STUDENT REGISTRATION FORM

Start Your Journey with ELEVATE U!

ELEVATE U! links you to college programs and financial aid tailored to your goals, assessing your eligibility for educational programs and government funds.

Personal Information

First Name *

Last Name *

Street Address *

City *

Province *

Country *

Postal code *

Email *

Phone *

Additional Key Information

Date of birth *

Status in Canada *

What year did you complete High School? *

What Program are you interested in? *

Do you have a permanent disability? *

Yes

No

Do you have a persistent or prolonged disability? *

Yes

No

Do you want to self-identify as Indigenous? *

Yes

No

How many children do you have?

Provide the age of each child

Number of dependent children over 12 with a Disability

Annual child care costs

$

Marital Status *

Date Married

Spouse Full Name

Year Spouse completed High School

What will your spouse status be during the school year you are applying for assistance?

Spouse Gross Annual Income

$

Student Financial Details

What is the amount of your yearly gross income from all sources? *

$

Have you filed Bankruptcy or a Consumer Proposal within the last 10 year? *

Yes

No

If YES. What year were you Discharged?

Do you have any OSAP in collections? *

Yes

No

Additional Notes

I acknowledge that the information provided is accurate to the best of my knowledge and agree to the Privacy Policy and Terms of Service.

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