Mature Student Program
Application Form

General Information

Instructions: You must insert an answer to each item listed below, if it does not pertain to your application please insert N/A, then hit submit. You will then receive an email stating thank you, once you receive this message you could then go to print preview and print a copy for your records. If you need to submit more information please use a blank page and submit via email to forms@gwaiitrust.com as an attachment.

In order for you to be eligable for this grant you must be a Haida Gwaii residency of one year, prior applying (Gwaii Trust defines residency as: living on Haida Gwaii 12 consecutive months prior to application date).
Incomplete application will not be processed.

Name of Applicant:
SIN Number :
Mailing Address:
E-mail:
Phone:
Cell Number:
Martial Status:
Length of Residency on Haida Gwaii:
Are you a first time applicant?
If no, date of last sponsorship:
Course start date:
Course Completion date:
Number of Courses this term:
Program applying to:
College/University enrolled in:
College/University phone #:
College/University address:

Category of Study (check one)

Environment/Forestry/Fishing
Professional/Teaching/Medical
Technical/Vocational
Arts/Fine Arts/Culture
Administration/Accounting
General Studies

Cover Letter & Support Letters

Attach a cover letter with a brief description of your course outline, family history, work history and your career or academic goals.

Financial

Educational Expense:

    Amount
Tuition:
  
Books:
  
Supplies:
  
Tutoring:
  
Miscellaneous:
  
Out of town living:
  
  Total:

Income/Financial Resources:

    Amount
Own Resources:
  
Scholarships:
  
Band Funding:
  
Human Resources:
  
Parent/Spouse:
  
Outside Sources:
  
  Total:

Files and scanned documents may be sent as attachments to an email. Original transcripts must be mailed to the Old Massett Office. Please attach your letter of registration and a cover letter.

Applicant Final Check List of Documents that must be included in order to process the grant application: Incomplete application will not be processed.

  • Complete Application Form
  • Cover letter stating your requests, goals, family history, educational background
  • Copy of Registration with proof of payment
  • Copy of Admission Letter from an accredited post secondary institution
  • Original Transcripts (must be in a sealed envelope mailed to the Old Massett Office)

Email your attachments to forms@gwaiitrust.com. Please be sure to enter the name of your project in the subject line.

Letters of support, cost quotes or relevant information that are unable to be scanned or otherwise attached may be faxed, mailed, or dropped off at either Gwaii Trust Office location.

Certification

I/We certify that the information contained in this application any other submitted information are correct and complete at the date of submission. Submission of false or deliberately misleading information may result in the Gwaii Trust denying this and or future applications to the Trust under any of its granting programs.

The Gwaii Trust Board of Directors will not consider any information or supporting documentation received after the allocation deadline in their review of this project.

All applications submitted become the property of the the Gwaii Trust, who may publish the said applications on their website www.gwaiitrut.com or may otherwise utilize their content as the Gwaii Trust sees fit.

I agree with the above statement

Submission Date
Applicant Name