RISE Program Application

PERSONAL INFORMATION

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

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

Upload Resume (optional)

(Accepted File Types: PDF and Word)

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