GBC DOWNTOWN EAST BURSARY APPLICATION FORM 2013-2014 ACADEMIC YEAR FULL-TIME STUDENTS This application form will qualify you for the following award: ELIGIBILITY CRITERIA Have submitted an application for full-time studies at George Brown College, received a GBC student number and have been accepted into a program. You are the first in your family (siblings excluded) to study at a Post Secondary Institution (ALSO KNOWN AS FIRST GENERATION) AND you are entering your First Year of study Canadian Citizen, Permanent Resident, or Protected Person. Resident of Ontario for at least 12 months prior to enrollment. Live within the geographical boundary of Bloor Street (North), Don River (East), Lake Ontario (South) and Yonge Street (West). COMPLETE APPLICATION MUST BE ACCOMPANIED BY A letter outlining how this bursary will assist you in meeting your academic goals SUBMIT TO SELECTION CRITERIA Financial Need AND Community and/or Extracurricular involvement and leadership Obstacles overcome and commitment to field of study Complete application SCHOLARSHIP RECIPIENTS WILL BE EXPECTED TO Provide a letter of thanks to the bursary funder Mentor scholarship recipients the following year Meet with a CPO staff member upon receipt of the bursary and once per term while studying at GBC Participate in bursary recipient meet and greets Please submit completed application (Including letter) via e-mail to dcristini@georgebrown.ca. The application can also be submitted by mail to: George Brown College Community Partnerships Office 264B Adelaide Street East Toronto, Ontario M5T 2T9 ATTN: Daniela Cristini APPLICATION DEADLINE AWARD GBC Downtown East Bursary August 16th for consideration for students commencing study in September 2013. December 13th for consideration for students commencing study in January 2014. Would you like to be notified via e-mail of future awards opportunities? Yes No VALUE (APPROXIMATE) 6 x $2,000 Awards
NAME E-MAIL MAILING ADDRESS PHONE NUMBER STUDENT ID PROGRAM ARE YOU A FIRST GENERATION STUDENT? YES NO (A First Generation student is someone whose parents did not complete postsecondary education) STUDENT BUDGET This budget should reflect the resources and costs associated with studying at George Brown College from September to April (8 months) or from January to August (8 months). Please ensure that all sections are completed. FINANCIAL RESOURCES Savings prior to Study Period Parental or Spousal Contribution (includes contribution to any listed expenses, not just direct tuition/book costs) Scholarships and Bursaries OSAP Estimate (will be checked against actual OSAP eligibility prior to disbursement of Scholarship) Any other loans (ie. Bank line of credit, other family members, etc.) Any other form of government assistance (Social Services, E.I., O.D.S.P., O.W. etc.) Employment income during the academic year Other Resources (specify) TOTAL RESOURCES AMOUNT ($) ESTIMATED EXPENSES Tuition and Academic Fees Books and related supplies Rent (monthly x 8) Utilities, phone, cable and Internet costs (monthly x 8) Food (monthly x 8) Transportation (includes transit, car payments, gas, insurance monthly x 8) Personal / Miscellaneous clothing, personal medication, any uncovered medical expenses Other Expenses (specify) TOTAL EXPENSES AMOUNT ($)
Do you face, or have you faced, any exceptional financial and/or personal circumstances or obstacles? If so, please describe: EDUCATION Are there any educational achievements that you are proud of? If so, please describe:
COMMUNITY AND EXTRACURRICULAR INVOLVEMENT Please list what activities you have been involved in. Please include any activities that were paid or part of required volunteer hours or school placements in the second section. Please do not include any activities that were completed more than 12 months previously. Please include one reference for each activity (ideally a supervisor or professor). ACTIVITY 1. ACTIVITY 2. ACTIVITY 3. ACTIVITY 4. ACTIVITY 5.
EMPLOYMENT AND/OR SCHOOL PLACEMENTS ORGANISATION 1. ORGANISATION 2. ORGANISATION 3. Are there any achievements and/or honours that you are proud of related to your volunteer work; extracurricular, artistic, or athletic endeavours; employment or school placements? Have you made a difference in your community, workplace, or secondary school? If so, please describe (continue on next page if necessary):
Please note that all OSAP Resources & Tuition Expenses will be verified prior to disbursement of funds. If selected for this award, funds will be deposited directly into your student account to assist with tuition fees, following the third week of studies. I certify that all information contained on this form is true and correct to the best of my knowledge. Student Signature Student Name (Please Print) FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT The personal information on this form is collected under the legal authority of the Ontario Colleges of Applied Arts and Technology Act, 2002. The information is used for the administrative and statistical purposes of the College including but not limited to Admissions, Registration and maintaining records, as well as Awards and Scholarships; Alumni and College Foundation administrative functions and/or the Ministries or Agencies of the Government of Ontario and the Government of Canada. This information is being collected under section 39 (2) and section 42 of the Freedom of Information and Privacy Act of Ontario. If you have any questions or concerns related to Freedom of Information and Privacy please contact the FOI Coordinator for the College at (416) 415-5000 ext. 4646. Date