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All information entered into this form is kept confidential.

Programs and Courses
Scholarships
ABE Scholarship

Program Name*
Personal Information
Last Name*
Given Name(s)*
Social Insurance No*
Hospitalization No
Date of Birth*
MM slash DD slash YYYY
Gender*
- Male
- Female
Marital Status*
- Single
- Married
- Other
Number of Dependents
Permanent Address
Street Address*
City*
Province*
Postal Code*
Email
Phone*
Mailing Address
- Same as above
Street Address*
City*
Province*
Postal Code*
Phone
Please indicate if you are:
Metis - MNS Local (Name and Number):
Non-Status Indian (Home Community):
Status/Treaty (Indian Band Affiliation):
Aboriginal Language(s) Spoken
- Michif
- Cree
- Dene
- Assiniboine
- Other
Please specify
Name and Address of Next of Kin to Be Contacted in Case of Emergency:
Name*
Relationship*
Street Address*
City*
Province*
Postal Code*
Phone No.*
Education (Please include all post-secondary education)
Name of School Location Date(s) Attended Grade/Course
Employment
Employer Name Location Date(s) Employed Position
References
Name Address Occupation Phone No.
Finances
How do you plan to finance yourself while attending this program?
Have you taken out student loans before?
- Yes
- No
If yes, what courses were you taking at the time?
Were you eligible for remission?
Please indicate your first and second choice of centre locations
First Choice*
Second Choice
Reason
DOCUMENTS
Written Statement
Please enter a statement indicating your chosen area of study and your reasons for applying to GDC. You may also use the following file selector to upload this statement, or follow instructions emailed after submitting to drop off or mail the document separately
Upload Statement
Max. file size: 128 MB.
Upload Statement
Letters of Reference
Please upload the following letters of reference:
Metis Local/Education Committee or Funding Agency
Max. file size: 128 MB.
Upload reference or follow instructions emailed after submitting to drop off or mail the document separately
Instructor/Principal of last educational institute
Max. file size: 128 MB.
Upload reference or follow instructions emailed after submitting to drop off or mail the document separately
From someone who knows you well
Max. file size: 128 MB.
Upload reference or follow instructions emailed after submitting to drop off or mail the document separately
Transcript
Max. file size: 128 MB.
Upload a transcript of your grades from the last high school and/or post secondary institute you have attended.

The following documents must be submitted to complete your application if not uploaded above:

A one page handwritten statement indicating your chosen area of study and your reasons for applying to GDC.
A transcript of your grades from the last high school and/or post-secondary institution you have attended.

Drop off or mail to:

SUNTEP Prince Albert
48 -12th Street East
Prince Albert, SK
S6V 1B2

Ph: (306) 764-1797
Fax: (306) 764-3995

SUNTEP Saskatoon
University of Saskatchewan
Room 7 Mclean Hall
106 Wiggins Road
Saskatoon, SK
S7N 5E6

Ph: (306) 975-7095
Fax: (306) 975-1108

SUNTEP Regina
University of Regina
Room 227, College West
3737 Wascana Parkway
Regina, SK
S4S 0A2

Ph: (306) 347-4125
Fax: (306) 347-4119

I hereby certify that all of the information provided on this form is true and accurate.*
- I agree

Program Information
Program Name*
How did you learn about the program?
- Career Fair
- Facebook
- Digital Sign
- Radio
- Friend/Relative
- Promotional Items
- Program Brochure
- DTI Staff
- TV
- Website
- Highschool Presentation
Past Education
Highest Prior Educational Experience*
Please List any current or prior post-secondary education, including DTI Programs
Program Institute/School Dates
Check all that apply
- I have sent a copy of my unofficial transcripts to DTI
- I have ordered my official high school transcript to be sent to DTI
- I will request that my official high school transcript be sent to DTI
Please tell us, in your own words, why you are interested in this program*
Student Application Form
Please fill out all required fields and the privacy declaration at the end of this form. Upon completion and submission of your application, a confirmation email will be sent to the email you provided. If you have questions about the application form or program, please contact (306) 242-6070.
Are you currently attending DTI, or have you previously attended DTI?*
Personal Information
Last (Family) Name*
First (Given) Name*
Middle Name(s)
Preferred Name (if different from First Name)
Previous Name (if applicable)
Social Insurance number*
Health Services Number*
Physical Address (Street, Box or Apartment Number)*

Please fill out both physical and mailing addresses.
City/Town*
Province*
Postal Code*
Country*
Mailing Address (Street, Box or Apartment Number)*
City/Town*
Province*
Postal Code*
Country*
Home Phone (include area code)*
Cell Phone (include area code)
Business Phone (include area code)
Date of Birth*
MM slash DD slash YYYY
Email Address*
Gender*
Gender: Dumont Technical Institute recognizes and welcomes the autonomy of individuals of all genders to be referred to in a way that reflects their identity. All applicants are welcome to signify the gender that they identify with.
- Male
- Female
- I perfer not to identify
Indigenous Ancestry & Affirmation
Please provide your Métis Nation Saskatchewan (MN-S) Citizenship number or check applicable box below.
Ancestry*
Registered Métis (MN-S) Citizenship Number
Main activity in the Past 12 Months
Main Activity*
Are you currently receiving ?*
- Employment Insurance
- Social Assistance
- None
Alternate/Emergency Contact
This person will be contacted if we cannot reach you by way of your contact information, or in the vase of an emergency.
First (Given) Name*
Last (Family) Name*
Mailing Address (Street, Box or Apartment Number)*
City/Town*
Province*
Postal Code*
Home Phone (include area code)*
Cell Phone (include area code)
Declaration

The privacy of your information is important to us. Personal information that you provide to DTI may be shared with Gabriel Dumont Institute Training and Employment for the purpose of planning, education, and employment-related assistance. If you do not wish to share your information, please contact the Student Registration Department at 306-242-6070.

By selecting I Agree below, I acknowledge my consent to DTI’s use and disclosure of my personal information as outlined above. I hereby certify that all the information on this form is true and complete.
*
- I Agree
Email
This field is for validation purposes and should be left unchanged.

Program Name*
Personal Information
Last Name*
Given Name(s)*
Social Insurance No*
Hospitalization No
Date of Birth*
MM slash DD slash YYYY
Gender*
- Male
- Female
Marital Status*
- Single
- Married
- Other
Number of Dependents
Ages
Permanent Address
Street Address*
City*
Province*
Postal Code*
Email*
Enter Email Confirm Email
Home Phone No.*
Work Phone No.
Cell Phone No.
Mailing Address
- Same as above
Street Address
City
Province
Postal Code
Next of Kin
Name*
Relationship*
Street Address*
City*
Province*
Postal Code*
Phone No.*
Please indicate if you are
Local Name and Number
Home Community
Band Affiliation
Please explain
Aboriginal Language(s) Spoken
- Cree
- Saulteaux
- Dene
- Nakota
- Dakota
- Michif
- Other
Please specify
Education (Please include all post-secondary education)
Name of School Location Date(s) Attended Grade/Course
Employment
Employer Name Location Date(s) Employed Position
References
Name Address Occupation Phone No.
Employment History
Are you currently employed?
- Yes
- No
For how long?
Type of job
Are you on Unemployment Insurance Benefits?
- Yes
- No
Are you on Social Assistance?
- Yes
- No
If you are unemployed, on unemployment insurance, or on social assistance, please indicate for how long
- 24 weeks or more
- less than 24 weeks
Finances
How do you plan to finance yourself while attending this program?
Have you taken out student loans before?
- Yes
- No
What program were you enrolled in at the time?
Please indicate your first and second choice of centre locations
First Choice*
Second Choice*
Reason
Are you willing to relocate if not accepted at first choice?
- Yes
- No
How did you hear about SUNTEP?
Do you know anyone in the program?
When you imagine yourself as a teacher in the classroom, what is the appropriate age of the students you are working with?
DOCUMENTS
The following documents MUST be submitted to support your application:
Upload Handwritten statement
Accepted file types: doc, doc, docx, docx, txt, txt, pdf, pdf, jpg, png, bmp, Max. file size: 128 MB.
Please handwrite a statement indicating your reasons for applying and your interest in a professional teacher education training program. Please attach your handwritten statement or follow instructions emailed after submitting to drop off or mail the handwritten document separately.
Letters of Reference
Please upload the following letters of reference:
a) Metis Local/Funding Agency
Accepted file types: doc, doc, docx, docx, txt, txt, pdf, pdf, jpg, png, bmp, Max. file size: 128 MB.
Upload reference or follow instructions emailed after submitting to drop off or mail the document separately
b)Instructor or Principal of last educational institute
Accepted file types: doc, doc, docx, docx, txt, txt, pdf, pdf, jpg, png, bmp, Max. file size: 128 MB.
Upload reference or follow instructions emailed after submitting to drop off or mail the document separately
c) Someone who knows me very well
Accepted file types: doc, doc, docx, docx, txt, txt, pdf, pdf, jpg, png, bmp, Max. file size: 128 MB.
Upload reference or follow instructions emailed after submitting to drop off or mail the document separately
3. Transcript
Accepted file types: doc, doc, docx, docx, txt, txt, pdf, pdf, jpg, png, bmp, Max. file size: 128 MB.
Upload a transcript of your grades from the last high school and/or post secondary institute you have attended. You can also follow instructions emailed after submitting to drop off or mail the document separately
4. All applications must be accompanied by a criminal record check, dated not more than three months from the date this application is submitted.

Criminal record checks should be submitted to each location you are applying to
SUNTEP Regina
Rm 227, College West
University of Regina
3737 Wascana Parkway Regina, SK S4S 0A2

SUNTEP, Saskatoon
Rm 7, McLean Hall
106 Wiggins Rd
University of Saskatchewan
Saskatoon, SK S7N 5E6

SUNTEP, Prince Albert
48 – 12th Street East
Prince Albert, SK S6V 1B2

Note: This is required because school divisions may not permit interns to be placed in their schools without a CRC. Not all criminal convictions will prevent you from teaching but must be disclosed. If you have any questions as to whether your criminal record will prevent you from receiving teacher certification you should contact:

Educator Services
Ministry of Education
#128 – 1621 Albert Street
Regina, Sk. S4P 2S5
Telephone (306) 787-6085
Educator.services@gov.sk.ca
*
- I hereby certify that all of the information provided on this form is true and accurate, and that I will submit a criminal record check

What We Offer
Success Stories

Gabriel Dumont Institue

GDI is a Saskatchewan-based educational, employment and cultural institute serving Métis across the province

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