2021 OLY Canada Legacy Grant - Application

Personal Information

Question Title

* 1. Contact Information

First Name *

Last Name *

Address *

Address Line 2

City *

Province/Territory *

Postal Code *

Email Address *

Phone Number *

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* 2. Social Media Account(s):
Instagram, Twitter or a Facebook page

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* 3. Sport(s) in which you participated in as a Team Canada Olympian:

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* 4. Olympic Game(s) in which you represented Team Canada:

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* 5. Are you an active or retired Olympian?

Actively competing

Retired from competing for Team Canada

The following three self-identification questions are optional. Please answer them only if you are comfortable.

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* 6. Do you identify as Indigenous?

Yes

Unknown

Other (please specify)

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* 7. Do you identify as part of a racialized community?
*Frequently referred to as 'visible minorities' the term 'racialized communities' emcompasses all people that are non-Caucasian in race or non-white in colour.

Yes

Unknown

Other (please specify)

Question Title

* 8. Do you identify as a member of the LGBTQI2S+ community?

Yes

Unknown

Other (please specify)

2021 OLY Canada Legacy Grant - Application

Personal Information

Question Title

* 1. Contact Information

Question Title

* 2. Social Media Account(s):Instagram, Twitter or a Facebook page

Question Title

* 3. Sport(s) in which you participated in as a Team Canada Olympian:

Question Title

* 4. Olympic Game(s) in which you represented Team Canada:

Question Title

* 5. Are you an active or retired Olympian?

Question Title

* 6. Do you identify as Indigenous?

Question Title

* 7. Do you identify as part of a racialized community?*Frequently referred to as 'visible minorities' the term 'racialized communities' emcompasses all people that are non-Caucasian in race or non-white in colour.

Question Title

* 8. Do you identify as a member of the LGBTQI2S+ community?

* 2. Social Media Account(s):
Instagram, Twitter or a Facebook page

* 7. Do you identify as part of a racialized community?
*Frequently referred to as 'visible minorities' the term 'racialized communities' emcompasses all people that are non-Caucasian in race or non-white in colour.