Application - Fellowship for Full

FELLOWSHIP FOR FULL-TIME
STUDIES IN FRENCH
Award Value – $500 or $1,000
16/17
Funded by the federal department of Canadian Heritage and administered by Alberta Advanced Education, the fellowship is designed to assist Alberta
students pursuing post-secondary studies taught in French.
Eligibility Criteria
Applicants must:
• be either a Canadian Citizen, Permanent Resident or a Protected Person (visa students are not eligible),
• be an Alberta resident, and to be considered an Alberta resident one of the following conditions must apply:
-- one parent must currently be residing in Alberta, or
-- Alberta is the last place the student has lived for twelve (12) consecutive months before being a full-time student, or
-- is married to an Alberta resident before the start of the qualifying year of study.
• be registered full-time in a post-secondary program - full-time is defined as being enrolled in a minimum of a 60% course load, and
• be taking a minimum of three courses per semester in which the course content and the language of instruction are in French.
Application Process
Include with your application an official academic transcript if you attended post-secondary studies in the previous academic year.
Students entering the first year of a post-secondary program directly from an Alberta high school do not need to send a high school
transcript.
Note: You must apply each year for the fellowship as it is not automatically renewed.
Confirmation of your courses are verified by Student Aid Alberta in January for both the fall and winter semesters. The award is usually
paid in March.
Additional Information
The Fellowship has a minimum value of $500 per semester. A student who meets the course requirement for two semesters will receive
a full fellowship of $1,000. Depending on funds available from the federal department of Canadian Heritage an additional fellowship,
the Roger Mahé Memorial Award, may be awarded.
Awards are valued at $500 per semester, and recipients are selected based on academic achievement during the previous year of postsecondary study. In previous years the GPA on a 4.0 scale has been in the range of 3.7 and above. The number of awards offered is
dependent on the amount of funding available from Canadian Heritage.
Alberta Student Number (ASN)
Deadline and How to Apply
Your Alberta Student Number is on your Alberta Transcript
for High School Achievement.
• Application Deadline: November 15, 2016 for
Fall/Winter Semesters
If you do not know your ASN, or do not have an ASN:
• Submit your completed application to Student Aid Alberta.
• Visit iae.alberta.ca/ASN for instructions.
• Call toll-free in Alberta at 310-0000 to have a Request for
ASN form mailed to you. Due to privacy issues, ASN’s will
not be given over the phone.Deadline and How to pply
Student Aid Alberta
PO Box 28000 Station Main
Edmonton AB T5J 4R4
Contact: Student Aid Alberta Service Centre at 1-855-606-2096
Visit: studentaid.alberta.ca/scholarships
FELLOWSHIP FOR FULL-TIME STUDIES IN FRENCH Last revised July 2016
16/17
FELLOWSHIP FOR FULL-TIME
STUDIES IN FRENCH
Advanced Education is collecting the personal information on this form under the authority of section 33(c) of the Freedom of Information and Protection
of Privacy Act (FOIP Act), as being directly related to and necessary to determine your eligibility for a scholarship under the Alberta Heritage Scholarship
Act and to administer scholarships including research, statistical analysis and program evaluation. The use and disclosure of your personal information
is managed in accordance with the FOIP Act.
If you have any questions about the collection, use or disclosure of this information, call the Student Aid Alberta Service Centre toll free at 1-855-606-2096
from anywhere in North America. You can also mail your questions to Student Aid Alberta, PO Box 28000 Station Main, Edmonton AB T5J 4R4.
Personal Information
Last Name (current legal name)
Social Insurance Number
Middle
Initial
First Name (current legal name)
Gender
Apartment or Box Number
Street Address
Day
Birthdate
City/Town
Prov/State
Male
Female
Another/Prefer not to disclose
Month
Year
Previous Last Name (if applicable)
Country
Postal/Zip Code
Alberta Student Number (mandatory)
Mobile Number (format: 999-999-9999)
Email Address
Telephone Number (format: 999-999-9999)
Citizenship and Residency Information
Citizenship Status: (check one)
Alberta Residency:
VISA (International Student)
Canadian
Permanent Resident
Did you or one of your parent(s)/ legal guardian live in Alberta
all your life?
Protected Person
Yes No
Indigenous Status:
Status Indian/First Nations
Non-Status Indian/First Nations
Métis
Inuit
Not applicable
If no, is Alberta the last province you have
lived in for 12 consecutive months prior to
post-secondary studies?
Yes No
If no, are you married to
an Alberta resident before
the start of the qualifying
year of study?
Yes No
Providing personal information on Indigenous students will help measure the effectiveness of student financial assistance programs in relation to
Indigenous students and to research programs and services to improve student success rates. If you wish to declare your Indigenous heritage,
please check the box that applies to you.
NOTE: This is mandatory for awards which require Indigenous status as part of the eligibility, voluntary otherwise.
For Office Use Only
25
GRANT
8
TOTAL AWD
INSTIT
8
8
PGM
DA
MO
YR
DA
MO
YR
E
Disbursement
MO
YR
AUTHORIZATION
FELLOWSHIP FOR FULL-TIME STUDIES IN FRENCH Last revised July 2016
AWARD KEY
Page 1
APP KEY
16/17
FELLOWSHIP FOR FULL-TIME
STUDIES IN FRENCH
Post-Secondary Institution Enrolment Information
Study Start Date
Post-Secondary Institution Name
Month
Year
Address
Program of Study
City/Town
Prov/State
Program Length
Years Months
Postal/Zip Code
Country
Year of Program
Student ID
Additional Information
Are you: (check one)
FRANCOPHONE (one parent has French as a first language), or
ANGLOPHONE (neither parent has French as a first language)
Name of campus
Is your program taught in French?
Dates you will be attending and taking a minimum of 3 courses taught in French:
Study Start Date
Study End Date
Indicate the semester(s): (check one)
Month
Yes No
Year
Month
Fall Semester
Winter Semester
Both Semesters
Year
Declaration of Applicant
I have read and understand the instructions, and declare that:
• all information provided is true and complete and I understand
it is subject to audit.
• I will meet any eligibility requirements and obligations of
the scholarship as stated in the scholarship requirements.
• I will immediately notify Student Aid Alberta in writing
if I withdraw from studies.
I understand that:
• personal information pertaining to my high school and postsecondary academic records may be released and exchanged
by and between Student Aid Alberta, Alberta Education and
the educational institutions for the purpose of determining
my eligibility for a scholarship.
Signature of Applicant (in ink)
• personal information pertaining to my post-secondary
academic progress and enrolment status may be released
and exchanged by and between Student Aid Alberta and
the educational institution for the purpose of determining
my eligibility for a scholarship.
• my personal information may be released and exchanged by
and between Student Aid Alberta and any federal and provincial
government departments, boards, or institutions to verify the
information I have provided to Student Aid Alberta, and for the
use in research and statistical analysis in program evaluation.
I understand and agree that:
• if I receive a scholarship my name, award and city/town
may be released publicly to promote the program, however,
this is not a criterion for eligibility, and if I do not want to be
identified, I will contact Student Aid Alberta.
Today’s Date
Day
✗✗SIGN HERE
Month
Year
Please Review Your Application to Make Sure you Have Completed All the Required Fields.
Missing Information Will Delay Processing.
FELLOWSHIP FOR FULL-TIME STUDIES IN FRENCH Last revised July 2016
Page 2