Print Form
This program is funded
by the Government of Canada and
administered by the British Columbia
Ministry of Education
Government of Canada
Gouvernement du Canada
E-Mail, Fax OR Mail one complete copy to:
Provincial Coordinator
French Programs Unit
Ministry of Education
PO BOX 9160 STN PROV GOVT
Victoria BC V8W 9H3
Email : [email protected]
PH: (250) 356-2516 FAX: (250) 387-1470
OFFICIAL-LANGUAGES STUDY FELLOWSHIP
APPLICATION FORM
PRINT CLEARLY. COMPLETE ALL SECTIONS.
A. PERSONAL DATA
FAMILY NAME
GIVEN NAME
SOCIAL INSURANCE NUMBER
PERMANENT ADDRESS OR PO BOX NO.
CITY
SEX
 FEMALE
PROVINCE
POSTAL CODE
 MALE
HOME TELEPHONE NUMBER
E-MAIL ADDRESS
APPLICANT’S CITIZENSHIP OR STATUS
MOTHER TONGUE (OR OFFICIAL-LANGUAGE FIRST LEARNED)
 CANADIAN
 FRENCH
 PERMANENT RESIDENT
 ENGLISH
CURRENT ADDRESS (if different than above)
CURRENT CITY
CURRENT PROVINCE
CURRENT POSTAL CODE
CURRENT TELEPHONE:
B. EDUCATION HISTORY
High School Graduation
(Name of school, city and province): ____________________________________________________________________________________________________
POSTSECONDARY INSTITUTION(S) ATTENDED (NAME AND LOCATION)
DATES OF ATTENDANCE
C. PROPOSED EDUCATION PROGRAM
NAME OF INSTITUTION
DATES OF ATTENDANCE
FROM (YY-MM-DD)
TO (YY-MM-DD)
DEGREE OR DIPLOMA EXPECTED
LANGUAGE OF INSTRUCTION
PROGRAM (GIVE NAME, COURSE NUMBER)
 FRENCH _______%
 ENGLISH _______%
DESCRIPTION OF PROGRAM
HAVE YOU PREVIOUSLY RECEIVED AN OFFICIALLANGUAGES STUDY FELLOWSHIP?  NO  YES
IF YES, WHEN? (YEAR)
AMOUNT: $ ____________________
D. APPLICANT’S DECLARATION (attach photocopy of required documents – see over)
I hereby apply for an Official-Languages Study Fellowship for studying in French and make the following declaration:
I declare that all information given above is complete and true in every respect, that I have answered all questions applicable to me on this form, that I shall be a fulltime student for the academic period stated and take the program specified above. I grant the Provincial Coordinator, French Programs Unit, the right to request and
receive information pertaining specifically to my academic performance for the period of studies stated on this application, and grant the institution(s) named above the
right to release such information to the Provincial Coordinator, French Programs Unit upon request.
SIGNATURE OF APPLICANT
DATE
NOTE: This application is for a Study Fellowship ONLY. THIS IS NOT AN APPLICATION FOR ADMISSION TO AN INSTITUTION.
(REVISED 2011-06)
E. MINISTRY USE ONLY
SIGNATURE OF MINISTRY OFFICIAL
DATE APPROVED
AMOUNT COMMITTED
$
OFFICIAL-LANGUAGES STUDY FELLOWSHIP
PURPOSE
The purpose of the program, in British Columbia, is to encourage students to enter a full-time post-secondary
program offered in French at a French language or bilingual institution, in Canada, for a period of one year of study.
ELIGIBILITY
At the time of application an eligible applicant must:
• Be a permanent resident British Columbia, i.e. have resided
in BC for at least 12 consecutive months prior to to the day
preceding the intended start of the program of study,
excluding any time spent studying in a post-secondary
institution.
•
Provide proof of Canadian citizenship (birth certificate,
passport) or provide proof of “permanent resident” status
(landed immigrant card). ATTACH PHOTOCOPY.
•
Provide proof of Social Insurance Number since this is a
taxable award. ATTACH PHOTOCOPY.
•
Intend to register in September as a full-time student taking
at least 60 per cent of his/her studies in courses in which the
language of instruction is French, at a post-secondary French
language or bilingual institution in Canada.
•
Monies received under this program constitute taxable
income. The award will be released in two installments (50%
of the award per trimester). Cheques will be made payable to
the student and forwarded to the student’s permanent address
as listed on the Confirmation of Registration form. Cheques
will not be issued until the Confirmation of Registration form
is received. Please allow 6-8 weeks for delivery.
Students are urged to submit their application well ahead of
the deadline as the fellowships are awarded on a first come,
first served basis.
As soon as the application form and required documentation
are received and it is ascertained that the applicant is eligible
to receive the fellowship, an award letter will be forwarded
to the student, including a Confirmation of Registration
form.
DEADLINE DATE
• Bursaries will be approved by the Ministry on a first come,
first served basis, subject to available funding (based on a
fiscal year beginning on April 1st and ending on March 31st).
• Only fully completed and documented application forms will
be considered. Incomplete application forms will be
returned.
CONDITIONS OF AWARD
• The maximum value of the fellowship is $1,250 per school
year (i.e. two trimesters) and $5,000 for the applicant’s
lifetime.
• Students who have received the full Fellowship ($5,000) for
Official-Languages Study are ineligible.
AWARD PROCEDURE
•
•
•
The Confirmation of 1st Trimester Registration form is to be
completed at the time of registration in September, signed by
the registrar of the institution concerned and returned to the
Ministry. As soon as this confirmation is received, a cheque
will be issued for the first trimester disbursement.
•
The Confirmation of 2nd Trimester Registration form is to be
completed in January and returned to the Ministry. As soon
as this confirmation is received, a cheque will be issued for
the second trimester disbursement.
•
Students graduating from Grade 12 should be aware that they
may encounter difficulties in enrolling in Quebec universities
due to differences in the two provinces’ school systems.
•
No cheques will be issued if information from the institution
indicates that the student is not registered in nor attending the
program specified at the time of application.
DESIGNATED INSTITUTIONS
•
•
•
•
•
Simon Fraser University’s
French Cohort Program
Université Laval
Université McGill
Université de Montréal
Université de Moncton
•
•
•
•
•
•
•
Université d’Ottawa
Centre Linguistique de Jonquière
Université du Québec a Trois-Rivières
Université du Québec a Chicoutimi
Université du Québec a Hull
Université du Québec a Montréal
Université du Québec a Rimouski
•
•
•
•
University of Manitoba
(Collège universitaire de St-Boniface)
University of Regina (Bilingual Centre)
University of Alberta (Faculté Saint-Jean)
Other designated Francophone or bilingual
institutions may be considered.