Fields marked with an * are required

Residential Address

If your Residential Address is different than your Mailing Address then complete the following:

If you answered 'Employed' or 'Self Employed', please complete questions 9, 10, 11, and 12.
Otherwise continue to question 13.

Provide 4 digit NOC code or describe the occupation for code entry later:


1.Business Proposal

Please provide all relevant information to the points listed below:

2. Financial Information

3.Privacy Agreement

Youth Entrepreneurship Program Commitment to Privacy Statement

Youth-BIIS is committed to protecting personal information by employing responsible information handling practices and respecting privacy information laws. We collect, use and disclose personal information in order to better meet your service needs, to ensure the safety of our participants, for statistical purposes, to satisfy government and regulatory obligations, and to inform you about S.U.C.C.E.S.S. programs and services.

By signing below, I am indicating that I understand that the Youth-BIIS program will collect, use and disclose my personal information contained within this Application for the Youth-BIIS program for the above-noted purposes only, and I consent to the release of my personal information by the Youth-BIIS program to S.U.C.C.E.S.S. and the Government of BC which funds the Youth-BIIS program.