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Funding Request Form
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* Indicates required question
Email
*
Your email
Funding Request From Date (Today's Date)
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MM
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DD
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YYYY
Student's Full Name (First, Last)
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Your answer
Date of Birth:
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MM
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YYYY
Phone Number
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Your answer
Full address: ( Number / Prov / Postal Code)
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Your answer
E-mail
*
Your answer
Band Name
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Your answer
Band Number:
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Your answer
Date of Birth
*
MM
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DD
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YYYY
Marital Status
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Single
Married
Common-law
Other:
Number of Dependents (Must Provide Identification & Proof of Dependents)
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Choose
No Dependents
One Dependent
Two Dependents
Three Dependents
Four Dependents
Five Dependents
Other
Have you filled the BAEC School Application?
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Yes
No (If you chose 'No' then your application for funding will not be approved)
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DD
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YYYY
Have you created the Individual program plan and the class schedule with the Principal or the Academic Counselor?
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Yes
No (If you chose 'No' then your application for funding will not be approved)
Individual program plan and class schedule date
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MM
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DD
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YYYY
What is your student status for the semester you are applying for? ( Continuing fulltime students chose Fulltime cohort 1. Continuing part-time students chose Part-time cohort 1 ).
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Full Time Student
Part Time Student
Full Time Student: Outreach (not attending online)
Part Time Student: Outreach (not attending online)
Choose only one
Full Time Student
Part Time Student
Full Time Student: Outreach (not attending online)
Part Time Student: Outreach (not attending online)
Choose only one
Have you achieved your Alberta High School Diploma?
*
Yes
No
If your high school diploma was achieved, what are the reasons you are upgrading?
Your answer
If you have been funded by the BAEC in the past please indicate the number of semesters you have been funded at the BAEC. (The maximum number of semesters for students to be funded at the BAEC is four semesters.)
If you have been funded by the BAEC in the past please indicate the number of semesters you have been funded at the BAEC. (The maximum number of semesters for students to be funded at the BAEC is four semesters.)
Two Semesters
Three Semesters
Four Semesters
Chose on only
If you have been funded by the BAEC in the past please indicate the number of semesters you have been funded at the BAEC. (The maximum number of semesters for students to be funded at the BAEC is four semesters.)
Two Semesters
Three Semesters
Four Semesters
Chose on only
Clear selection
Funding Source you are applying for? (Tsuut'ina members have to apply for Alberta Works funding if the BAEC funding.)
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BAEC (Only for Tsuut'ina members)
Alberta Works
Both BAEC and Alberta Works
Other:
Please Indicate if you are receiving living allowance funding from any other source?
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Yes
No
Please provide a short paragraph describing your academic and career plan.
*
Your answer
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