Kivalliq Inuit Association Scholarship Application Form

    Kivalliq Inuit Association Scholarship Application Form

    Please review program application here KIA Scholarship Information Page and then select which Scholarships that you wish to apply for below. Check all that apply

    PERSONAL INFORMATION

    Full Name:(as it appears in your ID)


    Permanent Address (Home): Temporary Address (School):
    Date of Birth: Telephone #:
    Email Address: SIN Number:
    NLCA Enrollment Number:

    COMPLETED EDUCATION

    High School:
    Technical School:
    College:
    University:
    Other Institute:

    POST-SECONDARY EDUCATIONAL INSTITUTE AND PROGRAM

    Educational Institution:
    Location:
    Name of Program:
    Length of Program:
    Expected Date of Graduation:

    APPLICATION CHECKLIST AND FILE UPLOADS

    Please note, file size cannot exceed 2 MB in size.

    Acceptance Letter or Confirmation of Enrollment:(PDF Copies Preferred)

    Acceptance Letter or Confirmation of Enrollment:(PDF Copies Preferred)

    Letter of Intention:(PDF Copies Preferred)

    Reference Letters for mature students:(PDF Copies Preferred)

    DECLARATION AND SUBMISSION

    By clicking on the submit button below, I swear that all of the information provided in this form and in the quotes are true and correct; and that I believe this declaration to be true and know that it is the same as if made under oath.

    Kivalliq Inuit Association
    32-4 Sivulliq Ave.
    P.O. Box 340
    Rankin Inlet, NU X0C 0G0

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