"Academic Information for Educational Institutions Outside of the Atlantic Provinces - (Full-Time Study Only)" - Prince Edward Island, Canada

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Student Financial Services
Department of Workforce and Advanced Learning
176 Great George Street, Suite 212
PO Box 2000, Charlottetown, PE Canada C1A 7N8
Tel: (902) 368-4640 / Fax: (902) 368-6144
Email:
studentloan@gov.pe.ca
/
www.studentloan.pe.ca
ACADEMIC INFORMATION FOR EDUCATIONAL INSTITUTIONS
OUTSIDE OF THE ATLANTIC PROVINCES - (FULL-TIME STUDY ONLY)
If you are attending an educational institution outside of the Atlantic Provinces, please have them complete and return this form by fax,
email or mail to Student Financial Services. Please complete for the current academic year only.
This is to verify
that:.
Student’s Name
Social Insurance Number
The above student has applied to attend on a full-time basis the following educational institution:
Name of Educational Institution
Name of Program
of
Current
Total
Major or Specialty (if applicable)
Year
Years
Level of
study:.
Certificate
Diploma
Bachelors Degree
Masters Degree
Ph. D
The student will be attending this program for
Please Note: The information requested is for the current academic year only; Not to Exceed 52 Weeks
1 Term/Semester
2 Terms/Semesters
3 Terms/Semesters
12 months
Other
Program Start Date
Program End Date
Number of Weeks of Study
Type of
study:.
In class
Correspondence
Online
Financial aid has been or will be awarded to this student by this educational
institution:.
Include scholarships, bursaries, and assistantships - if no aid has been awarded please write “Nil”
Type of Award
Value
$
Type of Award
Value
$
Educational costs for the student’s academic period as stated above will
be:.
Tuition
$
Compulsory Fees
$
_
Books & Supplies
$
Breakdown of
_
Compulsory Fees
_
_
Currency Type?
___________________________
_
Official Stamp
Signature of School Official
Name of School Official (print)
of the
Educational
School Official’s Title
Date
Institution
Telephone Number
Extension
Student Financial Services
Department of Workforce and Advanced Learning
176 Great George Street, Suite 212
PO Box 2000, Charlottetown, PE Canada C1A 7N8
Tel: (902) 368-4640 / Fax: (902) 368-6144
Email:
studentloan@gov.pe.ca
/
www.studentloan.pe.ca
ACADEMIC INFORMATION FOR EDUCATIONAL INSTITUTIONS
OUTSIDE OF THE ATLANTIC PROVINCES - (FULL-TIME STUDY ONLY)
If you are attending an educational institution outside of the Atlantic Provinces, please have them complete and return this form by fax,
email or mail to Student Financial Services. Please complete for the current academic year only.
This is to verify
that:.
Student’s Name
Social Insurance Number
The above student has applied to attend on a full-time basis the following educational institution:
Name of Educational Institution
Name of Program
of
Current
Total
Major or Specialty (if applicable)
Year
Years
Level of
study:.
Certificate
Diploma
Bachelors Degree
Masters Degree
Ph. D
The student will be attending this program for
Please Note: The information requested is for the current academic year only; Not to Exceed 52 Weeks
1 Term/Semester
2 Terms/Semesters
3 Terms/Semesters
12 months
Other
Program Start Date
Program End Date
Number of Weeks of Study
Type of
study:.
In class
Correspondence
Online
Financial aid has been or will be awarded to this student by this educational
institution:.
Include scholarships, bursaries, and assistantships - if no aid has been awarded please write “Nil”
Type of Award
Value
$
Type of Award
Value
$
Educational costs for the student’s academic period as stated above will
be:.
Tuition
$
Compulsory Fees
$
_
Books & Supplies
$
Breakdown of
_
Compulsory Fees
_
_
Currency Type?
___________________________
_
Official Stamp
Signature of School Official
Name of School Official (print)
of the
Educational
School Official’s Title
Date
Institution
Telephone Number
Extension