I declare I am a FULL-TIME student as defined by the Muskeg Lake Post School Program.

Name:

Institution:

Program:

Month:

Institution Contact:

Changes may affect your funding so please submit new or correct information to the program as soon as possible.

CHANGE/PROBLEMS with:

Program/course (includes class adds or drops)

Address/phone

Family (dependents, marital status, employment)

Other (please specify) i.e.: health

Spousal Income