Submission For 2022-2023 School Year

USIB K-12 School Supplies Allocation Request

***School Supplies Allocation will be sent out the end of the Last week in August and First week of September*** (Please provide a blank voided cheque if you want direct deposit). Email with any questions.

Child's Full Name(Required)

Name of Parents / Guardian(Required)

Phone Number of Parent / Guardian(Required)

Attending Which School(Required)

Grade(Required)

Status Number(Required)

Will your child(ren) be self-identifying as Indigenous?(Required)

Yes

Are you requesting a school supplies allocation?(Required)

Yes

If requesting a School Supplies Allocation, please provide full name and address for cheque mailing?(Required)

Name of Parent or Guardian(Required)

Email of Parent or Guardian(Required)

File for Direct Deposit

Max. file size: 8 MB.

Upload blank cheque if you wish to receive reimbursement via direct deposit.

CAPTCHA

Permission for Release of Student Information to Education Coordinator School District 53 Only

I hereby authorize (School Name) in School District No.53 Okanagan/Similkameen.

To share information, regarding the student indicated above, to the Education Coordinator of Upper Similkameen Indian Band.

Attendance

Individual Education Plan (IEP)

C&C

Chuchuwayha Family Centre

Education

Family Support

Health Department

Housing

IRA

Social Development

C&C