HUNTINGTON UNIVERSITY

BURSARY APPLICATION

WINTER 2017

Return completed application to:

Huntington University

Room 101

935 Ramsey Lake Road

Sudbury, Ontario P3E 2C6

Tel: (705) 673-4126

DEADLINE: FRIDAY, FEBRUARY17, 2017 AT 1:00 PM

Huntington University has bursaries available to aid students who are a resident of, or taking courses at Huntington University. In order to enable the Bursary Committee to reach a fair distribution of funds among deserving students, you are asked to complete this application and return it to the Registrar’s Office. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.

Name: / Student ID:
Email: / S.I.N.:
Program: / Concentration:
Year in Program: / Telephone:
Address:

Huntington Connection:Residence Courses

Student Status:Full-TimePart-Time

ELIGIBILITY

To qualify for bursary assistance you must:

  • Be a Canadian citizen or Permanent Resident.
  • Have applied for OSAP, or its equivalent in other provinces (supporting documentation required)
  • Taking a minimum of 6 course credits at Huntington University or live in Huntington University residence in the 2016-2017 academic year.

Why are you Applying for a Bursary?

Please explain in some detail the background of your financial circumstances. Also, please provide explanation if you have not applied for government assistance, e.g. OSAP.

______

BUDGET

INCOME/RESOURCES(September 1, 2016 – April 30, 2017)

Bank Balance at Beginning of School Year
(before paying tuition and school expenses) / $
Parent(s) Contribution / $
Spouse’s Net Annual Income (after deductions) / $
Academic Awards: (Scholarships/Bursaries) / $
Part-Time Earnings: $_____ x _____ months / $
Government Income: (Specify) / $
Investments (GIC’s, Bonds, Mutual Funds, Stocks)
OSAP (Or other provincial student assistance) NOTE: You must include documentation confirming OSAP amount / $
All Other Income: (Specify) / $
TOTAL INCOME/RESOURCES / $

EXPENSES(September 1, 2016 – April 30, 2017)

Tuition and Incidental Fees / $
Residence Fees / $
Rent: $_____ x _____ months / $
Food (Meal Plan): $_____ x _____ months / $
Books and Supplies / $
Utilities (phone, heat, hydro, etc.) $_____ x _____ months / $
Transportation - Local $_____ x _____ months / $
Transportation – Home $_____ x _____ months / $
Entertainment $_____ x _____ months / $
Clothing / $
Medical/Dental (Attach Receipts) / $
Other (Specify) / $
Other (Specify) / $
Other (Specify) / $
TOTAL EXPENSES / $

Need: Total Income/Resources minus Total Expenses: $ ______

Current Bank Balance: $ ______

How much will your parent(s) earn in the 2016 tax year? If they are separated or divorced, provide the income of the parent with whom you currently live, last lived, or whom you consider your custodial parent. Please provide the gross income (before deductions, i.e. taxes, CPP, EI)

  • Parent(s) Combined Income:$ ______

STUDENT’S DECLARATION:

Any bursary funds granted will be applied to any outstanding fees. If fees have been paid in full, a cheque will be issued.

INCOMPLETE APPLICATONS WILL NOT BE CONSIDERED.

I ______have submitted complete and true information on this form and I understand that failure to do so may prevent my getting assistance from Huntington University now or in the future. I understand that all information provided in connection with this application is subject to verification by Huntington University. If I withdraw from the University, I agree to return this money to Huntington University.

I also realize that any bursary funding received may reduce my OSAP entitlement and/or may cause an over-award.

Signature ______Date ______