Tuition Bursary Application AWARD INFORMATION To be eligible, applicants must meet the following conditions: Must be enrolled in an NLC program. The tuition bursary is not available to students in programs where fees are forwarded by NLC to the delivering institution. Financial need. Paying own tuition and not receiving funding or sponsorship that is designated for tuition payment. The College must be informed of any funding or bursary received during the academic year for which the tuition bursary is approved. Tuition bursaries that are approved are applied as a credit for tuition for NLC credit programs (per academic year and term). When an application for tuition bursary has been submitted and a decision has not yet been received, the applicant will be required to either sign a fee deferral agreement or pay full tuition on or before registration day. Established timelines for fee deferrals andrefund procedures will apply upon approval of the tuition bursary. International students are not eligible for this bursary. DEADLINE: Application must be submitted one month prior to the end date of program/course. GENERAL APPLICANT INFORMATION Last Name * First Name * Middle Name Birth Date * Format: (mm/dd/yyyy) NLC Student ID * Street Address or Apt/Box Number * Town/City * Province/Territory Postal Code * Phone Number * Email * Citizenship Status * Canadian Citizen Permanent Resident Landed Immigrant Marital Status * Single Married/Common-law Number of Dependents * 0 1 2 3 4 or more Age Range of Children (if applicable) 0 to 5 6 to 12 13 to 18 Name of Program Attending * - Select One - Academic Upgrading Addictions Counselling Diploma (Year 1) Addictions Counselling Diploma (Year 2) Advanced Care Paramedic (Year 1) Advanced Care Paramedic (Year 2) Advanced Care Paramedic Upgrading Business Administration Business Administration - Accounting Carpenter Apprenticeship First Period Carpenter Apprenticeship Second Period Carpenter Apprenticeship Third Period Carpenter Apprenticeship Fourth Period College and Career Preparation Computer Network Specialist Early Learning and Child Care Early Learning and Child Care Diploma Educational Assistant Certificate Electrician Apprenticeship First Period Electrician Apprenticeship Second Period Electrician Apprenticeship Third Period Electrician Apprenticeship Fourth Period Emergency Medical Responder Health Care Aide Health Care Aide eSTEP (Employed Student Tutored Education Program) Health Care Aide / Prior Learning Assessment and Recognition Human Resource Management Introduction to Surveying Office Administration Oilfield Operator Training Power Engineering 3rd Class Power Engineering 4th Class Practical Nurse (Year 1) Practical Nurse (Year 2) Pre-Employment Carpenter Pre-Employment Electrician Pre-Employment Heavy Equipment Technician Pre-Employment Industrial Mechanic (Millwright) Pre-Employment Welder Primary Care Paramedic Primary Care Paramedic Upgrading Social Work Diploma (1st Year) Social Work Diploma (2nd Year) Survey Theory & Calculations University Studies Welder Apprenticeship Second Period Welder Apprenticeship First Period Welder Apprenticeship Third Period Program Start Date * - Select One - Fall (Sept-Dec) Winter (Jan-Mar) Spring (Apr-Jun) Location/Campus * - Select One - Athabasca Atikameg Cadotte Lake Chateh Driftpile Fort Vermilion Fox Creek Gift Lake Grande Prairie Grouard High Level High Prairie Home Based/ Distance Lloydminster Loon River McLennan Peace River Peavine Peerless Lake Slave Lake Valleyview Wabasca ADDITIONAL INFORMATION How is your tuition being paid for? * Student Loan Sponsor Self-Paying Other Name of Sponsor/Agency assisting with education costs/living allowance If applicable. FINANCIAL INFORMATION INCOME (monthly) Enter $ amount for each area Your Income * Monthly Spouse's Income If applicable. Parent(s) Earnings - if living at home Your most recent tax assessment with Line 15000 Choose File No file chosen The maximum total size of all files in a single form submission is 1 GB. Your spouse's most recent tax assessment with Line 15000 - if applicable Choose File No file chosen The maximum total size of all files in a single form submission is 1 GB. Your parents' most recent tax assessment with Line 15000 - if applicable Choose File No file chosen The maximum total size of all files in a single form submission is 1 GB. Attach files: statement/letter You may include a brief description of your circumstances that may not be captured in this application. Choose File No file chosen The maximum total size of all files in a single form submission is 1 GB. APPLICANT DECLARATION I am applying for a Tuition Bursary for the academic period indicated. The above information is complete and accurate to the best of my knowledge and I agree to inform Northern Lakes College of any changes to the enrolment or sponsorship information indicated. I am aware that I must maintain the above enrolment as a student in good academic standing to maintain my eligibility for the bursary and understand and acknowledge that the bursary may be withdrawn or adjusted based on any changes to my financial status. In the event that the bursary is withdrawn, full tuition will be charged and normal refund policies will apply. Agree with Applicant Declaration * Yes No Date of Declaration * Your personal information is being collected under the authority of the Post-Secondary Learning Act, Section 65, the Taxation Act (Canada), the Freedom of Information and Protection of Privacy Act, Section 33(c) and is protected under Part 2 of the latter act. This information will be used to determine eligibility for awards issued by Northern Lakes College. If you have any questions about the collection of this information, contact the FOIP Coordinator, at foipcoordinator@northernlakescollege.ca or 1201 Main Street SE Slave Lake, AB T0G 2A3. Please note that it is the applicant’s responsibility to ensure that all documentation and the full application (all boxes filled in that are applicable) are received in the Student Awards office for consideration. Leave Blank
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