Get documents about "Bursary_Application
Shared by: shitingting
-
Stats
- views:
- 12
- posted:
- 4/8/2012
- language:
- English
- pages:
- 4
Document Sample
EMERGENCY BURSARY APPLICATION DATE:
Faculty of Graduate Studies (FGS) bursary awards are meant to help students overcome temporary financial emergencies such as medical
costs or other unforeseen expenses. In exceptional circumstances, an FGS bursary may be awarded for a chronic shortfall in the student’s
annual budget, and then only for students beyond their first year of graduate study at Dalhousie University who do not receive full
scholarship as defined by FGS for Master’s or PhD programs. The Faculty of Graduate Studies Bursary applications are considered
monthly by the FGS Graduate Bursary Committee. Awards are normally for a maximum of $600, but lower amounts may be awarded.
Normally students cannot receive more than one bursary award in an academic year.
Note for International Students: If you are an international student and experience an unexpected financial emergency you should meet
with the International Student Advisor (ISA) to explore possible solutions. To make an appointment to meet with the ISA call 494-1566.
International Student and Exchange Services
Killam Library Room G25 Tel. (902) 494-1735
IMPORTANT GUIDELINES
All sections of the application MUST be complete and accurate.
Incomplete applications will not be considered by the committee.
Only registered students will be considered.
Students must be registered in order to receive a bursary. Students who are eligible must apply for a Canadian Student Loan and Provincial
Student Loan and copies of assessment sheets must be attached. If you have not applied for any of the above loans, an explanation of the
reason must accompany the application. If you are not eligible for either Canadian or Provincial student loans, please enclos e the non-
eligibility letter from the government.
Faculty of Medicine and Dentistry students should apply for a bursary through their respective faculties.
If your bursary application is UNSUCCESSFUL, you may reapply. There are no appeals on bursary decisions.
If awarded, the award will be applied directly to the student’s university account.
The bursary process takes approximately FIVE weeks.
Please note that an email will be sent to all students indicating the outcome of their bursary application.
Faculty of Graduate Studies Emergency Bursary
First year students are not eligible to apply, except in cases of unforeseen emergency circumstances (e.g. medical).
Social Work students should apply for a Bursary through the online bursary application on the Registrar's website.
Students with needs far beyond what the average $600 graduate bursary can provide should apply for a temporary loan through the
Registrar’s Office.
The John and Lina Graham Commonwealth Bursary
Applicants must be a resident of a Commonwealth country; they cannot be a Canadian resident.
Competition dates: March 15 and October 31 each year. A bursary of $500 will be awarded at each competition.
The Dr. P. Anthony Johnstone Memorial Bursary
A letter must be attached to the application demonstrating financial need, satisfactory academic standing, and an involvement in the areas of
social justice and human rights.
Competition dates: March 15 and October 31 each year. A bursary of $750 will be awarded at each competition.
The Linda Marie Gillingwater Rainsberry Graduate Bursary
A letter must be attached to the application demonstrating financial need and an involvement in social justice and women’s studies.
Preference will be given to single mothers whose area of study is in the Faculty of Arts and Social Science.
Competition date: December 10 each year. A bursary of $1000 will awarded at each competition.
BURSARY YOU ARE APPLYING FOR (SELECT FROM DROP DOWN LIST):
PERSONAL IDENTIFICATION
FAMILY NAME: GIVEN NAME:
STUDENT NUMBER: PROGRAM:
ST ND RD
DEPARTMENT: YEAR OF STUDY: 1 2 3
SIN: — — GENDER: MALE FEMALE
LOCAL MAILING ADDRESS: POSTAL CODE:
TELEPHONE: E-MAIL:
CITIZENSHIP STATUS: CANADIAN PERMANENT RESIDENT STUDENT VISA
COUNTRY OF BIRTH:
MARITAL STATUS: SINGLE MARRIED COMMON LAW DIVORCED SEPARATED
NO. OF DEPENDENTS CURRENTLY LIVING WITH YOU:
Revised January 2012 Bursary Application Page 1
SECTION 1
HAVE YOU EVER RECEIVED OR HAVE YOU EVER BEEN TURNED DOWN FOR A DALHOUSIE
YES NO
BURSARY IN YOUR CURRENT PROGRAM OF STUDY?
SUMMARY OF GRADUATE EMERGENCY BURSARY APPLICATION HISTORY
ACADEMIC YEAR AMOUNT DATE AWARDED/DECLINED
$
$
$
SECTION 2
STUDENT AID ASSESSMENT FOR THE GIVEN CURRENT ACADEMIC YEAR
(PLEASE INCLUDE PHOTOCOPY OF YOUR PROVINCIAL STUDENT AID ASSESSMENT SHEET.)
DO YOU HAVE A… AMOUNT COPY OF ASSESSMENT SHEET ATTACHED?
CANADA STUDENT LOAN? YES NO $
PROVINCIAL STUDENT LOAN? YES NO $
PROVINCIAL STUDENT BURSARY? YES NO $
BANK/STUDENT EDUCATION LOAN? YES NO $
SECTION 3
APPLICANT & SPOUSE DEBT STRUCTURE
ACCUMULATED STUDENT LOANS, INCLUDING THIS ACADEMIC YEAR: $
ACCUMULATED DEBTS FROM BANKS, TRUST OR FINANCE COMPANIES: $
ACCUMULATED BALANCE ON CREDIT CARDS (E.G. VISA, MASTERCARD): $
PRIVATE LOANS: $
TOTAL: $
SECTION 4
USE OF A MOTOR VEHICLE
ARE YOU (OR YOUR SPOUSE) THE LEGAL OPERATOR AND OR OWNER OF A MOTOR VEHICLE (INCLUDING MOTORCYCLE)? YES NO
IF YES, HOW MANY KILOMETRES DO YOU LIVE FROM CAMPUS?: KM
MONTHLY PAYMENTS (IF APPLICABLE): $
MONTHLY MAINTENANCE ON VEHICLE: $
MONTHLY AMOUNT SPENT ON FUEL: $
MONTHLY AMOUNT OF INSURANCE PAYMENT: $
TOTAL = $ X 12 = $
Revised January 2012 Bursary Application Page 2
SECTION 5
ST ST
BUDGET FOR ENTIRE CURRENT ACADEMIC YEAR SEPTEMBER 1 TO AUGUST 31 .
(STUDENTS MUST DISCLOSE DETAILS OF ALL EXPENSES AND RESOURCES IN ORDER TO BE CONSIDERED FOR A BURSARY.)
ALL EXPENSES (INCLUDES ALL EXPENSES FOR 12 MONTHS)
a) TUITION & STUDENT FEES: APPLICANT- $ SPOUSE- $ = $
b) INTERNATIONAL DIFFERENTIAL FEE
(INTL. STUDENTS ONLY WHERE APPLICABLE):
APPLICANT- $ SPOUSE- $ = $
c) BOOKS & SUPPLIES: APPLICANT- $ SPOUSE- $ = $
d) INSTRUMENTS, EQUIPMENT, SPECIAL CLOTHES: APPLICANT- $ SPOUSE- $ = $
PROVIDE DETAILS:
e) LODGING: RESIDENCE: RENT/MONTH- $ X # OF MONTHS- = $
(AVERAGE OVER OFF-CAMPUS: RENT/MONTH- $ X # OF MONTHS- = $
12 MONTHS) ROOM & BOARD: RENT/MONTH- $ X # OF MONTHS- = $
f) GROCERIES: COST/MONTH- $ X 12 MONTHS- = $
g) TELEPHONE/CABLE/INTERNET: COST/MONTH- $ X 12 MONTHS- = $
h) ELECTRICITY: COST/MONTH- $ X 12 MONTHS- = $
i) HEAT & WATER: COST/MONTH- $ X 12 MONTHS- = $
j) CHILD CARE: COST/MONTH- $ X 12 MONTHS- = $
k) MISCELLANEOUS EXPENSES: = $
(PROVIDE DETAILED = $
EXPLANATION)
= $
l) USE OF A MOTOR VEHICLE TOTAL (FROM SECTION 4): = $
TOTAL EXPENSES $
ALL RESOURCES (INCLUDES ALL RESOURCES FOR 12 MONTHS, PLEASE PROVIDE ESTIMATE IF EXACT FIGURES ARE NOT CERTAIN)
a) CANADA STUDENT LOAN (FROM SECTION 2): APPLICANT- $ SPOUSE- $ = $
b) PROVINCIAL STUDENT LOAN (FROM SECTION 2): APPLICANT- $ SPOUSE- $ = $
c) PROVINCIAL BURSARY (FROM SECTION 2): APPLICANT- $ SPOUSE- $ = $
d) BANK STUDENT/EDUCATION LOAN (FROM SECTION 2): APPLICANT- $ SPOUSE- $ = $
e) NON-DALHOUSIE BURSARIES, SCHOLARSHIPS, AWARDS,
EXTERNAL FUNDING, ETC.:
APPLICANT- $ SPOUSE- $ = $
f) PREVIOUS DALHOUSIE BURSARY AMOUNTS (FROM SECTION 1): = $
g) INCOME OVER 12 MONTHS (INCLUDING TEACHING ASSISTANTSHIPS & RESEARCH GRANT FUNDING):
APPLICANT: SOURCE- AMOUNT /MONTH- $ X # OF MONTHS- = $
APPLICANT: SOURCE- AMOUNT /MONTH- $ X # OF MONTHS- = $
APPLICANT: SOURCE- AMOUNT /MONTH- $ X # OF MONTHS- = $
SPOUSE: SOURCE- AMOUNT /MONTH- $ X # OF MONTHS- = $
h) MAINTENANCE: AMOUNT /MONTH- $ X # OF MONTHS- = $
i) FAMILY ALLOWANCE: AMOUNT /MONTH- $ X # OF MONTHS- = $
j) CCRA REBATE: APPLICANT- $ SPOUSE- $ = $
k) SOCIAL SERVICES: APPLICANT: AMOUNT /MONTH- $ X # OF MONTHS- = $
SPOUSE: AMOUNT /MONTH- $ X # OF MONTHS- = $
l) DEPARTMENT OF VETERAN
AFFAIRS (DVA) ALLOWANCE:
APPLICANT: AMOUNT /MONTH- $ X # OF MONTHS- = $
SPOUSE: AMOUNT /MONTH- $ X # OF MONTHS- = $
m) CANADA PENSION: APPLICANT: AMOUNT /MONTH- $ X # OF MONTHS- = $
SPOUSE: AMOUNT /MONTH- $ X # OF MONTHS- = $
n) ADULT TRAINING: APPLICANT: AMOUNT /MONTH- $ X # OF MONTHS- = $
SPOUSE: AMOUNT /MONTH- $ X # OF MONTHS- = $
o) EMPLOYMENT INSURANCE (EI): APPLICANT: AMOUNT /MONTH- $ X # OF MONTHS- = $
SPOUSE: AMOUNT /MONTH- $ X # OF MONTHS- = $
ALL OTHER RESOURCES: (PROVIDE DETAILED EXPLANATION)
APPLICANT- $ SPOUSE- $ = $
APPLICANT- $ SPOUSE- $ = $
TOTAL RESOURCES $
NEED (TOTAL EXPENSES - TOTAL RESOURCES) = $
Revised January 2012 Bursary Application Page 3
SECTION 6
EXPLANATION OF NEED
NOTE: THIS SECTION MUST BE COMPLETED IN ORDER FOR THE APPLICATION TO BE CONSIDERED.
SECTION 7
APPLICANTS DECLARATION AND AUTHORIZATION
I DECLARE THAT THE FOREGOING INFORMATION IS, TO MY KNOWLEDGE, A TRUE, COMPLETE AND ACCURATE STATEMENT OF MY FINANCIAL STATUS,
AND I HEREBY REQUEST CONSIDERATION FOR ASSISTANCE FROM THE FUNDS MADE AVAILABLE FOR THIS PURPOSE BY THE UNIVERSITY.
I AUTHORIZE DALHOUSIE UNIVERSITY TO RELEASE BURSARY AWARD INFORMATION TO THE FEDERAL OR PROVINCIAL STUDENT FINANCIAL AID
OFFICE.
I ALSO AUTHORIZE THE UNIVERSITY TO CONTACT MY SOURCES OF FUNDS/EXPENSES, IF THIS IS JUDGED TO BE NECESSARY.
I UNDERSTAND THAT IF AWARDED, ANY MONIES OWING TO THE UNIVERSITY WILL BE DEDUCTED FROM THE BURSARY.
NAME OF APPLICANT SIGNATURE DATE
SUBMIT TO: FACULTY OF GRADUATE STUDIES
ROOM 314, HENRY HICKS ACADEMIC ADMINISTRATION BUILDING
DALHOUSIE UNIVERSITY
6299 SOUTH STREET
PO BOX 15000
HALIFAX, NS, CANADA, B3H 4R2
Revised January 2012 Bursary Application Page 4
