Scarborough Campus Students’ Union (SCSU)
2011 Book Bursary
Information & Instructions (please read):- To be awarded to any member of the Scarborough Campus Students’ Union who demonstrates financial need in relation to expenses for course books. Students must be enrolled in courses in at least one of the Fall 2011 or Winter 2012 semesters to be eligible for this bursary. Officers and voting directors of the SCSU are not eligible to apply. Awards from the SCSU Book Bursary may be distributed in the form of gift certificates for the University of Toronto Bookstore.
- A bursary (grant) is intended to assist students with unmet need with respect to their educational expenses.
- Before applying for bursary assistance, students are expected to have explored ALLother avenues of financial assistance (e.g. family support, savings, summer and part time earnings, OSAP or other government assistance programs, daycare subsidies, and bank lines of credit).
- A bursary is not intended to fund non-educational expenses or repay other debts.
- Complete all pages of the application. Answer each question and explain in detail any exceptional expenses or circumstances. Attach additional pages to this application, if necessary.
- Insufficient information or an incomplete application will affect the consideration of your application. Supporting documents, such as receipts, are welcomed.
- A bursary may become repayable should a student withdraw from full time studies during the academic session.
- The completed application should be returned to SCSU Office (SL108) byMonday, October 3rd 2011 at 5pm.
- Questions can be directed to Zahra Murji, SCSU Vice-President Students and Equity, by telephone at 416-287-7046 or through email at
Personal & academic INFORMATION
Familyname: / First:Student Number: / Email:
Marital status: Single Married/Common Law Div/Sep/Wid / Are you an International Student? / Yes No
Home Telephone: / ( ) / Mobile Telephone: ( )
Sessional Address: / Apt. No:
City: / Prov: ON / Postal Code:
Program: / Year:
Expected Date of Graduation: / Co-op or Concurrent: Yes No
FAMILY INFORMATION
If single, do you live with your
parent(s)/legal guardian(s)? / Yes No If you answered No and your parents live within 40 km of the university, provide explanation.
If you have children who are financially dependent on you, please indicate how many and how old they are:
If you are single and have been out of high school less than 4 years, please provide net annual income for your parent(s)/legal guardian(s):
Parent/legal guardian #1: $ / Parent/legal guardian #2: $
Number of dependants in the family: / Number attending university/college:
If you are married or are in a common law relationship, please provide your partner’s net income: $
Financial INFORMATION
Do you own or lease a motor vehicle? Yes NoIf yes, please provide the model and year and explain its necessity.
Did you apply for OSAP or Ontario Special Bursary Program (or student loan or grant assistance from another province) for this session?
Yes No / If yes, indicate amount of funding: / $ / If no, provide explanation.
If you have not applied for a student loan because of a restriction (i.e. you defaulted on a previous loan), please indicate what steps you have taken to obtain clearance.
Did you apply for a bank loan or a student line of credit for this session? Yes No If no, provide explanation.
Do you have a RESP? Yes No / Do you have a RRSP? Yes No / If yes, enter amount you are withdrawing on the budget sheet.
What was your bank balance at the beginning of the session (before paying tuition and/or residence fees)? Include amount saved from employment (see below). / $
Will your parent(s)/legal guardian(s) or partner be contributing to your educational expenses? / Yes Total Amount $
No Provide explanation
For Office Use Only:
Date Received: / Approved: Amount Awarded: $______Refused:
Notification Sent: Date: ______
EMPLOYMENT INFORMATION
Did you work during the pre-study period (the most recent four months prior to the commencement of your study period)? Yes No
If no, please provide explanation. / If yes, what was your total net income? $
Amount saved: $
Will you be working during the current session? Yes No / Average number of hours per week:
If no, provide explanation. If yes, complete the information to the right. / What is your hourly rate?
COST OF BOOKS
Are you taking courses in Fall 2011?
How many credits will you be taking?
Fall Courses Corse Codes / Required Book(s) / Price ($) / Winter Courses Course Codes / Required Book(s) / Price ($)
Approximate Amount ($) / Approximate Amount ($)
budget information
Please complete the budget (page 4) for the current academic session. Married students should indicate their total family income (after tax and other compulsory deductions) and total family expenses. If you have for assistance from another province or Band, please attach proof of fundings.Total Income/Resources / $
Total Expenses / $
Surplus or Shortfall / $ / Indicate shortfall with a “-“
If you indicated a surplus, (total expenses are less than your total income/resources) your total need for assistance is $0.
If you indicated a shortfall, please explain your original financing plan. Did something unusual prevent you form having a balanced budget?
PERSONAL STATEMENT AND/OR EXPLANATION
Provide details to the questions from pages 1 and 2 in the space provided here. You may also attach a letter.
Students who rely on funding from programs such as OSAP, UTAPS or other sources of financial aid must budget realistically in order to meet their educational costs. A financial plan provides an opportunity to evaluate progress and make sound financial decisions. Please explain how you planned to finance your studies at the beginning of this academic session, what happened to change or affect your budget and why you now require assistance.
Students who have unusual or high expenses should explain in detail why these expenses are necessary and how they planned to cover the costs. Please provide documentation to confirm these expenses.
DECLARATION & SIGNATURE
I am requesting bursary/grant assistance from the SCSU in the amount of $
I hereby certify that the information provided on this application is, to the best of my knowledge, true and complete, and I authorize the release of the information contained herein to the appropriate Grant Selection Committee.
I authorize the SCSU to release my OSAP application and assessment data by consulting with UTSC Financial Aids when determining my eligibility for bursary/grant assistance.
Signature: Date:
Retain a copy of this application for your records.
The Scarborough Campus Students’ Union (SCSU) respects your privacy. Personal information that you provide to the University is collected pursuant to section 2(14) of the University of Toronto Act, 1971. It is collected for the purpose of administering admission, registration, academic programs, university-related student activities, activities of student societies, financial assistance and awards, graduation and university advancement, and for the purpose of statistical reporting to government agencies. At all times it will be protected in accordance with the Freedom of Information and Protection of Privacy Act. If you have questions, please refer to or contact the University’s Freedom of Information and Protection of Privacy Office at 416 946-7303, Room 201, McMurrich Bldg., 12 Queen’s Park Crescent, Toronto, ON, M5S 1A1
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BUDGET FOR BURSARY APPLICATION
Use this worksheet to record your student budget.A. EXPENSES / SEPT / OCT / NOV / DEC / JAN / FEB / MAR / APR / TOTAL
Tuition (Include Incidental and/or Compulsory Fees) / $
Textbooks/Course Materials/ / $
Public Transportation / $
Rent (include utilities) / $
Phone (include cell & long distance) / $
Groceries/Food / $
Internet / $
Toiletries/Personal Care/Drug Store / $
Uninsured Medical/Dental/Optical* / $
Childcare*
Other (itemize on separate sheet)* / $
A. Total Estimated Expenses / $ / $ / $ / $ / $ / $ / $ / $ / $
B. RESOURES & INCOME
Bank Balance at start of academic year before paying school expenses / $
Net Income from Part-time work/Work Study / $
Partner/Spouse’s Net Income / $
Parental Support/Support Payments/RESP
Bank Loans/Lines of Credit/Government Student Loans (e.g. OSAP) / $
Child Tax Credit/GST Rebate/Orphan’s Benefit
(Please Circle One) / $
Scholarships/Grants/UTAPS / $
Other Income (not declared above)* / $
B. Total Resources & Income / $ / $ / $ / $ / $ / $ / $ / $ / $
My Balance at the End of the Year
(subtract B from A) / $ / $ / $ / $ / $ / $ / $ / $ / $
* Please attach an additional sheet explaining these expenses in more detail (e.g. what are your medical expenses?). In addition, you should include a breakdown of costs associated with your “other” expenses.
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