0%
School of Pharmacy Awards Application 2012
Do you have financial need? Many scholarships and bursaries are based on financial need and academic standing.
Please complete the following in order to be considered for these awards. The answers to the questions will further assist the Awards Committee in selecting recipients for awards that are based on financial need.
Please submit this information by
June 8, 2012
.
All information provided will be kept confidential.
Scholarships
are based on academic performance and are awarded to the student with the highest average (over the 2011 fall and 2012 winter semesters combined) meeting the conditions of the scholarship. Scholarship standing is required for all scholarships (i.e. a minimum 75% average and have completed not less than 30 credit hours over the two semesters).
Bursaries
are based primarily on financial need and may be awarded to full-time students who have a minimum GPA of 2 (out of a possible 4) and who meet the other conditions of the bursary.
Awards
are offered to recognize special achievements or to assist with special projects or travel. Awards may be given to students with a minimum of clear standing (as defined by the University) and meeting the other conditions of the award.
Identifying Information
Name:
Class (specify year of graduation):
Student number:
email:
Question 1
What is the total amount of your current student debt?
Note:
The Awards Committee may request proof of the debt.
Canada Student Loan Debt
---
<$1,000
$1,000 to <$2,500
$2,500 to <$5,000
$5,000 to <$10,000
$10,000 to <$20,000
$20,000 to <30,000
$30,000 to <$40,000
$40,000 to <$50,000
>$50,000
Provincial Student Loan Debt
---
<$1,000
$1,000 to <$2,500
$2,500 to <$5,000
$5,000 to <$10,000
$10,000 to <$20,000
$20,000 to <30,000
$30,000 to <$40,000
$40,000 to <$50,000
>$50,000
Personal line of credit for education
---
<$1,000
$1,000 to <$2,500
$2,500 to <$5,000
$5,000 to <$10,000
$10,000 to <$20,000
$20,000 to <30,000
$30,000 to <$40,000
$40,000 to <$50,000
>$50,000
Question 2
What sources of income did/will you receive during the period between September 2011 and August 2012.
Scholarships
---
$0
<$500
$500 to < $1,000
$1,000 to <$2,000
$2,000 to <$3,000
$3,000 to <$4,000
$4,000 to <$5,000
$5,000 to <$7,500
$7,500 to <$10,000
$10,000 to <$15,000
$15,000 to <$20,000
$20,000 to <$30,000
>$30,000
Other grants received (eg. Awards, Bursaries)
---
$0
<$500
$500 to < $1,000
$1,000 to <$2,000
$2,000 to <$3,000
$3,000 to <$4,000
$4,000 to <$5,000
$5,000 to <$7,500
$7,500 to <$10,000
$10,000 to <$15,000
$15,000 to <$20,000
$20,000 to <$30,000
>$30,000
Family contribution
---
$0
<$500
$500 to < $1,000
$1,000 to <$2,000
$2,000 to <$3,000
$3,000 to <$4,000
$4,000 to <$5,000
$5,000 to <$7,500
$7,500 to <$10,000
$10,000 to <$15,000
$15,000 to <$20,000
$20,000 to <$30,000
>$30,000
Summer earnings
---
$0
<$500
$500 to < $1,000
$1,000 to <$2,000
$2,000 to <$3,000
$3,000 to <$4,000
$4,000 to <$5,000
$5,000 to <$7,500
$7,500 to <$10,000
$10,000 to <$15,000
$15,000 to <$20,000
$20,000 to <$30,000
>$30,000
Part-time job
---
$0
<$500
$500 to < $1,000
$1,000 to <$2,000
$2,000 to <$3,000
$3,000 to <$4,000
$4,000 to <$5,000
$5,000 to <$7,500
$7,500 to <$10,000
$10,000 to <$15,000
$15,000 to <$20,000
$20,000 to <$30,000
>$30,000
Other
---
$0
<$500
$500 to < $1,000
$1,000 to <$2,000
$2,000 to <$3,000
$3,000 to <$4,000
$4,000 to <$5,000
$5,000 to <$7,500
$7,500 to <$10,000
$10,000 to <$15,000
$15,000 to <$20,000
$20,000 to <$30,000
>$30,000
Question 3
Do you currently have a contract signed with an employer that provides financial support while you complete your studies?
Yes
No
If yes, specify the details/amount
Question 4
Do you have any special circumstances that would affect your financial situation?
Living independent from parents/guardian
Dependents (eg. children)
Other (specify)
Question 5
Do you anticipate any changes in your financial situation for the 2012/2013 academic year?
Yes
No
If yes, please provide details.
Question 6
Describe any special circumstance you have that you think makes you deserving of a scholarship, award, or bursary.
By submitting this survey, I certify that the information provided is true, accurate, and complete.