View Student Support Application 2025-2026

 

          Kanehsatà:ke Education Center

         APPLICATION FOR STUDENT SUPPORT 2025 – 2026

 

Student Name : Oli Boucher

Middle : Test

Name of Parent/Guardian : Oli Boucher

Telephone :

Address : 123 rue test

City : Ville

Postal Code : 123123

Birth date :

Gender : M

Student Band # : 11312313

Permanent code : 12313123

E-mail : oli@mebweb.ca

Attending School : School

Grade : 1

Last report card June 2025 : Yes

School Adress / Postal Code : 123

School Type : BAND

Previous School : School

Grade : 2

School Type : PROVINCIAL

Signature :

Relationship :

Date :

Please return the completed form with a copy of the last report and banking information for direct deposit

For office use only

Verification : I.S.C. :

Residency :

Date :

Initial :

Amount :

Student Name : Oli Boucher

Middle : Test

Name of Parent/Guardian : Oli Boucher

Telephone :

Address : 123 de la rue

City : Ville

Postal Code : j1d 3j4

Birth date :

Gender : M

Student Band # :

Permanent code : 12313425

E-mail : oli@mebweb.ca

Attending School : École

Grade : 1

Last report card June 2025 : Yes

School Adress / Postal Code : 123

School Type : BAND

Previous School : asda

Grade : asd

School Type : PROVINCIAL

Signature :

Relationship : asda

Date :

Please return the completed form with a copy of the last report and banking information for direct deposit

For office use only

Verification : I.S.C. :

Residency :

Date :

Initial :

Amount :

Student Name : Hugo Beauchamp

Middle :

Name of Parent/Guardian : Benoit Beauchamp

Telephone :

Address : 8420 rue de l’érablière

City : Mirabel

Postal Code : J7N1Z4

Birth date :

Gender : M

Student Band # :

Permanent code : BEAH63100300

E-mail : hugo.beauchamp2@gmail.com

Attending School :

Grade :

Last report card June 2025 : No

School Adress / Postal Code : 455 Rue Fournier, Saint-Jérôme, QC J7Z 1X9, Canada

School Type : PROVINCIAL

Previous School :

Grade :

School Type : PROVINCIAL

Signature :

Relationship : Father

Date :

Please return the completed form with a copy of the last report and banking information for direct deposit

For office use only

Verification : I.S.C. :

Residency :

Date :

Initial :

Amount :

Student Name : Brandon Turcotte

Middle : Claude Gilles

Name of Parent/Guardian : Olivia Therrien

Telephone :

Address : 775, rue Chabanel

City : Boisbriand

Postal Code : J7G1V2

Birth date :

Gender : M

Student Band # : 0690275501

Permanent code : TURB15079900

E-mail : giginett@videotron.ca

Attending School : Polytechnique Montréal

Grade : Doctorat (Ph.D.)

Last report card June 2025 : Yes

School Adress / Postal Code : 2500, Ch. de Polytechnique

School Type : PROVINCIAL

Previous School :

Grade :

School Type :

Signature :

Relationship : Moi-même

Date :

Please return the completed form with a copy of the last report and banking information for direct deposit

For office use only

Verification : I.S.C. :

Residency :

Date :

Initial :

Amount :

Student Name : test Cliche

Middle : #3 maxime pour Agence BIX

Name of Parent/Guardian : test Cliche

Telephone : 9321104

Address : 270 des Menuisiers-Laberge

City : Quebec

Postal Code : G1K6N6

Birth date :

Gender : M

Student Band # : 55

Permanent code : swratw8w5687df

E-mail : roubalde@hotmail.com

Attending School : middle

Grade : 4

Last report card June 2025 : Yes

School Adress / Postal Code : 270 des Menuisiers-Laberge

School Type : BAND

Previous School : upper

Grade : 4

School Type : BAND

Signature :

Relationship : single

Date : 13 April 2026

Please return the completed form with a copy of the last report and banking information for direct deposit

For office use only

Verification : I.S.C. :

Residency :

Date :

Initial :

Amount :

Student Name : test Cliche

Middle : #3 maxime pour Agence BIX

Name of Parent/Guardian : test Cliche

Telephone : 9321104

Address : 270 des Menuisiers-Laberge

City : Quebec

Postal Code : G1K6N6

Birth date : 7 November 2012

Gender : M

Student Band # : 55

Permanent code : as536wdfasdf

E-mail : roubalde@hotmail.com

Attending School : middle

Grade : test

Last report card June 2025 : Yes

School Adress / Postal Code : 270 des Menuisiers-Laberge

School Type : BAND

Previous School : upper

Grade : 4

School Type : BAND

Signature :

Relationship : single

Date : 13 April 2026

Please return the completed form with a copy of the last report and banking information for direct deposit

For office use only

Verification : I.S.C. :

Residency :

Date :

Initial :

Amount :

Student Name : maxime développeur web test maxime développeur web test

Middle :

Name of Parent/Guardian : maxime développeur web test maxime développeur web test

Telephone : 4444444

Address : 294 de la Couronne

City : Quebec

Postal Code : G1K 2R2

Birth date : 4 April 2012

Gender :

Student Band # : 66

Permanent code : sdfa8ew056

E-mail : roubalde@hotmail.com

Attending School : middle

Grade : 4

Last report card June 2025 : Yes

School Adress / Postal Code : 444 st-lin

School Type : BAND

Previous School : upper

Grade : 4

School Type :

Signature :

Relationship : single

Date : 13 April 2026

Please return the completed form with a copy of the last report and banking information for direct deposit

For office use only

Verification : I.S.C. :

Residency :

Date :

Initial :

Amount :

Student Name : TEST TEST

Middle : TEST

Name of Parent/Guardian : TEST TEST

Telephone : 9999999

Address : TEST

City : TEST

Postal Code : 555555

Birth date : 1 January 2019

Gender : M

Student Band # : 0699999999

Permanent code : TEST

E-mail : CLARKE.SAMANTHA@KANESATAKE.CA

Attending School : TEST

Grade : 1

Last report card June 2025 : No

School Adress / Postal Code : TEST

School Type : PROVINCIAL

Previous School : TEST

Grade : 0

School Type : PROVINCIAL

Signature :

Relationship : TEST

Date : 1 January 2026

Please return the completed form with a copy of the last report and banking information for direct deposit

For office use only

Verification : I.S.C. :

Residency :

Date :

Initial :

Amount :

Student Name : Spencer Beauvais-Desroches

Middle : Rock

Name of Parent/Guardian : Spencer Beauvais-Desroches

Telephone : 3466483

Address : Ashanasa

City : Oka

Postal Code : J0N1E0

Birth date :

Gender : M

Student Band # : 2527019

Permanent code : BEAS78070702

E-mail : spencerbeaudes16@gmail.com

Attending School : LaSalle College

Grade : 2nd year

Last report card June 2025 : Yes

School Adress / Postal Code : 2000 Rue Sainte-Catherine Ouest, Montréal, QC H3H 2T2

School Type : PRIVATE

Previous School : Ratihen:te high school

Grade : 2nd year

School Type : BAND

Signature :

Relationship : Single

Date : 12 June 2026

Please return the completed form with a copy of the last report and banking information for direct deposit

For office use only

Verification : I.S.C. :

Residency :

Date :

Initial :

Amount :

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