Aboriginal Health Careers Bursary

Transcription

1 Aboriginal Health Careers Bursary

2 ABORIGINAL HEALTH CAREERS BURSARY In 1995, Alberta Health and Wellness created the Aboriginal Health Strategy with the long-term goal of reducing the inequalities in health status between the Aboriginal and non-aboriginal people of Alberta. Part of this strategy included the creation of the Aboriginal Health Careers Bursary, to assist aboriginal students taking post-secondary education in a health field. The award was established through the Alberta Heritage Scholarship Fund Endowment Program. Award Value- $2,000 to $11,000 Eligibility Criteria Applicants must: be First Nations, Inuit, or Métis students, be an Alberta resident and to be considred an Alberta resident one of the following conditions must apply: *one parent must currently be residing in Alberta, or *Alberta is the last place you have lived for twelve (12) consecutive months before being a full-time student, or *you are marrried to an Alberta resident before the start of your qualifying year of study, and be enrolled or planning to enroll full-time in a health related field at the post-secondary level. Selection Procedure Recipients will be selected by a selection committee, and priority will the given in the following order of importance: involvement in the aboriginal community, the applicant s health career goals, particularly how they will help meet the current and future health care needs of Alberta s aboriginal population. previous academic record, financial need, and experience in the health care field. Application Procedures Submit with your completed application (photocopy/fax/scans are not accepted): proof of aboriginal status, an original post-secondary transcript, a career essay, and one letter of support from your aboriginal community. Applicants will be notified of the status of their application in July. Recipients may expect to receive their award in November. Submit your original application to: Mail to: Alberta Scholarship Programs Box Station Main Edmonton, Alberta T5J 4R4 Courier to: Alberta Scholarship Programs 4th Floor, Street Edmonton, Alberta T5K 2V1 Telephone: scholarships@gov.ab.ca Website: studentaid.alberta.ca/scholarships Application Deadline is May 1

3 ABORIGINAL HEALTH CAREERS BURSARY We are collecting the personal information on this form under the authority of Section 33(c) of the Freedom of Information and Protection of Privacy Act (FOIP Act), as being directly related to and necessary to determine your eligibility for a scholarship under the Alberta Heritage Scholarship Act and to administer the Alberta Scholarship Programs. If you have any questions about the collection of this information, please contact Alberta Scholarship Programs, 4th Floor, Street, Edmonton, Alberta, T5K 2V1 Phone Personal Information Alberta Student Number (go to to find your ASN or to obtain one) Social Insurance Number (required for processing) Last Name (current full legal name) Please use upper and lower case. First Name and One Initial (current full legal name) Mailing Address (Include Apt. or Box Number) City/Town Previous Surname Province Country Postal Code Area Code Telephone Number Gender (circle one) Date of Birth M F day month year CITIzENShIP (check one) CANADIAN CITIzEN or PErMANENT resident (Landed Immigrant) ALbErTA residency Note: Attach a photocopy of permanent resident card Visa students are not eligible. Do your parents currently live in Alberta? Have you lived in Alberta all your life? If NO since Y N Y N PrOPOSED POST-SECONDAry STUDIES Name of Institution Name of Program month year Location (If outside Alberta, please provide complete address.) Length of Program Year of Program Number of years 1st 2nd 3rd 4th Academic Year Begins Academic Year Ends Office Use Only month year month year Please indicate your aboriginal status: Treaty, Non-Status, C31, Métis or Inuit Attach a copy of your aboriginal status GRANT TOTAL AWD INSTIT PGM MO YR MO YR ORG ADD Disbursement E MO YR AUTHORIZATION AWARD KEY APP KEY Revised: April 2015

4 Education Record Please list the last three schools, colleges or universities that you attended. If you have attended more than three educational institutions you may include the information on a separate page. PErIOD OF STUDy INSTITUTION From (mm/yy) To (mm/yy) Name of Institution Program Financial Information Marital Status: Married Single Single Parent Number of dependents living with you: MONThLy EXPENSES (while in school) Rent/Mortgage payment Utilities (power, water, telephone, heating) Food/Clothing/Personal Care Transportation MONThLy INCOME (income while in school) Wages/Salary after deductions Spousal/Partner income after deductions Contribution from parents Child Support/alimony Child care/babysitting *Government Funding: indicate source: Additional expenses (i.e. medical) List Other Income (indicate source) Total Monthly Expenses Total Monthly Income Total Monthly Expenses X of months in school number (A) Total Monthly Income X of months in school number (D) EDUCATION EXPENSES (Include if not covered by sponsorship) Tuition OThEr resources Fees Savings when you start school Books/Supplies/Instruments Total Educational Expenses (b) Other funding ie. grants, scholarships (excluding loans and lines of credit) List: Add together monthly and educational expenses (A + b) = ASSETS Registered Retirement Savings Plan Assets (i.e. term deposits, bonds, stocks) (C) Value Total Other resources Add together monthly and Other resources (D + E) = Calculated Need: Total Expenses (C) Minus Total Resources (F) (E) (F) = Total Need Total Assets *If you are not receiving funding from your band or other aboriginal association or group, please provide a comment in your essay.

5 Aboriginal Involvement Selection of recipients is dependent upon a number of factors such as: involvement in the aboriginal community, health career goals and employment prospects, academic record and financial need. The selection committee would like to stress that involvement and commitment to your aboriginal communtiy plays a significant role in determining the amount of the bursary. Essay Question In one or two TYPED pages, please address the following points: * Provide a brief history of your experience within aboriginal communities and describe your current involvement in your aboriginal community i.e. volunteer work, employment, etc., * Describe in detail, your health career goals and why you chose to pursue this field, * Explain how your future employment will help and/or support your aboriginal community after graduation, * Comment on your experience in this area and health care in general, * Provide a brief explanation of your financial need such as: if you are not receiving funding from your band or other aboriginal association or group, please explain why; if you lack personal resources such as no savings/income from partner (married or living common-law) explain why; if not applying for government student loans and grants, explain why. This is your opportunity to demonstrate to the committee that your commitment to your aboriginal community, your current study plans, and previous experience will help meet the current and future health care needs of Alberta s aboriginal population. reference One reference is required and it must be current, dated and signed and submitted on letterhead. If the reference is missing, your application will not be submitted to the committee for consideration. An Aboriginal letter of support is essential: This letter must be from a member of your aboriginal community and should provide some background on your involvement in the aboriginal community and the appropriateness of your training. Please indicate the name of the individual, position and/or title, who will be providing this letter. Name of individual providing the reference: Name of Individual Position and/or Title Declaration must be signed on the next page. Ensure all questions are answered. Your application will be delayed if information is missing.

6 Declaration of Applicant I have read and understand the instructions, and declare that: a. all information provided is true and complete and I understand it is subject to audit; b. I will be a full-time student at the institution named for the period stated; c. I will immediately notify the office of Alberta Scholarship Programs in writing if I withdraw from full-time studies before completing one semester of studies. I understand and agree that: a. my personal information pertaining to my post-secondary academic record and enrolment status may be released and exchanged by and between Alberta Scholarship Programs and the educational institution for the purpose of determining my eligibility for a scholarship; b. my personal information may be released and exchanged by and between Alberta Scholarship Programs and any provincial government departments, boards or institutions to verify the information I have provided to Alberta Scholarship Programs, and for the use in research and statistical analysis in program evaluation. I understand and agree that: if I receive a scholarship my name, award and city/town may be released publicly to promote the program, however, this is not a criterion for eligibility, and if I do not want to be identified, I will contact Alberta Scholarship Programs. Signature of Applicant (in ink) Today s Date (in ink) Applicant s Checklist Proof of aboriginal status An original transcript A typed health career essay Letter of reference from Aboriginal community. Applications must be postmarked no later than May 1. Notification of results can be expected in July. ALBERTA HERITAGE SCHOLARSHIP FUND Funded by a $100 million endowment from the Alberta Heritage Savings Trust Fund, the Alberta Heritage Scholarship Fund is designed to stimulate the pursuit of excellence by recognizing outstanding achievement and by encouraging and assisting Albertans to achieve the fullest potential. Further information on other awards is available on: studentaid.alberta.ca/scholarships