PSE Application | Outcomes Student Information System

This form is intended for students applying for post secondary education funding.

Once you apply and are approved for one program, you will be able to log into your student page to apply for the second program (when applicable)

If you already have records in the Outcomes Student Information System, please log in via the student page and complete the form there.

If you have no existing records or do not know, you can add all needed information to this form and submit when ready.

(for returning students)

(for staff)

* denotes a required field.

* Select Site

Identifying Information

* Status Card #

* Status Card # - also known as INAC or Treaty Number - is a 10 digit number made up of your band number, family number and position number.

* Birth Date

* Gender

* First Name

* Last Name

Common First Name

Previous Last Name

* Email

* Your email address will be used to log in and manage your application.

SIN

Student ID

Program Dates

* Academic Year * Semester(s) check all
Spring 2024 Summer 2024 Fall 2024 Winter 2025

*Program Start Date

Estimated Graduation Date

Note, on one application you can only apply for semesters from one fiscal year. To include semesters from multiple fiscal years, additional applications must be filled out.

Program Information

* Institution / School Name

* Level of Education Sought

* Attendance

* Method of Delivery

* Major Area of Study

* Area of Study - Subcategory

* Years of Study Required

* Year of Study Applying For

*Program Name

Personal Details

* Street Address

* City

* Province

* Postal Code

* Phone Number

Emergency Contact Name

Emergency Contact Phone

Are you a Canadian Resident?

* Do you live On or Off Reserve?

* Have you lived in Canada at least 1 Year?

* Marital Status

* Number of Dependants

* Are you a High School Graduate?

Do you require coverage for health/dental fees?

Do you have dependants enrolled at a subsidized daycare?

Are you a student with any special learning needs?

Learning needs details: (Ex: IEP, Psycho-Educational, Assessments, etc.)

Notes

Education Plan

* 1. Career Goal

Characters left: 1000

* 2. Please explain why you have chosen this field

Characters left: 1000

* 3. Describe your plan for completing the program (Example: number of courses per semester and total length of the program)

Characters left: 1000

Note, you must be enrolled full time each semester to receive living allowance. Full time status is decided by each individual school.

* 4. Do you plan on continuing your education beyond this program?

4b. If Yes was answered above, please describe in detail your long-term education plan (include other programs you may wish to attend beyond this program)

Post Secondary Costs

Please enter your estimated yearly tuition. Book and living allowance amounts are fixed. Note that Living Allowance amounts are only added if you selected full-time attendance above.

Estimated tuition per year: $ × # years = $0.00

Books per semester: $ × # semesters × # years = $0.00

Living Allowance per month (single): $ × # months × # years = $0.00

Total estimated costs: $0.00

Final Application Details

*Do you plan on staying at residence on campus?

* Have you been previously funded by PSSSP?

Please add any relevant IEP details you would like added to your application.

Please select your Priority Level based on the following guidelines.

1. Students continuing post-secondary studies, in good standing within this policy and funded by Aamjiwnaang the previous semester. Applicants enrolling in Aboriginal teacher language programs. Students who have ceased to attend school for extenuating circumstances /mental health issues which can be supported by medical documentation.

2. Deferred students/applicants from the previous year who were eligible first-time applicants and denied due to lack of funding.

3. Students newly graduated or within a 24-month period from secondary school and moving into post-secondary studies within this policy. Students who would like to obtain their master’s after being employed for a period of time.

4. Adult/mature students who are first time applicants. Age 21 and over, GED, ACE graduates.

5. Adult/mature students returning after a break (for 2 or more consecutive semesters) in post-secondary studies, and in good standing within this policy and meeting all other eligibility criteria.

6. Students who have previously dropped out or discontinued their program and out of school for two or more consecutive academic semesters.

7. Students not in good standing from the previous semester. May be eligible for the costs of tuition and books only as per available funds.

Select applicable Priority Level

Outcomes - A Product of Dadavan Systems Inc

Identifying Information

Program Dates

Program Information

Personal Details

Education Plan

Post Secondary Costs

* Post Secondary Expenses

Final Application Details