FKRM subsidy application form

Parent/guardian (main contact)

Please check one

Are you currently enrolled as a University of Manitoba student? (Please only select one)

Child's information:

Subsidy request based on the following need (please only select one):
Subsidies are available for individual registrants who do not have the financial means through parents, guardians, or other agencies.
For Canadian Indigenous Persons is a First Nations, a Métis, or an Inuit person. First Nations includes “Status”, “Treaty” or “Registered” Indians as well as “Non-Status” and “Non-Registered” Indians.
Available for individual registrants with developmental and/or physical disabilities where economic status poses a barrier to participation.

If you selected "low-income" above, please check the box that best describes your family situation. Family refers to a group of two or more persons who live in the same dwelling and are related to each other by blood, marriage, common-law union, adoption or a foster relationship. 

We use the Statistics Canada Low Income Cut-off guidelines as a tool to determine which families are eligible for assistance.

2023 Low-income cut-offs (LICOs) before tax by community size and family size:

Third-Party Referral*

To assess and verify economic need, please include a third-party organization you have a relationship with that can verify your economic need for a subsidy.
 

* If you are unable to provide a third-party referral, you may be asked to provide further supporting documentation to verify financial need, such as documentation showing your landing date in Canada and UCI number, most recent Canada Revenue Agency Notice of Assessment identifying annual net income of all economic family members, or other requested documentation.

Signature


Please type your full name to certify the above information is accurate and meets the qualifications indicated.

Signature must be of Parent or Legal Guardian.
 

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. The information you provide will be used by the University for the purpose of registering and admitting the applicant into programs/camps offered by the Faculty of Kinesiology and Recreation Management or the use of the faculty’s sport and recreation facilities and for communication. The personal information will not be used or disclosed for other purposes, unless permitted by The Freedom of Information and Protection of Privacy Act (FIPPA). If you have any questions about the collection of your personal information, contact the Access & Privacy Office (tel. 204-474-9462), 233 Elizabeth Dafoe Library, University of Manitoba, Winnipeg, MB, R3T 2N2.