Shooniyaa Wa-Biitong Training & Employment Centre For the Treaty No. 3 Area

P.O. Box 2909, Kenora, Ontario, P9N 3X8  Phone: (807) 468-2030 • Fax: (807) 468-1813  Toll Free: 1-800-545-5113

AttentionTreaty #3 Post Secondary Students

If you are currently attending full-time post-secondary studies and you are age 30 and under, we invite you to participate in an exciting initiative.There are two parts to this initiative:

Part One: “Sharing my Story”

1)We want to hear from you – who you are, community, post-secondary institute attending and studies taking, career goals and why are they important, goals and aspirations, experiences, lessons learned, challenges, overcoming barriers/challenges, your support system, etc; and most importantly, what messages do you have for future post-secondary students and Youth in general?

How do I participate?: By completing the attached student profile form, providing a 500 word essay and head shot.

Part Two:“Survey”

2)We want to get feedback on our Employment Services, Youth Career Fair, Youth Group Projects!

How do I participate?: By completing the attached survey form which will be kept confidential.

A monetary award is available to those that meet the criteria:

  • Treaty #3 Post-Secondary Student
  • Up to age 30 and under
  • Attending a full-time Post-Secondary Program during the 2017/2018 academic year;
  • Complete both Part One and Part Two by the deadline

Deadline: Friday, December 8, 2017

  1. When will I be notified of a decision regarding my entry?

You will be notified by December 20, 2017.

  1. What are my chances for receiving an award?

There is a limited budget. Up to 12 entries will be chosen.

Mail, fax, email or deliver your entry package byFriday, December 08, 2017

Contact Shirley Kelly, Program Supervisor, at 1-800-545-5113 or (807) 468-2030or email: or further information.

Shooniyaa Wa-BiitongEmployment and Training Centre

580 Lakeview Drive, P.O. Box 2909, Kenora, Ontario P9N 3X8

Fax: (807) 468-1813

Shooniyaa Wa-BiitongTraining & Employment Centre For the Treaty No. 3 Area

P.O. Box 2909, Kenora, Ontario, P9N 3X8  Phone: (807) 468-2030 • Fax: (807) 468-1813 Toll Free: 1-800-545-5113

Student Profile Form

Protected when completed

Official Use Only:
File: / / / / / / / Shooniyaa Wa-Biitong is committed to respecting your privacy and protecting your personal information. This document and the information in it are provided in confidence, for the sole purpose of Shooniyaa Wa-Biitong, and may not be disclosed to any third party or used for any other purpose without the express written purpose of the participant.
PART A – STUDENT INFORMATION
First Name: / Middle Initial(s): / Last Name:
Mailing Address / Telephone:
City/Town: / Province: / Postal Code: / Email Address:
Social Insurance Number:
MANDATORY  / / / / / / / / / / Date of Birth:
MANDATORY / / / . MM DD YY / Gender:Male
Female
Marital Status:
Single Widowed Divorced
Separated Single Parent
Married or Equivalent / Number of Dependents:
______/ Do you consider yourself to be a person with a disability?
Yes No / Primary Language Spoken:
English French Aboriginal
language(s)
Specify (If Aboriginal): ______
Aboriginal Type:
Not Aboriginal Inuit Metis
Registered (Status) Indian Non-Status Indian / If Registered (Status) Indian, please state the First Nation you belong to:
______/ Do you reside on a First Nation?
Yes No
PART B – POST-SECONDARY INFORMATION
Program/Field of Study: / Name of Post-Secondary Institute and Province: / Date Began:
/ / .
MM DD YY / Expected Completion Date:
/ / .
MM DD YY
Post-Secondary Counsellor: / Phone: / Year of Study Completed: (Please provide letter of verification from post-secondary counsellor or school official)
( ) 1st Year ( ) 2nd Year ( ) 3rd Year ( ) 4th Year ( ) 5th Year
PART C – Sharing my Story
Please attach essay– Part One
Provide head shot
PART D: CONSENT AND DECLARATION
I certify that the above information is accurate and true to the best of my knowledge. Failure to do so or knowingly providing false information will result in funding (if approved) being revoked.
I hereby consent to the release of my information confirming my status as a student and band membership affiliation. By signing this consent form, I grant permission to release of my name and photograph to be published as a participant of the Program.
Student Signature: / Date:

Under the Privacy Act, the personal information collected on this form may be accessed by the participant.