KIA Student Funding Application

KIA Student Funding Application
Through the Inuit Post-Secondary Education Program (IPSEP) and the Indigenous Skills and Employment Training Program (ISETP) funded by the Government of Canada, the Kitikmeot Inuit Association provides financial assistance to eligible students towards the cost of approved education programs. Kitikmeot Inuit in the following categories are eligible:
- Full or part-time students registered in a certificate, degree, diploma or apprenticeship program at a post-secondary institution. The duration of this program must be at least one academic year.
- Full or part-time students enrolled in a university or college prep program offered at a post-secondary institution. The duration of this program may not be more than one year.
- Academic Upgrading and other Training Programs maybe be eligible. Please contact us for more information before you complete the application form.
Deadline for Applications

Applications will be accepted at any time; however, processing will take at least 21 days, so apply early! Please note for Nunavut and NWT residents, proof of FANS/NWT SFA approval or denial must be provided before your application can be reviewed. Students are encouraged to apply early to allow enough time for processing.

Contact Us

We are here to support you with your post-secondary education goals! Contact the PSE Coordinator for help with your application or to learn more about the program at anocon@kitia.ca, TOLL FREE 1-833-854-0062 or 867-983-2458 extension 1013.
Application Checklist
** If you are eligible for NU FANS/ALTS, NWT SFA or Provincial Student Aid you must apply to them first. ** This program only offers top-ups for these students.
Please ensure you have all the following items before submitting your application.

Banking Direct Deposit Form (Void cheque or direct deposit form)Copy of Applicant’s Identification (One copy of any government issued ID such as a birth certificate, health care card, driver’s license or passport)Copy of each dependent’s identification (One copy of any government issued ID such as a birth certificate, health care card, driver’s license or passport for each dependent listed on your application)Current Resume (If you require assistance creating or updating your resume, please contact the PSE Coordinator)Program / Course Details (A copy of the program outline for your proposed studies. This can typically be found and printed from your institution’s website)Institution’s Acceptance Letter (Documentation showing you have been accepted or conditionally accepted into your proposed program/institution)NU FANS/ALTS, NWT SFA, or Provincial Student Aid documentation (A letter or other documentation from NU FANS/ALTS, NWT SFA or your Provincial Student Aid that shows your acceptance or denial of funding). You may submit your application before you get this letter; however, your application will not be reviewed until you submit this letter to KIA.
Please upload all required documents.

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Dependents
I declare that the dependents listed below meet the following conditions: I have legal custody or guardianship of these dependent(s) who are under 18 years of age and are financially dependent upon me, and are living with me at least 50% of the time in each semester I am receiving assistance. See IPSEP policy for more information about dependents. ***Foster child(ren) are not eligible***

Dependent 1
Name

First NameLast Name
Date of Birth

MonthDayYear
Relationship to You
Will they be living with you while you are at school?

Dependent 2
Name

First NameLast Name
Date of Birth

MonthDayYear
Relationship to You
Will they be living with you while you are at school?

Dependent 3
Name

First NameLast Name
Date of Birth

MonthDayYear
Relationship to You
Will they be living with you while you are at school?

Dependent 4
Name

First NameLast Name
Date of Birth

MonthDayYear
Relationship to You
Will they be living with you while you are at school?

Past Funding
Have you been funded by the Kitikmeot Inuit Association in the past? (not Including Scholarships)

YesNo
Year Applicant Last Received Funding
Name of Program
Did you complete the program you were funded for?

YesNo

Current Funding
Applied for FANS / ALTS / NWT SFA / Provincial Student Aid

YesNo
Status

ApprovedDeniedIn Progress
Please upload a letter/correspondence to support the information above.

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Are you applying for or receiving funding from any other organizations (not including scholarships) such as EI, a First Nations Band or Government, or Income Assistance?
Reason for applying to IPSEP for funding:

Educational Goals and Progress
Up to this point in my education, I have taken or completed the following (please list any courses, certificates, diplomas or degrees you have taken):
For this academic year, I plan to complete:
Long term academic goals:

Requested Supports
PSE Coordinator can provide assistance if required.
Tuition and Fees
Estimated Costs
Please upload proof of tuition and fees per semester

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Required Textbooks and Supplies
Estimated Costs
Please upload a books and supplies list as required by the institution

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Relocation to School
If single with no dependents, you are eligible for a trip home at Christmas break.
How many people are travelling?
Estimated cost of round trip airfare for yourself and your dependents
Distance from airport to institution (if ground travel is required)
Living Allowance Rates
Please Indicate
Estimated Costs
Child Care Subsidy
Maximum subsidy is $40/day per eligible child. Please note that spouses do not qualify for this subsidy.
Please indicate child care arrangement
Estimated Costs (max $40/day)

Declaration & Authorization to Release Information
Please read the following and sign where indicated:
1. I understand that meeting the eligibility requirements does not guarantee funding. The actual amount of money received will be based on IPSEP funds available when the application is reviewed.
2. I agree to repay the amount of any financial assistance to which I am not entitled such as, but not limited to: any payments made to me in error; and/or any payments made for costs in excess of the amount actually incurred; and/or any payments that were used for costs that were not eligible or reimbursement under the contribution agreement.
3. I declare that the information given above is true, correct, completed and understand that it may be subject to verification. I understand that it is an offence to make false statements.
4. I understand that the Kitikmeot Inuit Association will share the above information with the Government of Canada (GOC), and that I consent to the disclosure of this information to GOC.
5. I have been advised by Kitikmeot Inuit Association that the information that I provided is protected under Canada’s Privacy Act and that I have a right under the Privacy Act to obtain access to that information from GOC.
6. I hereby authorize Service Canada to release information about the status and benefit rate of my Employment Insurance claim to Kitikmeot Inuit Association to determine my eligibility for the program and/or for alternative income support.
7. I hereby authorize Kitikmeot Inuit Association to release and/or request information as required from Nunavut Government Department of Family Services, Department of Education, Financial Assistance for Nunavut Students (FANS), NWT Student Financial Assistance (SFA), my childcare provider, and my landlord to determine my eligibility for the program and for verification purposes throughout the duration of the program.
8. I authorize Kitikmeot Inuit Association at any time to request for information regarding my academic progress including enrollment confirmation, education costs, and transcripts from the educational institution that I will be attending.
9. I agree to the use of my name, pictures, data and other relevant information by Kitikmeot InuitAssociation in documentary, newsletters, and statistics relevant to the training programs, andKitikmeot Inuit Association having exclusive rights to use the picture, video, statistics and relevant information at any time and for future use by the Kitikmeot Inuit Association. I will have no future claim to the information, data, or pictures. In other words, KIA may use photos and other information gained during the program in KIA related business and reports.
10. This authorization will remain in effect UNLESS I give written instruction to cancel the authorization.
By signing this application form, I have read and understand the DECLARATION & AUTHORIZATIONTO RELEASE INFORMATION:
Applicant Name

First NameLast Name
Signature

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Application Date

MonthDayYear
Date
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KIA Student Funding Application

Application Checklist

Client Information (as shown on your ID)

Contact Information

Contact Information While at School (if known)

Emergency Contact Information

Dependents

Program Information

Past Funding

Current Funding

Educational Goals and Progress

Requested Supports

Tuition and Fees

Required Textbooks and Supplies

Relocation to School

Living Allowance Rates

Child Care Subsidy

Declaration & Authorization to Release Information