COVID-19 Relief Support Application

These programs are for registered Métis Nation–Saskatchewan (MN–S) citizens and those with applications in process. If you don’t have an MN–S citizenship number or any documents that show you have submitted your citizenship application, you can start your citizenship application here. Please note: any funding received from MN–S may be considered taxable income by Canada Revenue Agency and could affect any future benefits payments and/or your 2020 income taxes.

Contact Information

The following information is being collected for the purposes of determining your eligibility for and administering your access to COVID-19 programming.

1. Are you a registered Métis citizen/have submitted your registry application?*

I am a registered Métis citizen
I have submitted my application

Citizenship number*

Date of application*

Name*

First Middle Last

Gender*

Date of birth*

Marital status*

Number of people in your household*

Number of children under the age of 18*

Phone number*

Email*

Home address*

Street Address Address Line 2 City Province Postal Code

What kind of support do you need? Please select the options that apply.*

Select All
Support for Post-Secondary Students
Housing Assistance and Self-Isolation Supports
Childcare Support

Support for Post-Secondary Students

The COVID-19 pandemic has altered the lives of post-secondary students. As a result, most students are having to take their classes online while managing family life. In addition, the COVID-19 pandemic has increased mental and financial stress, therefore MN–S is offering the following supports to help Métis students during this challenging time:

Technology - this is to help you attain basic technology for your online learning from home. The approved technology may include a laptop, printer, iPad, internet booster etc. or any means of technology that will help with your studies.
Rent - having a roof over our heads is one of the basic necessities. This subsidy will help you and your family maintain a home while you are continuing your post-secondary studies.
Utilities - maintaining utility bills is something many post-secondary students struggle with regularly, and even more so during the pandemic. Utility subsidies will help to alleviate stress related to paying your utility bills; allowing you more time to focus on your family and your studies versus managing finances.

Post-secondary institute/University/College:*

Student number:*

What type of student are you?*

Full time
Part time

Type of support that I need:

Technology

Technology

Please specify:

Rent

Rent

Lease agreement:

Upload here

Rent Amount:

Landlord's Name

First Last

Landlord's Phone

Landlord's Email

Utility

Please upload your last two months of utility bills here*

Drop files here or

Housing Assistance and Self-Isolation Supports

MN–S recognizes that many people are being stretched financially and emotionally impacted by COVID-19. MN–S housing assistance may be available to those faced with rental, mortgage and/or utilities arrears due to a decrease in household income. Self-isolation assistance may also be available. This program has been put in place to help those struggling to make ends meet and the funds are intended for those most in need. Payment will be made to the landlord or mortgage provider, not directly to the Métis citizen.

Housing situation*

Household income prior to COVID-19*

Current household income*

Have you experienced any employment adjustments due to COVID-19?*

Yes
No

Is your mortgage, rent and/or utilities in arrears?*

Yes
No

Please include an arrears statement with this application form*

Proof of arrears must be provided with a current mortgage/rental statement or an eviction notice. Utilities statements are also required if in arrears.

Are you a post-secondary student?*

Yes
No

Landlord's Name*

First Last

Landlord's Phone*

Landlord's Email*

Are you or is any one in your household considered high risk?

Elderly
Immune compromised
Pre-existing health conditions

Do you need self-isolation supports?*

Yes
No

Do you feel additional housing/wellness support is needed to help achieve quarantine success?*

Yes
No

Please specify:*

Emergency Childcare Support

Application criteria for emergency childcare assistance includes the following:

Funding of $500 per child to a maximum of $2500 per family.
Children must be 10 years old or younger. (Born January 1, 2010 or after)
Children must be registered Métis citizens with Métis Nation–Saskatchewan or have a registration in progress.
The parent/guardian and children applying must have been residents of Saskatchewan for the past six consecutive months.
Only one custodial parent/guardian can apply.
An application must be completed, with all supporting document information provided.

Information for the Métis child or children*

Child's Name	DOB	SK Métis citizenship number	Applicant relationship to child

Please note your relationship with the child: Custodial parent / guardian, Unique relationship (temporary caregiver), or Non-custodial relationship

Would you like to include any other information?

Consent*

Declaration of Accuracy of Information Provided
I do hereby confirm that all the above information provided is correct to my knowledge. This declaration is made voluntarily and in good faith and is intended solely for the purpose of confirming my eligibility for access to MN–S COVID 19 support programming and for the purpose of administering my access to the programming.

Consent to Collection and Disclosure of Personal Information
By submitting this application or by participating in the Métis Nation–Saskatchewan (MN–S) COVID-19 emergency services and programs, I understand and agree that the MN–S, in the fulfillment of its reporting requirements, may disclose the information provided in support of my access to the program, including inter alia information provided to establish Métis status and/or eligibility to participate in the MN–S COVID-19 emergency services and programs. I accept this as a condition of applying for and/or receiving support and I consent to such disclosure.
I further understand and acknowledge that the information I provide may be used to assess programming needs.

I make this solemn affirmation conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath.

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