New FINANCIAL ASSISTANCE ONLINE APPLICATION

Natosapi (Old Sun) Community College (Under Implementation)

PO Box 1250, Siksika, Alberta T0J 3W0

FINANCIAL ASSISTANCE ONLINE APPLICATION

SIKSIKA NATION POST-SECONDARY STUDENT SUPPORT PROGRAM
FINANCIAL ASSISTANCE APPLICATION
OLD SUN COMMUNITY COLLEGE P.O.BOX 1250 SIKSIKA, ALBERTA T0J 3W0

APPLICATION DEADLINES:

MARCH 15 - SPRING/SUMMER START

JUNE 15 - FALL START

OCTOBER 15 - WINTER START

Are you a New or Continuing Student?

Continuing Student Message:

STUDENT INFORMATION

Last Name

First Name

Given Name

Birth Date

Gender

Street

City

State/Province

Zip/Postcode

Cell Phone

Home Phone

How would you like to be contacted?

Residence

Treaty/Band No.

Marital Status:

Person(s) to contact in case of emergency:

Contact Name

Cell Phone

FAMILY

Name of Spouse

Name of Dependents (17 and under) Date of Birth Residing with You (yes or no)

Will you be working while attending school?

Yes No Not Selected

If yes, how many hours per week?

Place of Employment:

Is your spouse working?

Yes No Not Selected

Are you or Your Spouse currently receiving the following income?

E.I.

Human Resource Training Allowance

Alberta Student Finance

Child Maintenance

Other Income

Other Income, Explain:

PREVIOUS OR CURRENT EDUCATION

Highest Level of Education

Name of Most Current/Recent School attended:

Year attended:

High School Diploma:

Yes No Not Selected

If "yes", year of graduation:

If yes, please specify:

EDUCATION PLAN (current year)

Type of Program:

Program

Institution:

Location:

Length of program (Years)

Year of Study (you will be in when you start):

Enroll In

Program Start Date

To: End Date:

Attendance:

HS Graduation Date

ESTIMATED COSTS

WHAT IS YOUR TOTAL COST IN PER SEMESTER?

WINTER $

FALL $

SPRING $

SUMMER $

WILL YOU REQUIRE TEXTBOOKS?

Yes No Not Selected

IF YES, $

WILL YOU REQUIRE ANY MANDATORY SUPPLIES/EQUIPMENT FOR YOUR PROGRAM?

Yes No Not Selected

IF YES, WHAT IS THE ESTIMATED COST?

NEW STUDENTS PLEASE SUBMIT THE FOLLOWING DOCUMENTS WITH YOUR APPLICATION:

ACCEPTANCE LETTER

REGISTRATION/SCHEDULE OF CLASSES

HIGH SCHOOLTRANSCRIPTS

COPY OF HIGH SCHOOL DIPLOMA

POST-SECONDARY TRANSCRIPT

TUITION COSTS

ALBERTA HEALTH CARE VERIFICATION FOR DEPENDENT(S) AND SPOUSE (IF APPLICABLE)

COPY OF TREATY STATUS CARD

(Please check the following that are included with this application)

NOTE: IF YOU ARE NOT ABLE TO SUBMIT ALL YOUR DOCUMENTS BY THIS DATE, PLEASE CONTACT OUR OFFICE.

PLEASE NOTE THAT THE INFORMATION GIVEN ON THIS APPLICATION IS STRICTLY CONFIDENTAL AND IS USED FOR THE PURPOSE OF ASSISTING IN THE SELECTION OF CANDIDATES ONLY. AS PER THE PRIVACY ACT, WE ARE INFORMING STUDENTS THAT OCCASIONALLY OTHER SIKSIKA NATION ADMINISTRATION DEPARTMENTS MAY REQUIRE CERTAIN INFORMATION FROM A STUDENT’S FILE. THIS INFORMATION MAY BE PROVIDED TO THEM IN STRICT CONFIDENCE AND IS USED FOR THE PURPOSE OF ASSISTING THE STUDENT WHILE HE OR SHE IS ATTENDING SCHOOL.

ALL MONIES APPROPRIATED TO FULL/PART-TIME STUDENTS FOR POST SECONDARY FUNDING (ALLOWANCE, TUITION, BOOKS, ETC.) MUST BE USED ACCORDINGLY. FAILURE TO COMPLY WITH THE REGULATIONS COULD RESULT IN AN OVERPAYMENT AND ALL MONIES ARE SUBJECT TO RECOVERY.

I CERTIFY THAT I HAVE READ AND UNDERSTOOD ALL THE INSTRUCTIONS AND INFORMATION ACCOMPANYING THIS APPLICATION FORM AND THAT ALL STATEMENTS MADE IN CONNECTION WITH THIS APPLICATION ARE TRUE AND COMPLETE IN ALL RESPECTS. I UNDERSTAND THAT MISREPRESENTATION, FALSIFICATION OF DOCUMENTS, OR WITHHOLDING OF REQUESTED INFORMATION ARE SERIOUS OFFENCES THAT MAY RESULT IN THE CANCELLATION OF SPONSORSHIP.

APPLICATIONS ARE NOT REVIEWED UNTIL AFTER THE DEADLINE DATES. STUDENTS WILL BE NOTIFIED OF THEIR SPONSORSHIP STATUS BY LETTER OR EMAIL.

APPLICANT’S SIGNATURE

DATE

THE FOLLOWING INFORMATION IS REQUIRED

New Students:

High School Transcript
Copy of High School Diploma
Most recent Post Secondary Transcript.
Acceptance Letter from Institution.
Registration/schedule of classes for fall and winter terms.
▪ Schedule and fees can be provided on a semester basis
Fee assessment (total fees charged by the Institution for each term). Must be included with application.
Verification of dependants if applicable (copy of Health Care cards).
Copy of Treaty Status Card.

Any questions regarding your application or sponsorship in general please call (403) 734-3862 or toll-free 1-800-734-3862 and ask to speak with a Post Secondary Manager or Director. Applications and documentation can be faxed to (403) 734-5363 or toll-free 1-888-375-3335 or emailed to alisa.bu1lbearUoldsunco1leqe.ca