Indigenous Circle of Empowerment Indigenous Leadership Program Application Form

Indigenous Circle of Empowerment 2025-2026

To apply, please complete the application form below. This program has limited space, and while we wish we could accept everyone, not all applicants will be selected. If you're eligible based on your application, the next step will be a friendly interview so we can get to know you better. You can expect to hear from us within two weeks of submitting your application.

If you have any questions, please don’t hesitate to contact Justin Rasmussen, Coordinator, at justin.rasmussen@umanitoba.ca.

Personal information
Name
Mailing Address
Do we have your permission to send text messages to this number?
Academic & Career Goals
Biography

Please enter a short biography about yourself, which can include your definition of leadership, your current program of study, your career aspirations, your personal achievements, your interests, etc. Please limit your biography to 250 words.

This biography will be shared on the ICE website, social media and possibly other media outlets. 

Visioning Your Journey in ICE

What are three meaningful goals, insights, or experiences you hope to gain through your participation in the Indigenous Circle of Empowerment (ICE) student leadership development program? Reflect on how these aspirations might contribute to your personal growth, leadership development, and your connection to community and identity.

Agreements
Your personal information is being collected under the authority of The University of Manitoba Act. The information you provide will be used for to assess your suitability for the Indigenous Circle of Empowerment Student Leadership Development Program (the program). It will also be used to promote the program. Your personal information will not be used or disclosed for other purposes, unless permitted by The Freedom of Information and Protection of Privacy Act. If you have any questions about the collection of your personal information, contact the Access and Privacy Office (204-474-9462), 233 Elizabeth Dafoe Library, University of Manitoba, Winnipeg MB, R3T 2N2.

By submitting this application, I agree that a confidential file will be kept by the Indigenous Leadership Programming unit and access to this file will be strictly limited to Indigenous Leadership Programming unit personnel and is governed by FIPPA (Freedom of Information and Protection of Privacy Act). Files are normally kept for a period of 3 years, after which they are destroyed. Files may be kept longer if required for actual or potential legal or administrative proceedings.

By submitting this application, I give consent to the Indigenous Circle of Empowerment to acquire files and/or speak to relevant professionals and University of Manitoba staff and faculty regarding my participation in the program.