APPLICATION FOR POST-SECONDARY EDUCATION SPONSORSHIP

COLLEGE OR UNIVERSITY PROGRAMS (Confidential when completed) WHITEFISH RIVER FIRST NATION 2013-2014 Student Name: (First, Middle, Last) Address: STATUS CARD #: 230________________________________ Date of Birth:

City: Telephone: __________________________ Cell phone: __________________________ E-mail: ______________________________

Province:

Postal Code:

Number of Dependents: Female: ______ Male:_______ Year 1 Applicants claiming dependents must provide copies of their status cards front and back including your own. EDUCATION INFORMATION

Residence location: Rent Type of Program: (Circle one) Program Name:

On Campus

Live with Parents

(circle one) B.A M.A or PHD

New Student: Trade: F/T or P/T

YES or NO

COLLEGE or UNIVERSITY

Current year of study:

(Circle one)

Expected date of graduation: Month______ Year_________ Letter of acceptance: y / n Conditional Acceptance Continuing education Final Transcripts/Marks: y / n Length of program: (# of semesters) Start Date: End Date: For continuing students: If your marks/grades have not submitted from your last semester this may hinder your application. Please submit your grades/marks as soon as possible. POST SECONDARY INSTITUTION INFORMATION Institution Name: Address: Phone: On Campus Residence required:____ Meal Plan Required: ____ ESTIMATED COSTS (TO BE FILLED OUT BY THE EDUCATION OFFICE) Category/Level of Funding: Application Complete: New Student: Dependents#____________ Travel Allowance $50.00 Monthly allowance with dependents:$___________ Satisfied Re-enrollment: Residence Fees:________ Deposit: ____________ Meal Plan:____________ Total Fees:____________ Still requiring: Previous Grade in: Total tuition: $ Total monthly allowance: Student contacted: YES or NO File Complete: YES or NO Tuition deposit: $________________ Total tuition paid:________________ 1 Semester/2 semester paid: $ _________________
nd

STUDENT AGREEMENT I have read and agree to the conditions for financial assistance with the Whitefish River First Nation Education Office. Signature: Date: Application Approved or Authorized by: (to be signed by Education Department Administer) Signature: Title: Date:

Post-secondary Applicants Academic Year-2013/2014 Please fill out and sign the enclosed forms. Your application package includes:
1. Application form The application form must be completed and include the following: Photocopy of Status Card and dependents, if applicable. (First time applicants only) Confirmation of Acceptance form from OCAS is sufficient to initiate the funding process. However, a formal letter of Acceptance by the College or University is mandatory in order to proceed with funding. Transcripts/Grade Reports/Marks (New students must have high school transcript included with application.) Grade Report, Mid-term marks and/or end of semester marks must be forwarded to the Education Office by returning students. Education History/Education Plan Education history provides us with a snap shot of your educational background. The Education Plan provides us with a perspective on what you want to accomplish and assists in identifying you goals. Release of information/Consent form A signed form allows us to dialogue with Registrar and/or finance Post-Secondary Education Student Agreement An Agreement of Understanding between the student and the WRFN Education Office which outlines student responsibilities.

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4.

Only complete application packages will be considered for funding. Applications must be submitted by May 30, 2013 and must include the above information. (Acceptance letters and transcript/marks are mandatory.) Approved applicants will receive written verification of approval on or before July 1, 2013. Please be advised that due to budgetary constraints not all students will be approved for funding. If you have any questions or need of clarification, please call me at 705-285-4335 or via e-mail: Education@whitefishriver.ca Sincerely,

Education Director/Counsellor.

Education History/Education Plan-2013/2014 Student Name: Band # 230_____________________________

(First Year Student must provide copy of Status card)

Education History: High School_____________________________________________________ Graduated ____________ Highest Grade Completed _______ Upgrading_____________________ Graduated ____________ Certificate ___________________ Diploma_______________________ # of years ______ College________________________________________________________ Graduated____________ Certificate____________________ Diploma ______________________ # if Years_______ University______________________________________________________ Graduated ____________ Certificate________ Diploma __________ Degree___________MA/PHD____ # of Years_________ Education Plan: Current Program of Students:_____________________________________________________________ Academic Goals for the year:_____________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Future Goals:__________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Education History and Education Plan will assist in identifying your Educational Goals. The above is an accurate representation of my education history and future plans.

_________________________________________ Signature

________________________________ Date

Whitefish River First Nation Consent to Obtain, Release and/or Exchange Information- 2013-2014

Date: To: Re:

________________________________________________ College/University: _______________________________________________________ Marks/Grades Report/Student Information.

Student Name:_____________________________ Student ID #: _________________________ Course/Program: ________________________________________________________________

As a sponsored student of the Whitefish River First Nation, I hereby authorize the above mentioned educational institute to release information needed and/or any other documentation indicative of my progress to the Education Office of the Whitefish River First Nation. I understand that this information is to be used for the purpose of assisting me to complete my educational goals for this academic year. The information collected will be kept confidential and will only be used for educational purposes.

Student Signature: ________________________________________________________________