PSE Application | Outcomes Student Information System

Student application for Post Secondary Education Funding

This form is intended for students applying for post secondary education funding.

Once you apply and are approved for one program, you will be able to log into your student page to apply for the second program (when applicable)

If you already have records in the Outcomes Student Information System, please log in via the student page and complete the form there.

If you have no existing records or do not know, you can add all needed information to this form and submit when ready.

(for returning students)

(for staff)

* denotes a required field.

* Select Site

Identifying Information

* Status Card #

* Status Card # - also known as INAC or Treaty Number - is a 10 digit number made up of your band number, family number and position number.

* Birth Date

* Gender

* First Name

* Last Name

Common First Name

Previous Last Name

* Email

* Your email address will be used to log in and manage your application.

SIN

Student ID

Program Dates

* Academic Year * Semester(s) check all
Spring 2023 Summer 2023 Fall 2023 Winter 2024

Note, on one application you can only apply for semesters from one fiscal year. To include semesters from multiple fiscal years, additional applications must be filled out.

*Program Start Date

Program Information

* Institution / School Name

* Level of Education Sought

* Attendance

* Method of Delivery

* Major Area of Study

* Area of Study - Subcategory

* Years of Study Required

* Year of Study Applying For

* Program Name

Personal Details

* Street Address

* City

* Province

* Postal Code

* Phone Number

Emergency Contact Name

Emergency Contact Phone

* Are you a Canadian Resident?

* Do you live On or Off Reserve?

* Have you lived in Canada at least 1 Year?

* Marital Status

* Number of Dependants

* Are you a High School Graduate?

Do you require coverage for health/dental fees?

Do you have dependants enrolled at a subsidized daycare?

Are you a student with any special learning needs?

Learning needs details: (Ex: IEP, Psycho-Educational, Assessments, etc.)

Notes

Education Plan

* 1. Career Goal

* 2. Please explain why you have chosen this field

* 3. Describe your plan for completing the program (Example: number of courses per semester and total length of the program) Note, you must be enrolled full time each semester to receive living allowance. Full time status is decided by each individual school.

* 4. Do you plan on continuing your education beyond this program?

4b. If Yes was answered above, please describe in detail your long-term education plan (include other programs you may wish to attend beyond this program)

Post Secondary Costs

Please enter your estimated yearly tuition. Book and living allowance amounts are fixed. Note that Living Allowance amounts are only added if you selected full-time attendance above.

Estimated tuition per year: $ × # years = $0.00

Books per semester: $ × # semesters × # years = $0.00

Living Allowance per month (single): $ × # months × # years = $0.00

Total estimated costs: $0.00

Final Application Details

* Do you plan on staying at residence on campus?

* Have you been previously funded by PSSSP?

Please add any relevant IEP details you would like added to your application.

Priority for Education Financial Assistance:

Applications for post-secondary education financial assistance will be considered, subject to the availability of funding and according to the following priority categories:

1. Continuing students enrolled in a post-secondary program (undergraduate degree, college level program, or Master’s program) that were sponsored by the MBQ Post – Secondary Education Department.

2. Students who have completed secondary school who have graduated from the Hastings and Prince Edward District School board, the Algonquin and Lakeshore Catholic District School Board or the limestone District School Board. Secondary School graduates may take up to one (1) academic year off without changing status in this priority category

3. Students who have completed secondary school that reside in Canada. Secondary school graduates may take up to one (1) academic year off without changing status in this priority category.

4. Successful students who attended college or university in the preceding academic year and who were not sponsored by MBQ Post-Secondary Education Department.

5. First time Mature Students who have been accepted into a College or University Program and who are ordinarily resident on the Tyendinaga Territory.

6. First time Mature Students who have been accepted into a College or University Program and reside in Canada.

7. Students who have been accepted into a College or University and reside in the United States may be eligible to receive tuition only. Refer to Section 4.a.iii.

8. Students who were previously sponsored by MBQ Post-Secondary Education Department that have successfully completed a post-secondary program or who were unsuccessful in a previous attempt.

Select applicable Priority Level

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