Rap Change Of Status Form (Page 2 of 4) in pdf

Rap Change Of Status Form Page 2

IP 3 - Appendix B - Annex 6

Are you ending

full-time employment?

Yes

Last day worked: ______________

Last pay cheque received: ______________

Are you ending

part-time employment?

Yes

Last day worked: ______________

Last pay cheque received: ______________

3. RECEIPT OF FUNDS FOR TRAINING / SCHOOL

What school are you attending? _____________________________________________________

Start Date:

Have you received any of the following items?

If yes, please include dollar amount, breakdown of the items covered and details of how funds

are provided – directly to client, directly against student loan balance or directly to school.

Training Allowance

Student Grant or Scholarship

Student Bursary or Award

Other

4. CHANGE IN FAMILY SIZE

BIRTH:

Are you expecting a baby? Yes

If yes, please provide a doctor’s note with the estimated date of arrival.

NOTE: Once the baby is born, please provide a copy of the form issued by the hospital stating

the baby’s name and date of birth.

FAMILY DEPENDENTS:

Have any of your dependents moved?

Yes

If yes, please provide their full names(s) and date(s) of birth. _____________________________

_________________________________________________________________________________

Have you or any of your dependents left Canada for a period of time? Yes

If yes, please provide full name(s), date(s) of birth, date of departure and return. ____________

_________________________________________________________________________________

MARRIAGE:

2010-04-30

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Rap Change Of Status Form Page 2