Post Secondary Education Application

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Name

First

Last

Phone

Date of Birth

Band Status Number (Please send copy to education@manitourapids.ca for verification)

Are you a registered Rainy River First Nations community member?

Current Mailing Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Marital Status

Single
Married
Common-Law

Number of dependents under 18 years old

Dependent Name

First

Last

Date of Birth (please send copy to education@manitourapids.ca for verification)

Date

Time

Dependent Name #2

First

Last

Date of Birth (please send copy to education@manitourapids.ca for verification)

Date

Time

Dependent Name #3

First

Last

Date of Birth (please send copy to education@manitourapids.ca for verification)

Date

Time

Have you graduated high school within the past two years?

Last high school or post-secondary institution attended:

Are you a returning post-secondary student?

Institution Applied for

Program Title

Start Date

Student #

Address of school

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Tuition amount

Residence: yes or no

Please remember to submit a copy of your status card and dependent's birth certificates for verification to education@manitourapids.ca