ONTARIO BRIDGING ASSISTANCE PROGRAM September 1, 2014 March 31, 2015

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ONTARIO BRIDGING ASSISTANCE PROGRAM September 1, 2014 March 31, 2015 How to Apply Complete the application. To be eligible, please fill in all sections of the application. Attach legible photo copies of government documents. Attach legible copies of payment of tuition, books, or supplies. Sign the declaration and consent section of the application. Submit application to the Program Manager/Assistant. Program Manager/Assistant will review and recommend bursary. Program Manager/Assistant will send Award requisition to SFA to process. Page 1 of 6

Ontario BRIDGING ASSISTANCE PROGRAM September 2014 March 2015 Check one: Dieticians Midwifery Workplace Communication in Canada IPLAN Engineering Connections Project Management Green Economy Bridging Program Section 1: Personal Information Student ID Number (if available): Last Name: First Name: Middle Name or Initial: Check one: Address (Street No. and Name Apt./Suite No.): Mr. Mrs. Ms. City/Town/Post Office: Area Code and Phone Number: Province: ONTARIO Postal Code: What is your current marital status? Number of dependent children: E-mail Address: Single/Divorced Married/Common-Law (provide spousal information) Name of spouse: Separated Widowed What is your current citizenship status? Canadian Citizen Permanent Resident Protected Person (with valid PPSD) What is the highest level of education that you have attained? Bachelor s Degree Master s Degree Doctorate Section 2: Confirmation of Ontario Residency Do you currently live in Ontario? Yes No (NOTE: You are not eligible for an OBPAP bursary) Page 2 of 6

Section 3: Eligible Bridge Training Program Enrolment The Ontario Bridging Participant Assistance Program is only available to students with financial need enrolled in non-osap approved Ministry of Citizenship and Immigration (MCI) funded bridge training programs with direct education costs (tuition, books and equipment). Bursary assistance is only available during the bridge training period for eligible programs commencing between September 1, 2013 and March 31, 2014. Applications for in-session programs must be received no later than March 31, 2014 by the Ryerson Student Financial Assistance office to be considered for a bursary. Are you enrolled in an eligible bridge training program? Yes Name of Ontario college or university Name of bridge training program No (NOTE: You are not eligible for an OBPAP bursary.) Section 4: OSAP Status Are you in default of a Canada-Ontario Integrated Student Loan, Ontario Student Loan or Canada Student Loan issued through the Ontario Student Assistance Program (OSAP)? Yes (NOTE: You are not eligible for an OBPAP bursary.) No Section 5: Second Career Strategy (SCS) Funding Status Are you currently in receipt of Second Career Strategy (SCS) funding? Yes (NOTE: You are not eligible for an OBPAP bursary) No Page 3 of 6

Section 7: Employment and Income Information The Ontario Bridging Participant Assistance Program (OBPAP) is a needs based program that provides bursary assistance to students with financial need attending non-osap approved Ministry of Citizenship and Immigration (MCI) funded bridge training programs to offset direct educational costs (tuition books and equipment) for bridge training offered by Ryerson university. Financial need is determined by the institution s policies governing student financial need. Your current employment status: Full-time Self-employed Part-time Unemployed (If unemployed, list sources of income/support (e.g., Ontario Works, Ontario Disability Support Program, EI) Spouse s/common Law current employment status: Full-time Self-employed Part-time Unemployed (If unemployed, list sources of income/support (e.g., Ontario Works, Ontario Disability Support Program) YOUR INCOME Estimated gross income for current year: $ SPOUSE S INCOME Estimated gross income for current year: $ Page 4 of 6

Part 8 - Financial Information The chart below illustrates the maximum annual income eligible to be considered for OBPAP funding based on the number for family members. The student and where applicable their spouse (married or common law), dependent children must be counted towards the number of family members. A dependent student living at home must include their parents income. IMPORTANT: Proof of gross family income must be attached to be eligible for consideration.. List full names of family Number Gross Family Income List type of verification members (include common of family attached for each source from all sources law). State relationship to you income (e.g., Income Tax members (include common law) return, most recent Notice of (e.g., mother, father, spouse, (include earned in 2013 Assessment, government child) self) issued confirmation of EI, CHECK ONE Disability benefits, pay stub, CHECK etc.) ONE 1 Up to $26,100 2 $26,101 - $34,800 3 $34,801 - $43,600 4 $43,601 - $50,500 5 $50,501 - $56,300 6 $56,301 - $62,400 7 $62,401 - $68,300 8 $68,301 - $72,600 9 $72,601 - $75,200 10 Over $75,200 Page 5 of 6

Loss/Reduction of Bursary Funding Participants that have received an OBPAP to cover tuition fees, books or equipment costs and subsequently withdraw from their program will be required to return any tuition fee credit to the university. Ryerson Student Financial Assistance is responsible to contact students to recover OBPAP funds a student is no longer entitled to receive. If the bridge training consists of a series of courses, students will have to pay to repeat a course or courses they have dropped. If the bridge training consists of a single course, students will be considered as having withdrawn from program and will have to repay if they re-enroll. * OBPAP bursary assistance is intended to allow participants to access bridge training that will allow them to practice in the profession for which they were trained. It is not intended to fund retraining in other fields/professions. Notice, Consent, Declaration, and Signatures Notice of Collection of Personal Information APPLICANT S DECLARATION AND CONSENT I understand that I can withdraw this consent at any time before I accept financial assistance under this Program. I understand that if I withdraw any of my required consents it will affect my eligibility for bursary assistance through the Ontario Bridging Participant Assistance Program (OBPAP). I understand that if I am awarded an OBPAP bursary, bursary funding will first be directed to the postsecondary institution to offset eligible direct educational costs charged by the postsecondary institution for my bridge training with any remaining funds being used to reimburse mandatory book and equipment costs (based on my submitted receipts). Bursary funds will only be directed to the applicant to reimburse eligible bridge training costs for in-session programs that s/he has already paid. Signature of applicant: Date: Page 6 of 6