Contact Us

Submit your inquiry on-line if you:

• experience technical difficulties in submitting your Electronic Student Assistance Application
• have questions about financial assistance for school
• want to request that a paper application be mailed to you

(Ensure all the required fields are completed before you submit the form).

1)	Type of inquiry:
Select inquiry type Technical difficulties submitting e-Application Question about financial assistance Request a paper application be mailed (required)
1a)	What is your anticipated start date of studies?	mm/yyyy (required)
2)	Are you currently receiving Alberta financial assistance for schooling?
Yes  No
3)	Your Social Insurance Number:	(required if yes to #2)
4)	First name:	(required)
5)	Last name:	(required)
6)	Email address: (ensure Email address is correct)	(required)
7)	Phone (with area code):
8)	Fax (with area code):
9)	Is your permanent address in Alberta?	Yes  No  (required)
If you answered "No" to permanent address in Alberta, please skip 10, 11 and 12:
10)	Alberta permanent mailing address:	(required if yes to #9)
11)	Alberta City / Town:	(required if yes to #9)
12)	Alberta Postal Code:	(required if yes to #9)
Please identify your current mailing address:
13)	Current mailing address:	(required)
14)	City / Town:	(required)
15)	Province / State:	(required)
16)	Country:	(required)
17)	Postal Code:	(required)
18)	Subject:	(required)
19)	Message: (required)
Please enter the verification code shown above: (required)