Application for Post-Secondary
Financial Assistance

Student Information



Student profile

List Dependants living with you

Education Plan

Attendance

Program Level



Graduation Date

(i.e. 1st yr. Of 3 yrs.)
Semester Period for this Application
to Fall Semester
to Winter Semester
to Summer Semester

I understand the following conditions for sponsorship by the Kanehsatake Education Centre. All information will be held in strict confidence and without prejudice.

  1. To fill out all required confidential forms including: application forms, Consent to Request Information and Consent to Release Information.
  2. To attend classes regularly and consistently.
  3. To adhere to college/university regulations and meet the grade requirements set forth by the institution I am attending.
  4. To provide the Kanehsatake Education Centre with a copy of my final grades at the completion of each semester.
  5. To notify the Kanehsatake Education Centre if I withdraw from the institution, a course or transfer to another program.
  6. To meet or exceed the minimum grade requirements of the institution, and understand that if I do not meet these requirements, my funding will be cancelled.

I declare that all of the above information is complete, true and accurate and I agree to inform the Kanehsatake Education Center of any changes, which may affect my eligibility for allowance. I also declare that I have read and understood all definitions, rules and guidelines.


High School Graduate :   
History of previous post-secondary education (start with last institution attended)
Institution Address (include province) Program Dates attended Graduated(Y/N)

Personal Information







CONSENT TO REQUEST INFORMATION

I, , provide my consent, as may be required, to allow the Kanehsatake Education Centre, Post-Secondary Program, to request copies of information from employers, all sources of income, educational and employment and training institution(s): federal, provincial, and Kanehsatake government offices/agencies. This consent is intended to allow the Kanehsatake Education Centre, Post-Secondary Education Program to verify information to determine my eligibility to receive Education Assistance.

CONSENT TO RELEASE INFORMATION

I, , provide my consent, as may be required, to allow the Kanehsatake Education Centre, Post-Secondary Education Program, to release information and provide copies of documentation to educational and employment and training institution(s) and federal, provincial and Kanehsatake government offices/agencies. This consent is intended to allow the Kanehsatake Education Centre, Post-Secondary Education Program to provide information so that my eligibility for other assistance (including employment) may be determined and to confirm any assistance received through the Kanehsatake Education Centre, Post-Secondary Education Program.

SIGNATURE

This signed consent is valid until    
Dated this        day of