ERFN Advanced Education Funding Application Checklist
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1 ERFN Advanced Educatin Funding Applicatin Checklist In rder fr yur applicatin t be cnsidered cmplete, yu must have all f the fllwing items submitted by the deadline(s): By May 30 th, 2016/Octber 30 th, 2016: A cmpleted ERFN Advanced Educatin Applicatin frm. By June 30 th, 2016/Nvember 30 th, 2016: Official High Schl transcripts. Initial transcripts d nt have t be the Grade 12, but arrangements t mail Grade 12 transcripts t Advanced Educatin Student Service ffice shuld be made by student with Ministry f Educatin, recrds ffice. Past Pst-Secndary Institute transcripts (where applicable). A minimum f tw letters f reference frm frmer teachers and/r emplyers. Letter f acceptance frm Institute. Please nte that any applicatin that d nt include all f the abve will nt be cnsidered a cmplete package and will nt be cnsidered fr funding review by the Educatin Authrity. The deadline t submit yur ERFN PSSSP Applicatin frm fr the Fall 2016 Semester is MAY 30 th, Please have cmpleted applicatins mailed r ed t: Kristina Duffee ERFN Pst-Secndary Cunselr th Street East Saskatn, SK S7H 0N9 erfn.pst.sec@gmail.cm ERFN Pst Sec Applicatin - 1
2 ERFN Advanced Educatin Applicatin Frm A. Basic Student Infrmatin First Middle Initial: Last Gender: Male Female Birthday (DD/MM/YYYY): Treaty Number: Scial Insurance Number: Marital Status: Address: Address2: City: Prvince: Pstal Cde: Address: Hme Phne: Business Phne: Fax Number: Cell Phne: Are yu currently emplyed? Yes N Incme surce and amunt per year: Have yu received E.I.?: Yes N ERFN Pst Sec Applicatin - 2
3 B. Direct Depsit Banking Infrmatin. This data nly applies if yu have been selected fr spnsrship. Name f Bank: Bank Address: Bank Telephne: Institutin # Transit # (Three digits) (Must be 5 digits) Accunt # TYPE OF ACCOUNT: SAVINGS CHEQUINGS OTHER All infrmatin will be kept strictly cnfidential. Please be sure t send all required infrmatin. If yu are nt sure abut the infrmatin please call yur bank. Incmplete r incrrect infrmatin causes delays (up t 3 weeks r ver which we have n cntrl). *If yu have chequing accunt, a blank vid cheque wuld prvide all necessary infrmatin if yu send ne. C. Previus Educatin High Schl attended: Dates attended: Frm (mnth/year) T (mnth/year) Diplma received: Yes N Highest Grade cmpleted: University Cllege r Technical Institute: Dates attended: ERFN Pst Sec Applicatin - 3
4 Frm (mnth/year) T (mnth/year) Cmpeted: Yes N If cmpleted: Degree, Diplma, r Certificate btained: University Cllege r Technical Institute: Dates attended: Frm (mnth/year) T (mnth/year) Cmpeted: Yes N If cmpleted: Degree, Diplma, r Certificate btained: D. Marital/Family Infrmatin Marital Status: Name f spuse: Address: Treaty Number f spuse: Member f which First Natin: Emplyment status f spuse: If spuse is emplyed, where: Address: ERFN Pst Sec Applicatin - 4
5 Annual incme: If spuse is unemplyed, surce f incme: DEPENDANTS Birthdate (mm/dd/yyyy): Birthdate (mm/dd/yyyy): Birthdate (mm/dd/yyyy): Are they currently residing with yu? Yes N D yu and yur spuse receive any incme fr their supprt? (child tax benefits, child supprt, maintenance, trust fund): Yes N If yes, amunt per mnth: E. Assistance Requested: Have yu been accepted t a pst-secndary institutin? Yes Unknwn at this time Institutin: Prgram/Faculty/Cllege: Lcatin f Pst Secndary Institute: City: Prvince: Pstal Cde: Majr Specializatin: Length f Prgram: Prgram: COp Study/Regular Attendance: Full Time/Part Time ERFN Pst Sec Applicatin - 5
6 Expected Cmpletin Date: Practicum: Yes N If yes, when and hw lng: Assistance requested: All requests Living Allwance Tuitin Bks Assistance fr this academic year t cmmence (MM/YYYY t MM/YYYY): Are yu applying fr a student lan? Yes N F. Career Planning Have yu cmpleted a career study? Yes N What resurces have yu checked with regard t yur career path? What factrs influenced yur decisin t attend pst-secndary educatin? What are yur lng-term gals related t pst-secndary educatin? ERFN Pst Sec Applicatin - 6
7 G. Cmplete if yu have previusly accessed pst secndary educatin funding frm any surce including ERFN Pst Secndary Prgram. What surces f funding have yu previusly accessed fr pst-secndary educatin? Fr what educatin/training prgram? Were yu successful in cmpleting the requirements f the curse? Yes N What steps have yu taken t ensure yur successful cmpletin f this training/educatin? I,, authrize the English River Advanced Educatin Prgram t access infrmatin cncerning my academic recrds at the institutin I am attending. I accept respnsibility fr satisfying the academic requirements f the institutin and managing the educatin assistance funds t the best f my ability. I will cmplete a student mnitring reprt/prgress reprt/cumulative recrd signed by an authrized prgram/academic advisr at the institutin f study and will frward a cpy t the English River Pst Secndary Prgram befre the term ends. I will submit a cpy f final marks at the end f each term and a declaratin f full-time attendance each mnth. Date signed: ERFN Pst Sec Applicatin - 7
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