STUDENT INFORMATION
Student’s Full Name: First Name Initial Last	Métis Nation of Alberta Citizenship #:	Social Insurance Number:
Mailing Address: Street:, City/Town:, Province: Postal Code:	Phone:
Date of Birth: yyyy-mm-dd	Email:
Post-Secondary Institution Enrolled In:	Program Enrolled in:
Student Status: Full Time Part Time
CRITERIA
Applications will be based upon the following criteria: The student cannot be a current client of, or receiving funding from the Rupertsland Institute; The student must show proof of Métis ancestry by submitting one of the following documents: A current Métis Nation of Alberta membership card; or, A current Métis Nation of Alberta membership card from a parent (supported by the applicant’s long form birth certificate) or a card from a grandparent (supported by applicant’s and parent’s long form birth certificate); or, A verifiable Métis genealogical profile showing the applicant’s linkage to the historic Métis Nation in the Canadian Northwest (verified by the MNA). The student must also submit a letter to the Selection Committee outlining reasons for the chosen field of study, how a Metis Scholar Award will impact his/her journey towards education and career objectives. The student must also submit a letter to the Selection Committee outlining reasons for the chosen field of study, how a Metis Scholar Award will impact his/her journey towards education and career objectives. In addition, the letter should explain how they are involved in the Métis Community.
Student Signature:	Date: yyyy-mm-dd
STUDENT COMMUNITY INVOLVEMENT
In two to three paragraphs outline: your chosen field of study, how a Metis Scholar Award will impact your journey your education and career objectives, and your involvement in the Metis community.
DECLARATION
I hereby: declare that my name does not appear on the Indian Registry list. declare that the information provided on this application to be complete and true in all aspects. understand that this award is taxable income and I will be issued a T4A for tax purposes. understand that only applications submitted on or before the deadline will be considered by the Selection Committee. Understand that incomplete applications will not be considered by the Selection Committee. authorize the Metis Education Foundation to publish my name, study plans, award received and photograph.
Student Signature:	Date: yyyy-mm-dd