Special Circumstances Funding

Kwänlin

-3°C

Däkwäkäda

-5°C

Lu ghä

-2°C

Citizen Portal

Guardian Name:

First Last

Address

Street Address Address Line 2 City Province Postal Code

Home Phone:

Work Phone:

Name of Person/ Company Providing Services:

Address

Street Address Address Line 2 City Province Postal Code

Phone

Type of Service:

Relationship to Student:

Name of Child

First Last

Birthdate

Beneficiary or Status Number

Current grade

School Name

Monthly Cheques are to be issued to:

ESW Verification:

Guardian’s Signature:

Date

For Office Use Only

Date Received:

Approved:

Yes

Reason(s):

Amount Approved:

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Whitehorse Office

304 Jarvis Street

Whitehorse, YT Y1A 2H2

(867) 456-6888

Haines Junction Office

#1 Allen Place, P.O. Box 5310

Haines Junction, YT Y0B 1L0

(867) 634-4200

Community Buildings

Takhini Hall 667-6701

Da Ku Store 634-3307

Youth Center 634-2012

Mun Kų 634-7001

Champagne Hall 634-2336

Klukshu Hall 634-2342

Staff Directory

Emergency Contact List – Christmas Break