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.

Select Course

What Program are you interested in? *

Contact Details

First Name *

Last Name *

Phone *

Email *

City *

Province *

Additional Key Information

Your Date of birth *

Status in Canada *

What year did you complete High School? *

How many years have you lived at your current address? *

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

$

If a sole support parent with dependent children, what is your marital status?

Separated

Divorced

Widowed

Never married

What is your current situation? *

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

Are you a robot?

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

PRIVACY POLICY STATEMENT

Our Privacy Policy Statement applies to all personal information collected from the Personal Data Sheet.

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