KIA POST-SECONDARY ACHIEVMENT AWARDS APPLICATION FORM

    KIA POST-SECONDARY ACHIEVEMENT AWARDS APPLICATION

    A. APPLICANT INFORMATION

    Last Name:
    First Name:
    SIN Number:
    NTI Number #:
    Registered Community (Your Home Town):
    Mailing Address:
    Community:
    Territory/Province:
    Postal Code:
    Home Phone:
    Email Address:

    B. EDUCATION ACHIEVEMENT INFORMATION

    Please Check:
    Level of Achievement:
    Amount Awarded:
    Certificate or Technical School Certificate $1000
    College or Technical School Diploma $2500
    Undergraduate Degree (B.A, B.Sc., B.S.W) $5000
    Number of years completed $1000