 or by telephone at 416-392-6646.

Contact Information