Funding for ASB Intake Form - Carleton International

Please complete and submit the “Student Information and Acknowledgement” below to confirm eligibility for funding. In addition, complete and sign the GSO Declaration Form and email it to mobility.programs@carleton.ca.

Student Information and Acknowledgement

Full name*
Student Number*
Study Level*
Carleton Email Address*
Non-Carleton Email Address*
Home address (full mailing address)*
Please indicate your current status:*
- Canadian Citizen
- Permanent Resident
- International Student
Please indicate if the following applies to you:*
- Indigenous student
- Student with disabilities
- Low-income student (collecting OSAP or similar, working, etc.)
- None of the above
Sharing of information*
- I acknowledge that the information provided will be shared with Lakehead University in order to faciliate payment of funding to support travel for the Alternative Spring Break experience.

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