New 2023-2024 Application

Anishinabek Educational Institute

Fort William/ Munsee-Delaware/ Nipissing

2023-2024 Application

PERSONAL INFORMATION

Intake Date

September 2022

January 2023

If you have selected the First Nation Child Welfare Advocate program or Native Community Worker program for the Nipissing campus, please select your preferred start date - September 2022 or January 2023.

PLEASE NOTE: How you enter your name on your application is how you will be registered with the partner college. This will appear on your official transcripts and diploma.

Residential Address:

Mailing Address:
(If different from residential address)

Primary Phone number

Secondary Phone Number

Community Affiliation

Band Number

(10 digits)

Primary Phone number

Secondary Phone Number

Health and Learning Concerns:

Individual Education Plan

Do you have any learning concerns that you would like us to know about?

Identify any health related concerns that you would like us to know about:

EDUCATION INFORMATION

Secondary Education:

Post-Secondary Institution:

Graduate:

Yes No Not Selected

Post-Secondary Institution:

Graduate:

Yes No Not Selected

PLEASE NOTE: Any transcripts that are uploaded with an application will be considered as copies. We will still require the official transcript in the original sealed envelope.

EMPLOYMENT INFORMATION

(if applicable)

TUITION PAYMENT INFORMATION

Check Your Funding Source

First Nation Education

Employment & Training

OSAP

Indian Friendship Center

Ontario Metis Nation

Second Career

ECE Grants (ECE only)

Self-funded

Other:

Education Counsellor

ALTERNATE PROGRAM OF CHOICE

Are you interested in any other program(s)?

Entry/Certificate

Pre Health Sciences

Personal Support Worker

Diploma

Native Community Worker - Traditional Aboriginal Healing Methods

Native Early Childhood Education

Practical Nursing

Social Service Worker - Indigenous Knowledge

Diploma/Degree

Bachelor of Social Work

Post Diploma

Fetal Alcohol Spectrum Disorders

First Nation Child Welfare Advocate

HOW DID YOU HEAR ABOUT AEI?

Students are responsible for a full-time workload during the entire length of the program.
AEI would like you to explore and identify your support network while enrolled in the program:

Identify your support network at home and work:

What arrangements will you make with your employer while attending classes and field placements?

Identify any personal, family or work related difficulties that may interfere with your ability to complete the program:

How do you deal with stress?

Do you plan to continue in another program after completing this program?

APPLICATIONS WILL NOT BE PROCESSED UNTIL TRANSCRIPTS ARE RECEIVED.

I Accept

Applicant Signature

Please type your name as your electronic signature.

FOR MORE INFORMATION CONTACT:

Nipissing Campus NORTH BAY – kayla.bomberry@anishinabek.ca TOLL FREE 1-800-334-3330

I declare the information provided on this application is true and complete. I understand that any false information submitted in support of my application may result in the rejection of my application. I understand that I am required to provide official transcripts in the UNOPENED SEALED ENVELOPE to the attention of the registrar at the campus of choice.

Enter the above code

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