Application for Post-Secondary or Vocational Programs

Transcription

1 OPASKWAYAK EDUCATIONAL AUTHORITY INC. P. O. Box 10370, Opaskwayak, MB R0B 2J0 Post-Secondary Program: (204) Toll Free: Fax: (204) Vocational Program: (204) Fax: (204) Web Page: Application for Post-Secondary or Vocational Programs Date Received: Application Deadlines: May 1 st for September Intake for Post-Secondary June 30 th for September Intake for Vocational November 30 th for January Intake for Post-Secondary Please check one: Post-Secondary Vocational Applications MUST INCLUDE the following: Post-Secondary OR Vocational ( ) Copy of latest transcript; ( ) Copy of latest transcript; ( ) Copy of treaty card; ( ) Copy of treaty card; ( ) Copy of Social Insurance Number; ( ) Copy of Social Insurance Number; ( ) Acceptance Letter from Post-Secondary Institution; ( ) Verification of Dependents, Including Spouse (if applicable) ( ) Acceptance Letter from Vocational Institution; ( ) Verification of Dependents, Including Spouse (if applicable); ( ) Two (2) Typed References (Academic, Character); ( ) Two (2) Typed References (Academic, Character); ( ) Child Abuse Registry/Criminal Records Checks (if applicable); ( ) Child Abuse Registry/Criminal Records Checks (if applicable) ( ) Banking Information ( ) Course Costs including special equipment and textbooks; ( ) Banking Information Applicant s Name:

2 SECTION 1. PERSONAL Full Name: Treaty#: (Surname) (First Name) (Middle Initial) (10-digit) Birth Date (y,m,d): Social Insurance Number: Next of Kin and Telephone #: Permanent Address (including postal code): Re-Location Address (including postal code): Telephone/Cellular # s: Social Media: SECTION 2. FAMILY INFORMATION Single: Married: Common-law: Name of Spouse: Length of Relationship: Birth Date (y/m/d): Spouse Income (monthly): (social assistance, benefits, employment, etc.) Dependent(s) 17 & Under Residing with Student Birth Date (y,m,d)

3 SECTION 3. ACADEMIC BACKGROUND Secondary Education: High School or Mature Diploma Name of School Grade Completed Year Post-Secondary/Vocational Education: Post-Secondary/Vocational Institution Attended Program of Studies Completion of Program Year Yes No Yes No SECTION 4. POST-SECONDARY PROGRAM / VOCATIONAL PROGRAM APPLYING FOR Post-Secondary or Vocational Institution Attending Location (town/city) Name of Program (Certificate, Diploma, Degree) Student Number Full-time or Part-time Person with Disability Length of Program Transition Year Yes No Yes No Expected Date of Graduation

4 SECTION 5. CAREER GOALS (Must be hand written and must include information that would help in assessing suitability and readiness for post-secondary or vocational studies i.e. how you became interested in your chosen career and why you should be chosen for sponsorship)

5 SECTION 6. DECLARATION I hereby agree to the following conditions for sponsorship for the duration of my program of studies: To attend classes on regular basis; To be punctual for each class; To consult with my Counsellor on any challenges I may be experiencing (academically, emotionally, financially, etc.) To adhere to post-secondary/vocational institution rules and regulations (including deadlines, withdrawal forms, etc.) To meet the academic requirements for each term for continuation of sponsorship of my program of study; To provide marks or transcripts when requested; To contact my Counsellor on a monthly basis (telephone, , Facebook, etc.) To read and become familiar with the rules and regulations of the Post-Secondary Handbook; To inform my Counsellor if there are any changes to my demographics such as residence, dependents, banking information, telephone number, etc. To speak with my parents/guardians regarding my post-secondary education. (strike out and initial if not applicable) As a sponsored student, I will conduct myself in a professional manner, including acceptable and positive social media (Facebook, Twitter, etc.); To authorize my Counsellor to obtain, release and exchange information with my postsecondary institution for the duration of my program of studies; I declare that the information provided by me on the application form is complete and correct which substantiates my entitlement for sponsorship; I have read and agree to the conditions for this financial assistance. Student Signature: Date: Witness Signature: Date: