RISE PROGRAM REGISTRATION

Apply early. Accepting applications until November 30, 2022.

PERSONAL INFORMATION


Please enter your contact information

 

 


Mailing Address

 


Citizenship status (select one):
Canadian citizen
Permanent resident
Study permit
Working permit
Refugee

If you are a Canadian citizen and wish to declare you are an Indigenous person, (select one, optional):
Indian Status
Non-Status Indian
Mètis
Inuit
None of the above

LEGAL GUARDIAN


Do you have a Legal Guardian?
Yes
No

If you have a Legal Guardian, please upload a copy of court documents proving guardianship.

(Accepted File Types: PDF and Word)

EDUCATION & WORK EXPERIENCE


Previous Education and Agency Involvement

Have you had a Psychoeducational Assessment completed?
Yes
No

Highest level of education completed (select one):
Some high school
High school diploma/ certificate
Some post-secondary
Post-Secondary diploma/degree


Previous Employment, Work, or Volunteer Experience

Upload Resume (optional)

(Accepted File Types: PDF and Word)


Upload Two Letters of Reference

Reference Letter #1

(Accepted File Types: PDF and Word)

Reference Letter #2

(Accepted File Types: PDF and Word)

INCOME & REVIEW


Current Source of Income (Check all that apply)
AISH
Social assistance
Employment
Parent(s)
Other, please specify:

Do you have a Social Insurance Number?
Yes
No

Have you ever been convicted of a criminal offence?
Yes
No

Have you ever accessed a Foundational Learning Grant?
Yes
No


Freedom of Information and Protection of Privacy
The personal information that you provide on, or with, this form is collected under the authority of the Post-Secondary Learning Act and the Freedom of Information and Protection of Privacy Act in the Province of Alberta, Section 33(c). This information will be used for academic administration and the administration of Lethbridge Family Services support services.


Application Fee
$75 + GST Non-refundable application fee can be made at:

  • In-person at Lethbridge Family Services, 1107 2A Ave North, Lethbridge
  • Over the phone, 403-320-9119

 

 

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Working with Our Community

Located on the traditional lands of the Blackfoot Confederacy, Lethbridge Family Services is committed to honouring the land from a place of knowing. We honour the Siksikaitsitapi as both the traditional and current Land Keepers of this area, and we welcome all First Nations, Métis, Inuit and non-Indigenous peoples who call Blackfoot territory their home.