Personal Information

Name:

Enter your Full Name

Email:

Phone:

Date of Birth:

Address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Student Status:

Canadian Citizen
Permanent Resident
International Student
Other

If Other Student Status, Please Explain:

Family Annual Income:

Secondary School Information

High School Name:

What Year Did/Will You Recieve Senior Secondary School Diploma:

High School GPA:

High School Address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Post Secondary School Information

College/University Attended:

From Date:

To Date:

Transcript Sent:

Degree Earned:

If Other Degree Earned, Please Explain:

GNI Interest

Which GNI Program/Courses are you applying for:

What is your academic/scholastic goal and how do you plan to achieve it? Please describe in detail your unique circumstances and how you would benefit from receiving financial assistance for your studies at GNI