Acce
ss
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Aborigin
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umanitoba.ca/extended/access-afp
The University of Manitoba’s Access and Aboriginal Focus Programs are all about you. We are committed to your success in whatever career path you choose. Become part of a community of learners who share similar backgrounds and experiences where you are sure to feel supported, encouraged and right at home.
Join our thriving
community
For more information:
University of Manitoba Access Programs
Rm 220 - 45 Curry Place University of Manitoba Winnipeg, Manitoba R3T 2N2 Telephone: (204) 474-8000 1-800-432-1960, ext. 8000 (Toll free in Manitoba) Fax: (204) 275-6489
umanitoba.ca/extended/access-afp
Migizii Agamik (Bald Eagle Lodge)
University of Manitoba Access Program (UMAP)
The Access Programs are located in Migizii Agamik (Bald Eagle Lodge) at
University of Manitoba’s Fort Garry campus. Our focus is on you, the student,
and we are committed to your success in whatever career path you choose.
We know that dreams come true when our support is combined with the
determination of our students.
UMAP students may pursue any program of study which leads to a degree or
diploma at the University of Manitoba. Applicants must submit two
applications: one to the University of Manitoba and one to the Access
Programs. Students must qualify for regular University entrance or be mature
students. Mature students are 21 years of age or older and are admissible to
University 1. After successfully completing a minimum number of credit
hours, students may transfer or apply to the faculty of their choice.
The Access Programs include the following:
• University of Manitoba Access Program (UMAP)
• Education Access Programs (EAP)
• Health Careers Access Program (HCAP), including Nursing
• Professional Health Program (PHP)
Any resident of Manitoba may apply. Preference is given to Aboriginal people
(Status, Non-Status, Métis, Inuit), residents of Northern Manitoba, and low
income earners.
The Access Programs offer unique, supportive, wholistic programming in a
number of areas, including academic and personal counseling; course
instruction; an orientation program; tutoring; and advocacy for anyone who
has not had an opportunity to attend university because of social, economic,
or academic reasons.
AboriginAl
F o c u s
P r o g r A m s
Certificate Programs
Aboriginal Counseling Skills Certificate Certificate in Interdisciplinary Studies
Diploma Credit Programs
Aboriginal Community Wellness Diploma Aboriginal Child and Family Services Diploma Aboriginal Environmental Stewardship Diploma To find out more about Aboriginal Focus Programs, Call: 1-800-432-1960, ext. 8000 (Toll free in Manitoba) Or visit: umanitoba.ca/extended/access-afp
Blacksmith ’90
Orientation
Orientation is your first introduction to the University of Manitoba. You’ll meet other students, get a sense of campus life, and learn skills that will help you throughout your education.
Education Access Program (EAP)
The Education Access Program (EAP) is a partnership between the Faculty of Education and the Access Programs. EAP provides eligible students who are admitted to the University of Manitoba Bachelor of Education After Degree program with supports to complete this degree.
To be eligible, students must do the following: • Attend Destination Education workshop(s) • Complete first degree with the Access Programs • Apply for and be admitted to the B.Ed. Program
Please note: Admission to the B.Ed. program is a competitive process, and acceptance to the Access Programs does not imply admission or priority for admission to the B.Ed. program.
Access students who identify teaching as their profession of choice must participate in a workshop series (“Destination Education”) that is designed to enrich their awareness of the teaching field and the B.Ed. program. All
students identifying education as their career choice will be assigned to the designated Access Education Academic counsellor to better track teachable subjects and participation in the Destination Education workshops.
Upon entry to the B.Ed. Program, students will receive academic advising and support from the Faculty of Education.
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Allison mcKay
Graduate of Social Work
Allison grew up in Cross Lake, MB, and has completed her Bachelor of Social Work degree.
“Being a mother of three children, I do not think I would have gotten this far in university
without the help of the Access Programs. Their support helped me to balance my home and
school life; they helped me academically and emotionally. Moreover, the staff and students at
the Access Programs became my family. This team of staff and students helped me achieve
and accomplish my dreams.”
Personal History
___________________________________ __________________________________ ________________________________ ____________________________________ Last Name First (Given) Name Middle Name(s) Preferred First Name
_____________________________________________________________ _________________________________________________________ ____________________
Home Community Emergency Contact Telephone
_____________________________________________________________ _____________________________ ___________________________ ____________________
Current Address City/Town Province Postal Code
_________________________________________________ __________________________________________ ______________________________________________
Telephone (Home) Telephone (Work) Cell Phone Number
____________________________________________________________ _______________________________________ _______________________________________ E-mail Address Social Insurance Number Birthdate (DD/MM/YY)
Marital Status: Single Parent Single Married Common Law (more than 6 months)
Dependant’s Name Age Relationship
_______________________________________ _________________ _________________________________________ _______________________________________ _________________ _________________________________________ _______________________________________ _________________ _________________________________________ _______________________________________ _________________ _________________________________________ How many of the above dependants are you supporting? _______________________________________________________________________
Ancestry
If Aboriginal: Status Non-Status Métis Inuit
Important: Please provide a copy of your Treaty Status or Métis card. The Access Programs reserves the right to request verification of Aboriginal ancestry.
Access Programs Application Form (UMAP • HCAP)
1. Answer all questions fully. Incomplete applications will not be considered. 2. Complete application must include transcripts and two (2) reference forms.
3. All information on this form is confidential and is to be used only in assessing the applicant’s eligibility/suitability for the Program. 4. APPLICATION DEADLINE: April 1st, midnight.
5. Return in person, by mail or via fax to:
Access Programs, Rm 220 - 45 Curry Place, University of Manitoba, Winnipeg, Manitoba R3T 2N2 or by FAX: (204) 275-6489 6. Contact Access if you require further information, at (204) 474-8000 or 1-800-432-1960 ext. 8000
Please indicate your preferred field of study: ____________________________________________________________________________
(Examples: Arts, Science, Medicine, Dentistry, Nursing, Education, Social Work, Pharmacy, Management, Fine Arts, Law, Kinesiology, etc.)
How did you hear about the program? Career Fair Mail Fax Internet Email Newspaper School
Agency Family Friend Presentation Other ___________________________
Education
High School Location Last Grade Completed Year Received 1. __________________________________ ________________________________ ___________________ ______________ Have you received upgrading since you left school? If yes, was it:
Adult Basic Education GED Please indicate level completed: ________ Date Completed: ____________________________ Are you currently enrolled in an upgrading program? Yes No What is the completion date? ____________________________ If you have been enrolled in any post-secondary education or training programs, please list them. (i.e. Transition Year Program, Health Career Quest Summer Camp, Urban Circle, college, university, nursing school, New Careers, Core Area Training, other provincially funded programs, etc.)
Institution Program/Course Dates of Attendance Did you complete?
1. ________________________________________ __________________________________ ______________________ ___________________ 2. ________________________________________ __________________________________ ______________________ ___________________
Have you ever withdrawn, been suspended, or placed on probation from any university, college or post-secondary institution? Yes No If yes, please explain.
_______________________________________________________________________________________________________ _______________________________________________________________________________________________________ Failure to disclose your previous or current academic status (no matter how much time has elapsed) may result in the withdrawal of your application.
Note: Please enclose with your application, interim & or final transcript(s) of all your marks for high school, upgrading and post-secondary institutions you attended. If you are currently attending U of M, you can print your transcripts off Aurora Student web page or provide written permission allowing the Access office to print your marks off the Aurora system. (You may provide an interim transcript while waiting for your final grades.)
Employment/Community Involvement
(You may attach a resume)1. EMPLOYMENT HISTORY Begin with your present job. (Use an additional sheet of paper if necessary.)
Employer Your Position Dates (DD/MM/YY) Reason for Leaving _____________________________ _____________________________ _______________ _____________________ _____________________________ _____________________________ _______________ _____________________ 2. VOLUNTEER/COMMUNITY INVOLVEMENT
List all volunteer experience and community involvement that you have had in the past five years. (Use an additional sheet of paper if necessary)
Organizations (Name and Place) Year(s) Involved Your Function
________________________________________________________ _______________ _________________________ ________________________________________________________ _______________ _________________________
Short Essay
(attach a separate sheet of paper)Please incorporate the topics 1 - 7 into your short essay. Be advised the short essay is an important part of the application. 1. How and when you became interested in your career choice
2 . Circumstances in your life that kept you from pursuing an education/career 3. What you have done to prepare for this challenge
4. Your present situation 5. Your strengths and weaknesses
6. Why you should be chosen for this program, i.e., why you think you “need” this program 7. Your participation in community services
Financial Information
Are you currently: (check all that apply)
Employed full-time (30 hr./wk. or more) Casual Employed Seasonally Employed part-time Student Volunteer
INCOME LEVEL: $0 - 5,000 $5,001 - 10,000 $10,001 - 15,000 $15,001 - 20,000 $20,001 - 25,000 $25,001 PLUS
The financial information should be based on combined family income (that is the income, assets, expenses and debts of you and your partner).
Your application is not complete unless this section is completed accurately. This information will be used to assess your eligibility. This form will be returned to you for completion if any information is found missing.
Applicant Spouse Earnings (before deductions) $ $ Employment Insurance Benefits (gross) or Employment & Training Services Band Sponsorship
Scholarships
Bursaries or other awards
CRISP, SAFER, WORKERS COMP, Orphans Benefits, Disability Benefits, i.e., Government
Child Support, Spousal Support, Settlements i.e. Divorce, MPI, etc. Social Assistance (provincial, municipal, band). Will this continue while you are in school? Yes No
Are you single and living at home with parents? Yes No Parent 1 Parent 2 If yes, what is the total income of parents Please indicate the number of dependant children in your family, including the applicant.
Do not include children who have claimed independent status (i.e. Single parents under the age of 23 or children who are working full time). Are your tuition, books and supplies paid for by a sponsoring agency?
All Part Not Applicable
Have you applied for any assistance/funding for which you have not yet received a response? Yes No
If so, please describe type of assistance _____________________________________________________________________________ Is there any other financial information which would help in assessing your need? ___________________________________________________ ______________________________________________________________________________________________________
You may be required to apply for a Canada Student Loan as part of your financial support. Have you ever applied for a Canada Student Loan in the past? Yes No
What is the status of that loan? __________________________________________________________________________________
Note: We encourage applicants to explore all outside funding options. Many applicants bring funding from outside sources, e.g., Study Assistance for Income Allowance Recipients (SAIER), scholarships, bursaries and band sponsorship. Those students with insufficient outside funding may apply to Manitoba Student Aid for supplementary funding. Please note that in order for a student to be eligible for a non-repayable Access bursary the student must be on full Canada Student Loan/Manitoba Student Loan.
Reference Form
Please enclose two completed reference forms from people (other than relatives). One of your references should be either a teacher or employer. Name of Applicant: _______________________________________________
The above individual has submitted an application to the Access Programs. How would you best describe the candidate’s performance in the following areas? (You may attach a separate sheet if necessary)
1. Attendance ________________________________________________________________________________________________ _________________________________________________________________________________________________________ 2. Punctuality ________________________________________________________________________________________________ _________________________________________________________________________________________________________ 3. Motivation ________________________________________________________________________________________________ _________________________________________________________________________________________________________ 4. Reaction to stress or difficulty ____________________________________________________________________________________ _________________________________________________________________________________________________________ 5. Commitment to tasks _________________________________________________________________________________________ _________________________________________________________________________________________________________ 6. Aptitude in Math, English, and Computer Skills __________________________________________________________________________ _________________________________________________________________________________________________________ 7. Team/group work ____________________________________________________________________________________________ _________________________________________________________________________________________________________ 8. Time management ___________________________________________________________________________________________ _________________________________________________________________________________________________________ 9. Problem solving _____________________________________________________________________________________________ _________________________________________________________________________________________________________ 10. Other __________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ Reference Name: ______________________________________________________________________________________________ Address and Phone: ____________________________________________________________________________________________ Organization: ________________________________________________________________________________________________
Note: Reference forms may be sent separately.
It is your responsibility to make sure your references are sent in by April 1st midnight.
Reference Form
Please enclose two completed reference forms from people (other than relatives). One of your references should be either a teacher or employer. Name of Applicant: _______________________________________________
The above individual has submitted an application to the Access Programs. How would you best describe the candidate’s performance in the following areas? (You may attach a separate sheet if necessary)
1. Attendance ________________________________________________________________________________________________ _________________________________________________________________________________________________________ 2. Punctuality ________________________________________________________________________________________________ _________________________________________________________________________________________________________ 3. Motivation ________________________________________________________________________________________________ _________________________________________________________________________________________________________ 4. Reaction to stress or difficulty ____________________________________________________________________________________ _________________________________________________________________________________________________________ 5. Commitment to tasks _________________________________________________________________________________________ _________________________________________________________________________________________________________ 6. Aptitude in Math, English, and Computer Skills __________________________________________________________________________ _________________________________________________________________________________________________________ 7. Team/group work ____________________________________________________________________________________________ _________________________________________________________________________________________________________ 8. Time management ___________________________________________________________________________________________ _________________________________________________________________________________________________________ 9. Problem solving _____________________________________________________________________________________________ _________________________________________________________________________________________________________ 10. Other __________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ Reference Name: ______________________________________________________________________________________________ Address and Phone: ____________________________________________________________________________________________ Organization: ________________________________________________________________________________________________
Note: Reference forms may be sent separately.
It is your responsibility to make sure your references are sent in by April 1st midnight. 5
References
Please enclose two completed reference forms from people (other than relatives). List their names, addresses, phone numbers, and position or organization below. One of your references should be either a teacher or employer.
Name Address Phone Position/Organization _______________________________ ________________________________ ___________________ ___________________ _______________________________ ________________________________ ___________________ ___________________
Note: reference forms may be sent separately. It is your responsibility to make sure your references are sent in by April 1st at midnight.
Declaration
Applicants are advised to read all application materials carefully. Failure to disclose relevant facts (including ALL previous attendance at post-secondary institutions) and/or submissions of false information or documentation may result in acceptance and registration being withdrawn. If this information is discovered in a subsequent session, it may result in dismissal from the University. Registration at a post-secondary institution subsequent to the submission of this application must be declared in writing.
I hereby certify that I have read and understood the instructions and information on this application form and that all statements made in connection with this application are true and complete. I authorize the University to verify any information, transcripts or reference letters provided as part of this application.
I accept that any information on falsified documents may be shared with the Association of Registrars of the Universities and Colleges of Canada. I authorize my high school/university to release my academic record(s) should the need arise to accelerate the processing of this application. I understand that if I am selected to the Access Programs, I am required to attend the mandatory Orientation in August before start of class.
I understand that if I am selected to the Access Programs, staff may be required to advocate on my behalf with the funding agency who may request personal information for the purpose of assessing academic or financial status. By signing this application form, I hereby authorize the University of Manitoba Access Programs to release personal
information as required to satisfy the funding agency. The information required by the funding agency may include, but is not limited to, mid-term grades, final grades, registration history, course enrollment, credit hours, attendance, tuition and fee amounts, etc.
To the best of my knowledge, I certify that the information contained in this application is true and complete. I realize that any false statement contained in this application may result in my disqualification for or from this program.
Date: _____________________ Name (please print): ________________________________________________ Signature: _______________________________________________________
Please Remember:
Your application will not be considered if you have not included the following: Application/Access Programs Short essay Transcripts (high school, post-secondary, other training programs) Financial information Two completed reference forms Signed declaration
Proof of Aboriginal Ancestry, if applicable Application/University of Manitoba
(note: a separate application must be submitted to U of M Admissions Office)
Notice Regarding Collection, Use, and Disclosure of Personal Information by the University
This personal information is being collected under the authority of The University of Manitoba Act. It will be used for the purposes of admission, registration, provision of education to the student including assessment of academic status, and for communication with the student. It may be disclosed to other educational institutions, government departments, and co-sponsoring organizations. It will not be used or disclosed for other purposes, unless permitted by The Freedom of Information and Protection of Privacy Act. It is protected by the Protection of Privacy provisions of The Freedom of Information and Protection of Privacy Act. If you have any questions about the collection of your personal information, contact the Access & Privacy Office. (tel. 204-474-9462 or 204-474-8339), 233 Elizabeth Dafoe Library, University of Manitoba, Winnipeg MB, R3T 2N2.
Blacksmith ’90
Orientation
Orientation is your first introduction to the University of Manitoba. You’ll meet other students, get a sense of campus life, and learn skills that will help you throughout your education.
Professional Health Program (PHP)
Once accepted into a professional health faculty, students become a part of the Professional Health Program (extension of HCAP).
PHP provides support to HCAP and other Aboriginal students who have been accepted into one of the Professional Health programs:
• Medicine • Dentistry • Physical Therapy • Occupational Therapy • Pharmacy • Dental Hygiene • Respiratory Therapy
The Programs offer study space in the Centre for Aboriginal Health Education at the Bannatyne campus and provide a support network, computer facilities, and mentorship and professional development opportunities.
HCAP and PHP provide continuous support to Aboriginal students from undergraduate preparation through to professional health program admissions and ultimate graduation. Supports include seminar series in health professions, summer field experiences, health faculty interview preparation, MCAT/DAT preparation, on-site Program Coordinator, advocacy, and resource referral.
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cindy oliveira
Faculty of Nursing
Cindy is currently a student in the Faculty of Nursing.
“The Access/Aboriginal Focus Programs have provided an excellent support system for me
through their academic, personal, and financial supports. Access has also provided a friendly
environment, conducive to building a strong network of friends and great academic success!”
For further information on HCAP and PHP contained in this brochure, contact:
Health Careers and Professional Health Access Programs
Rm 220 - 45 Curry Place University of Manitoba Winnipeg, Manitoba R3T 2N2 Telephone: (204) 474-8000 1-800-432-1960, ext. 8000 (Toll free in Manitoba) Fax: (204) 275-6489
umanitoba.ca/extended/access-afp
Migizii Agamik (Bald Eagle Lodge)
The University of Manitoba’s Access and Aboriginal Focus Programs are all about you. We are committed to your success in whatever career path you choose. Become part of a community of learners who share similar backgrounds and experiences where you are sure to feel supported, encouraged and right at home.
Join our thriving
community
Health Careers Access Program (HCAP)
Located in Migizii Agamik (Bald Eagle Lodge) at the University of Manitoba’s Fort garry campus, the Health Careers Access Program (HCAP) is exclusive to Aboriginal (Métis, Status, Non-Status, Inuit) residents of Manitoba with a strong interest in becoming Doctors, Dentists, Pharmacists, Nurses, Physical/Occupational/Respiratory Therapists, or Dental Hygienists.
Students will take a general first year to include a minimum of 21 credit hours and a maximum of 24 credit hours. After completion of this year, students will be streamed toward the faculty of choice. The intent of the common first year is to place
significant focus on inter-professional education with the goal of creating more awareness of the diversity of challenges in various professional health fields and to allow for more informed career choices for HCAP students.
Applicants may be required to study Arts and Science courses full time for a maximum of four years. They then apply to a professional health faculty.
The program offers an intensive introductory chemistry credit course, among others, for students who do not have a strong science background. Tutorial-supported physics, anatomy, and physiology courses are also available. Every student is
required to complete a course in health and health professions as well as a summer practicum. For students applying to Medicine or Dentistry, preparatory support is available for the MCAT and DAT.
Once accepted into a professional health faculty, the student becomes part of the Professional Health Program (an extension of HCAP) at the Centre for Aboriginal Health Education located at the University of Manitoba’s Bannatyne campus.
AboriginAl
F o c u s
P r o g r A m s
Certificate Programs
Aboriginal Counseling Skills Certificate Certificate in Interdisciplinary Studies
Diploma Credit Programs
Aboriginal Community Wellness Diploma Aboriginal Child and Family Services Diploma Aboriginal Environmental Stewardship Diploma To find out more about Aboriginal Focus Programs, Call: 1-800-432-1960, ext. 8000 (Toll free in Manitoba) Or visit: umanitoba.ca/extended/access-afp
