Application – Br3athe

Preliminary Eligibility Questions

Did You complete your first call with the school? (If not please email us at [email protected] with your first name, last name, phone number, & course of interest)

Yes No

Name of person who reffered you?

I am a Canadian citizen, permanent resident or protected person

Yes No

Have you lived in Canada your whole life?

Yes No

I am committed to working in the same region where you studied after you graduate

Yes No

I am receiving funding from the following government programs:

The BEGIN Initiative: Bridging Educational Grant In Nursing Better Jobs Ontario Skills Development NONE OF THE ABOVE

Student

Name

Phone Number

OAN

Password

OSAP Requirements

When would you like to start?

Additional Information

Have you ever been in child custody?

Yes No

Do you identify as having a temporary or permanent disability? Please specify.

Do you identify as a francophone(french) student?

Yes No

Do you identify as native?

Yes No

When were you last out of high-school (as accurate as possible)with your taxes?

Over 6 years? Between 4-6 years? Or less than 4 years? If less then 4 years, can you provide proof of employment for the last two years

Will you be living with your parents? If so, please provide your parents 2022 tax information line 1500.

Provide your most recent tax information line 1500.

What's your marital status or sole support parent with child? Please specify.

Single Married common law Sole support parent with child

Have you filed for bankruptcy or a consumer proposal?

Have you gotten any money from outside Canada the year before this?

Are you on OW (Ontario Works) or ODSP (Ontario Disability Support Program)? If yes, please speify which.

Do you expect to receive any scholarships or burseries during your study period? If yes, how much?

Do you expect to receive any government funding or support during your study period? If yes, what is it and what is the estimated amount?

Do you expect to make more than $16,000, during your study period?

Yes No

Estimate the amount of income you will earn during your study period

Do you expect to have any assets during your study period?

Yes No

Do you have any RRSP?

Yes No

Do you expect to receive any funds from continued care and support for youth under CYFSA (Child Youth Family Service Act)?

Yes No

If you have children, please provide the following

Fast Name

Last Name

Date of Birth

Br3athe constantly oversees projects that help to develop the community. If you wish to be involved in any of our projects, please contact us.

Preliminary Eligibility Questions

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