Date of Birth / ᑎᑎᕐᓯᕕᒋᓗᒍ ᐅᑭᐅᑎᑦ ᓇᓛᓃᕝᕕᖏᑦ (You must be 16 years or over to apply / 16ᓂᑦ ᐅᑭᐅᖃᕆᐊᖃᖅᑐᑎᑦ ᐅᖓᑖᓂᓘᓐᓃᑦ ᑐᔅᓯᕋᐅᓯᐅᕈᒪᒍᕕᑦ)
Address must be in Nunavut / ᓄᓇᕗᒥᐅᑕᐅᔭᕆᐊᓕᒃ
The following documentation is required for the Disaster Relief Program:
ᑖᒃᑯᐊ ᑎᑎᖅᑲᐃᑦ ᑐᓂᔭᕆᐊᓖᑦ ᐱᕐᕈᓗᐊᕿᔪᖃᖅᑐᒥᓂᐅᑎᓪᓗᒍ ᐃᑲᔫᓯᐊᔅᓴᓄᑦ:
Declaration
I am applying for funding assistance under the Harvesting Equipment Program administered by Nunavut Harvesters Support Program (NHSP).
To the best of my knowledge, all of the statements or information in this application are true. I understand that any false or misleading information will result in my application being denied and may disqualify my organization or myself from receiving future funding assistance from NHSP or Qikiqtani Inuit Association (QIA).
I promise that any assistance received under this program will be used for the proposed harvesting equipment only.
I give permission to NHSP to collected and use my personal information related to this application and to make inquiries needed to evaluate this application. Upon receiving assistance, I will agree to supply any relevant receipts, records or other relevant information requested by NHSP.
My receipt of assistance will not make me an employee, contractor, or agent of NHSP or QIA.
By submitting this application, you agree to the above declaration.
ᓇᓗᓇᐃᕐᓯᒍᑦ ᐊᖏᕐᓂᕐᒧᑦ ᐊᑎᓕᐅᕐᕕᒃ
ᑐᒃᓯᕋᐅᑎᒐ ᑮᓇᐅᔭᑎᒍᑦ ᐃᑲᔪᖅᑕᐅᔾᔪᑎᒃᓴᓂᒃ ᐊᖑᓇᓲᑎᒃᓴᓄᑦ ᐱᖁᑎᓄᑦ ᐃᑲᔫᑎᒃᓴᓂᒃ ᐊᐅᓚᑕᐅᔪᒥᒃ ᓄᓇᕗᒻᒥ ᐊᖑᓇᓱᒃᑎᓄᑦ ᐃᑲᔫᑎᒃᓴᓕᕆᔨᒃᑯᓐᓂᒃ (NHSP).
ᖃᐅᔨᒪᓂᒃᑯᑦ, ᑎᑎᕋᖅᑕᐅᔪᓕᒫᑦ ᑐᓴᕈᑎᓕᐊᖑᔪᓕᒫᓪᓘᓐᓃᑦ ᑖᒃᑯᓇᓂ ᑐᒃᓯᕋᐅᑎᓂ ᓱᓕᔪᑦ. ᑐᑭᓯᔪᖓ ᓱᓕᓐᖏᑦᑐᓂᒃ ᐅᕝᕙᓘᓐᓃᑦ ᐱᔭᖅᑯᒻᒥ ᓱᓕᓐᖏᑦᑐᓂᒃ ᑐᓴᕈᑎᓕᐅᖅᑐᖅ ᑐᒃᓯᕋᐅᑎᖓ ᕿᐱᓗᒃᑕᐅᑦᓴᐅᑎᒋᓂᐊᖅᑐᖅ ᐊᒻᒪᓗ ᐊᔪᓕᖅᑎᑕᐅᓗᑎᒃ ᑲᑐᔾᔨᖃᑎᒌᓐᓃᕕᒃᑲ ᐅᕙᖓᓘᓐᓃᑦ ᓯᕗᓂᑦᑎᓐᓂ ᑮᓇᐅᔭᑎᒍᑦ ᐃᑲᔪᖅᑕᐅᓂᕐᒥᒃ NHSP−ᑯᓐᓂᒃ ᐊᒻᒪᓗ/ᐅᕝᕙᓘᓐᓃᑦ ᕿᑭᖅᑕᓂ ᐃᓄᐃᑦ ᑲᑐᔾᔨᖃᑎᒌᑦ.
ᓱᓕᓪᓗᖓ ᐃᑲᔪᖅᑕᐅᔾᔪᑎᓕᒫᒃᑲ ᑖᒃᑯᑎᒎᓇ ᐊᐅᓚᓂᐅᔪᒃᑯᑦ ᐊᑐᖅᑕᐅᓂᐊᕐᓂᖏᓐᓂᒃ ᑐᒃᓯᕋᐅᑕᐅᔪᒧᑦ ᐱᖁᑎᓄᑦ ᐊᖑᓇᓲᑎᒃᓴᐃᓇᕐᓄᑦ.
ᐅᕙᖓ, ᑕᑉᕙᓂ, NHSP−ᑯᑦ ᓄᐊᑦᓯᔪᓐᓇᖁᓪᓗᒋᑦ ᐊᑐᕐᓗᑎᓪᓗ ᐅᕙᓐᓅᖓᔪᓂᒃ ᑐᓴᐅᒪᔾᔪᑎᓂᒃ ᐊᒃᑐᐊᔪᓂᒃ ᑖᑦᓱᒧᖓ ᑐᒃᓯᕋᐅᑎᒧᑦ ᐊᒻᒪᓗ ᖃᐅᔨᒋᐊᕈᓐᓇᖁᓪᓗᒋᑦ ᖃᐅᔨᓴᕐᓗᑎᒃ ᑖᑦᓱᒧᖓ ᑐᒃᓯᕋᐅᑎᒧᑦ. ᐃᑲᔪᖅᑕᐅᔾᔪᑎᑖᓚᐅᖅᑎᓪᓗᖓ, ᐊᖏᕈᑎᖃᕐᐳᖓ ᑐᓂᓯᓂᐊᕐᓂᕐᒥᒃ ᓇᓕᖅᑲᓂᒃ, ᑎᑎᕋᕐᓯᒪᔪᓂᒃ ᐅᕝᕙᓘᓐᓃᑦ ᐊᓯᖏᓐᓂᒃ ᐊᒃᑐᐊᔪᓂᒃ ᑐᓴᐅᒪᔾᔪᑎᓂᒃ ᑐᒃᓯᕌᖑᑉᐸᑕ NHSP−ᑯᓐᓂᒃ.
ᐃᑲᔪᖅᑕᐅᔾᔪᑎᒐ ᐃᖅᑲᓇᐃᔭᖅᑎᕈᕈᑎᒋᔾᔮᖏᑦᑕᕋ, ᑳᓐᑐᓛᒃᑕᐅᓂᕐᒧᑦ, ᑭᒡᒐᖅᑐᐃᓂᕐᒧᓘᓐᓃᑦ NHSP−ᑯᓐᓂᒃ ᕿᑭᖅᑕᓂ ᐃᓄᐃᑦ ᑲᑐᔾᔨᖃᑎᒌᑦ ᓘᓐᓃᑦ.
ᑖᒃᑯᐊ ᑐᓂᓪᓗᒋᑦ ᑐᔅᓯᕋᐅᑎᑎᑦ, ᐊᖏᖅᑐᑎᑦ ᑖᒃᑯᓄᖓ ᖁᓛᓃᑦᑐᓄᑦ ᓇᓗᓇᐃᕈᑕᐅᔪᓄᑦ.
