Application Guide
When completed, the application form will provide much of the information needed to determine your eligibility for education assistance.
If you are attending more than one institution during a semester then an application form is required for each institution. If you are taking courses at one institution for credit at another institution then a letter of permission from your “home” institution will be required.
When printing on an application, please print clearly and firmly in block letters (you are making multiple copies if using the self-carboning version of the application form) and return all copies of the form as part of your application package. When you apply online, you will be prompted through the process. Be sure to submit as much detail as you can.
Once your application package has been processed you will be sent the pink copy of the APPLICATION FOR EDUCATION ASSISTANCE showing whether your application has been approved or rejected. If approved, your approved education assistance budget for the application will be shown. If
not approved, a written reason will be provided by the Director of Student Services and Counselling or by the Director’s designate.
Any mistakes or missing information will delay the processing of your application package.
APPLICATION FOR EDUCATIONAL ASSISTANCE
Student Information
Six Nations Band Registry Number — this is a ten digit number on your status card. You must enter this number to apply online. If you are submitting a hard copy of the application form then be sure to write down the ten digit number as this is how we verify that you are eligible to apply.
Sample Band Registry Number: 2450007903
245 is the Band Code
The Band Code is a three digit number at the beginning of your Band Registry Number. The codes (explained below) are registered with Six Nations Membership.
The codes are as follows:
| 244 Bay of Quinte Mohawks |
251 K. Seneca |
| 245 Tuscarora |
252 N. Seneca |
| 246 Oneida |
253 Delaware |
| 247 Onondaga Clear Sky |
254 Lower Mohawk |
| 248 Bearfoot Onondaga |
255 Walker Mohawk |
| 249 Upper Cayuga |
257 Upper Mohawk |
| 250 Lower Cayuga |
|
Family Number
This will be five digits. In the example, the family number is 00079.
Position Number
See the two digits at the end of your registry number. This is your position in your family as registered with Six Nations membership. In the example the person is third in the family (likely the oldest child). When you turn 18 years old you must apply for your own status card number so the position number will be 01.
Social Insurance Number (S.I.N.)/Social Security Number (S.S.N.)
This is a 9 digit number-DO NOT LEAVE THIS SECTION BLANK.
Birth date
Be sure to enter month, then day, then year.
Application date
The date of this application. This should match the date by your signature further down on the form.
Surname
Provide the surname as registered with Six Nations membership. If you are using a different surname, please make a notation of the surname that you are using and provide documentation supporting the use of this name i.e.
Marriage certificate/updated status card.
First
Provide your legal first name even if you do not use the name on a regular basis.
Second
If you have more than one middle name please provide this also - just print it beside the space for your second name.
Sex: Male - Female
Indicate with a check mark.
Bill C-31— This section only appears on the old form. If you have an old form—you can skip this. Each year the overall student assistance budget is tracked according to Bill C-31 and
Regular membership status. The G.R.P.S.E.O. confirms student status with the Six Nations membership office.
E-mail address—please enter a current e-mail address. If your e-mail address changes after you start school — be sure to let your education counsellor know, because the
G.R.P.S.E.O. uses e-mail as an efficient method to keep in touch with students.
Have you been living in Canada for the last 12 months?
Indicate yes or no with a check mark.
Please note that your Education Counsellor may require you to provide official government documentation to confirm residency that must be verifiable by the
G.R.P.S.E.O. When this information is requested, the student will be required to provide three of the five following pieces of information: drivers license; Canadian address and telephone number; health card; social insurance number; lease agreement or evidence of utility payment.
ACCURATE AND LEGIBLE INFORMATION IS CRITICAL.
Three addresses are required.
- Home Address and Telephone;
- Address While at School with Telephone and E-mail; and
- Mailing Address and Telephone.
The G.R.P.S.E.O. must be able to contact students receiving education assistance. Failure to provide current addresses and telephone numbers may result in education assistance being placed on hold until you can be reached. If you move once you are approved for education assistance, then it is your responsibility to contact our office and let us know.
A current e-mail address is required from all students.
If your Education Counsellor is not able to get in touch with you as a result of changes in your contact information then your approved education assistance funds will be placed on hold until a contact has been made.
Emergency Contact Person
A name and telephone number of a reliable contact person is required in case of an emergency.
BE SURE TO SIGN AND DATE YOUR APPLICATION AFTER YOU HAVE READ AND UNDERSTOOD THE FUNDING RULES AND GUIDELINES.
Student Profile
The G.R.P.S.E.O. collects this information for the purposes of policy review. Please check the appropriate description for you and indicate number of dependents if you have any.
S1 Single living with parents;
S2 Single living away from home;
S3 Single parent;
M1 Married with an employed spouse;
M2 Married with a dependent spouse.
A dependent is defined as a dependent child who is under age 18 or 18 to 21 if in high school.
Bank Deposit Information
The G.R.P.S.E.O. requires a void cheque for your account with a chartered bank in Canada. This is required so that direct deposits can take place. If you change banks or accounts and do not let us know then you will be charged the deposit correction fee charged to us for any mistaken transaction.
Education Plan
When completing this section of the form please note:
Attendance full time or part time (check one)
To be full time you must be classified as a full time student by your post secondary institution and meet the
G.R.P.S.E.O.’s minimum definition of full-time study per four month academic semester, which is:
Level 1: (college diploma) Taking at least 12 hours of in-class instruction per week for the program registered in for the academic semester (labs, tutorials do not count as part of the 12 hours per week).
Level 2 (undergraduate university degree): Enrolled in a minimum of 4 courses at the beginning of a regularly scheduled and required academic semester for the program registered in, followed by continuous study in a minimum of four courses in each such semester. Courses must be equivalent to at least half year/credit courses.
Level 3 (masters degree) as defined by the post secondary institution.
Level 4 (doctoral degree) as defined by the post secondary institution.
Level (check one)
This refers to the four levels described above. Students are expected to progress “up” through the education levels and are usually limited to education assistance involving full time education assistance allowance for one diploma or degree at each level.
Stepped and/or concurrent programs are excluded from this restriction.
If you are thinking about applying for a second diploma or degree at the same or lower level of post secondary study consult your education counsellor as restrictions apply. For example, you will not be eligible to apply for education allowance for a second diploma or degree at the same level of study until 60 months have lapsed from your last receipt of allowance.
Graduation date
This is the date when you expect to graduate with the diploma or degree that you are studying for.
Program (include number of course (s) and credits)
Indicate the program that you are registered in. For full or part-time university students also indicate the number of courses and the total credit values for these courses. The G.R.P.S.E.O. uses this information to generate the sponsorship letter for tuition to your post secondary institution. The details on program and courses are absolutely essential. Please note, courses may not be added after an application has been approved.
Institution
This is the name of the post secondary institution that you are planning to attend. If you have applied to more than one institution and have not received your letter of acceptance or made your choice as to where you will attend then indicate your first choice. Once you make your decision where you will be attending, you must provide a copy of your letter of acceptance and
registration (if you have been approved for tuition assistance, we have no way of knowing which institution to pay without this
information). The institution information is critical so that we can send confirmation of your tuition sponsorship to the institution thereby ensuring your place in the program/course.
Location
This is the location of the post secondary institution that you will be attending. If the institution has more than one campus then indicate the campus that you will be attending, e.g., Mohawk College, Fennell Campus.
Postal code
This is the postal code of the post secondary institution that you will be attending.
#of courses, #of credits
Indicate these as close as possible, especially if you are attending part time.
Length of program
This is the length of the program that you are applying to or registered in. Is it a two or three year diploma program? A three or four year undergraduate degree? Consult the institution’s academic calendar to confirm program length.
Year of study
This is the year of study that you are applying for, e.g., Year 2 (you have already indicated the program length in the previous box).
Academic period for this application
Use numerals to indicate the starting month, day, and year for this application and the ending date. This information must accurately reflect the academic semesters that you are applying for. If you are applying for a full academic year (two consecutive semesters) - indicate for example -
09/01/2010 to 04/30/2011.
High school graduate? (check one)
Indicate the last year that you attended high school. If you are a recent high school graduate, you will be required to submit your high school transcript.
Most recent full time post secondary assistance
If you have previously attended college or university on a full time basis, please provide details about your most recent period of study. Accurate completion of this section is extremely important in determining your eligibility for post secondary assistance.
Signature and date
Do not underestimate the importance of this section of the form. It is at this point that you make a declaration for which you will be held accountable. Read the
Rules, Definitions and Guidelines on the reverse of the application. Do not sign the form unless you understand what you are signing. If you are filling out an application form printed from the website then the form refers you to the
Rules, Definitions and Guidelines page on the website. When
submitting an on-line application you also make a declaration that you
have read the Definitions,
Rules and Guidelines.
For office use only
This section of the form must be completed by your Education Counsellor.
Your Education Counsellor will determine the amount of assistance that you are eligible for by referring to the appropriate schedules for tuition,
books and allowance. These schedules are subject to change. Contact your Education Counsellor for the most recent schedules.
CONSENT FORM
This consent form is used to obtain information to determine your eligibility for education assistance and is valid only for the duration of education assistance applied for.
If you will be attending more than one institution during an academic semester then a
Consent to Request and Release Information is required for each post secondary institution.
A. Personal Information
This information must be completed for your application to be processed. If you do not know for sure which post secondary institution you will be attending by the application deadline - here is what you can do:
Complete what you can, that is - your name, home address, telephone number, date of birth, social insurance number. Notify our office as soon as you know the remaining details i.e.,
Academic Address, Telephone Number, Academic Student Number, Education
Institution and Address of Education Institution.
B. Consent to request information
Print your name in the blank.
C. Consent to release information
Print your name in the blank.
- Voluntary Consent By checking this box on the consent, you
provide consent to G.R.P.S.E.O. to release personal information to
Grand River Employment and Training (GREAT) office for the purpose
of obtaining career related employment. Personal information
is defined as: name, address, telephone number, e-mail address, name
and post secondary institution enrolled in, length of program and
graduation year.
D. Signatures
Your signature must be dated and witnessed.
INITIAL INTAKE - EDUCATIONAL PLAN FORM
This form must be completed with your first application for education assistance.
This form is straight forward. Complete as much as possible. This information will assist your Education Counsellor in assessing your application and providing support and counselling services to you.
Your Education Counsellor is under no obligation to recommend your application for approval. The more information that you can provide about how you have made your post secondary decisions - and your commitment to your studies - the more you help your Counsellor to assess your application.
Other Documentation
Other information/documentation is required as part of your application package.
As previously mentioned, if you are trying to make an application deadline date, fax your completed application and consent then mail them. Faxed documents will be logged on the date received. When your original signed documents are received they will be given the same receipt date.
The G.R.P.S.E.O. will not process facsimile or photocopies of forms without an original signature from you.
More information on required documentation can be found here.
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