2024-2025 Application for Post Secondary Financial Assistance
North Shore Micmac District Council’s (NSMDC) Post-Secondary Education Program - Page 1 of 7
Student Information
Name
*
First Name
Middle Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Secondary Number (home)
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender
*
Male
Female
Other
Date of Birth
*
-
Month
-
Day
Year
Date
First Nation/Region
*
Band Number
*
Application Status
*
Please Select
New Student
Re-enrolling
Application Change
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Marital Status & Dependents
Page 2 of 7
Marital Status
*
Please Select
Married
Single
Common Law
Spouse's Name
Spouse's Date of Birth
-
Month
-
Day
Year
Date
Is your spouse employed?
Yes
No
Do you currently have any dependents?
*
No
Yes
Please list your dependents name, date of birth, and relation to you.
YOU MUST provide name, date of birth and their relation to you.
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University/College Address
Page 3 of 7
Do you know where you will be staying while in University/College? If pending, please notify office before classes commence:
*
Yes
No
Where will you be residing?
Please Select
On campus
Off campus
If so, please provide the address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Previous Education
Elementary/Secondary School - Page 4 of 7
Highest Grade Completed
*
School
*
Upgrading
Complete only if this section applies to you.
Upgraded to grade?
Have you completed grade 12 Equivalency
Yes
No
Please provide any important upgrading information that may be applicable to your application:
UCEPP/Bridging Year
Where
University
Community College
Previous number of training months (if known)
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Current Education Plan
Institution Name
*
How are the majority of your courses being delivered?
*
Online
In-Person
Institution Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student Number
Type of Program
*
Please Select
Certificate
Diploma
Degree
Bachlors
Masters
PhD
Program Title
*
Field
*
Length of Program:
*
Years and months
What year of study are you in?
*
(If first year student in four year degree, write 1 of 4)
Study status
*
Full Time
Part Time
Effective term Semester
*
Fall/Winter from Sept 1st, 2024 to April 30th, 2025
Spring Session 2024 would run from May 1st, 2024 to June 30th, 2024
Summer Session 2024 would run from July 1st, 2024 to August 31st, 2024
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Declaration of Understanding - Page 6 of 7
I hereby make application for post-secondary educational financial assistance and accept the following conditions for sponsorship:
I have read, understood and agreed to the North Shore Micmac District Council’s Post-Secondary Education Policies and Guidelines as outlined in the NSMDC Student Handbook. IT IS IMPORTANT THAT YOU ARE FAMILIAR WITH THE POLICIES AND GUIDELINES! All STUDENTS ARE REQUIRED TO READ THE STUDENT HANDBOOK.
*
I have
To promptly report any changes to my student and/or program of studies;
*
I agree
To promptly report voluntary withdrawal from studies as you will be held accountable for the potential loss of refundable tuition dollars and any living allowance paid beyond this point;
*
I agree
To meet the standards required by both the educational institution and the North Shore Micmac District Council’s Post-Secondary Education Program;
*
I agree
To provide transcripts or statements of academic performance to the Post-Secondary Education Manager at the end of each semester in a timely manner;
*
I agree
I understand that any misrepresentation or omission of information is adequate cause for refusal or termination of funding by the North Shore Micmac District Council.
*
I understand
I understand that if I am employed full-time that I am ineligible for the monthly student living allowance and any misrepresentation of this policy will result in termination of funding
*
I understand
I understand that all necessary documentation as referred to on page 5 must be included with my application in order for my application to be considered complete. I understand that incomplete applications will not be considered.
*
I understand
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Your Application will not be considered complete If the following documents are NOT submitted.
You can submit these documents now OR in the future from the Post Secondary Education link of this website. (Page 7 of 7)
An acceptance or Provisional Acceptance Letter from the Educational Institution. If you provide a Provisional Acceptance Letter from the Educational Institution, you must provide a copy of your final acceptance letter as soon as it is received.
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Returning Students must provide their official transcript of marks from their previous year of study.
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Proof of membership from your First Nation Band (Buctouche, Eel Ground, Eel River Bar, Fort Folly, Indian Island, Pabineau). Please include a photo copy of your Indian Status Card, both front and back.
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If you have dependents under the age of 18, attach a photocopy of each dependent’s long form of birth certificate. If you are a returning student and you have already submitted birth certificates of your dependents, you do not have to resend them.
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