BURSARY APPLICATION 2013 SUMMER ACCOUNTING COURSES

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1 DeGroote School of Business McMaster University BURSARY APPLICATION 2013 SUMMER ACCOUNTING COURSES RETURN COMPLETED FORM TO THE ACADEMIC PROGRAMS OFFICE, DSB-104 What is a bursary? A bursary is a financial gift to students who can demonstrate financial need. Bursary funds are limited and are not intended to fund a student s full deficit. To be considered for this bursary, you must be a McMaster student in a degree programme at the time of application. Student in good academic standing. When will I find out if I am to receive a bursary? Approximately four weeks after the bursary application deadline date, you will be notified in writing. Is a bursary considered to be income? Yes, bursaries are considered by the Canada Customs & Revenue Agency to be part of a student s taxable income for the year. What documentation do you require? If you are receiving government assistance from your home province (other than Ontario), submit a copy of your Notice of Assessment or Notification of Award. Can I apply for more than one bursary? Students are only eligible to receive one bursary per academic term. Applicants should not assume that the total amount received in a prior year will be the amount to be granted in the current year. Please read carefully and complete the application in ink. Incomplete applications cannot be assessed. You will not be contacted for missing information. SECTION A: BURSARY PROGRAMME CHOICE SUMMER 2013 COURSES TOWARDS PROFESSIONAL ACCOUNTING DESIGNATION Registered in (check all that apply): BUS & COM 500 BUS & COM 501 BUS & COM 503

2 SECTION B: PERSONAL INFORMATION STUDENT NUMBER Spring/Summer LEGAL LAST NAME INITIALS GIVEN NAMES SEX I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I SOC. INS. NO. MARITAL STATUS DATE OF BIRTH S SINGLE D DIVORCED I I I I I I I I I M MARRIED W- WIDOWED I I I D D M M Y R IF YOU PREVIOUSLY ATTENDED McMASTER, WHAT NAME DID YOU REGISTER UNDER: ADDRESS INFORMATION APT. / STREET CITY PROVINCE POSTAL CODE I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I HOME TELEPHONE AREA AREA BUSINESS TELEPHONE EXTENSION COUNTRY I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Have you resided in Ontario for the past 12 months? Yes No Regional Municipality of your family home (e.g. Ham. Wentworth) I am registered with Student Accessibility Services Yes No SECTION C: GROUP/STATUS INFORMATION (Please check one.) Single Dependent and my parents current marital status is # of dependent children in the family # of those dependents at a post-secondary institution Finished full-time (60% course load) high school in June 97 or earlier, or Current or former ward of the crown, or both parents are deceased, or Separated, divorced or widowed and have no dependent children living with me, or Married or living common law or in a same sex relationship (living together for 1 or more years), or living together for less than three years but are raising children of which we are both the natural parents # of dependent children Sole-support parent. I have dependent children living with me full-time during my study period and I am separated, divorced or widowed, or am a single parent. # of dependent children OFFICE USE ONLY COMMENTS:

3 SECTION D: FINANCIAL INFORMATION If any of the budget lines below are left blank, the application will be considered incomplete, and will not be processed. All financial information provided should be for the full study period (Fall and Winter terms) regardless of the date of application for bursary assistance. All of your responses must contain one of the following: a dollar amount or a 0' or n/a= (not applicable). Note: McMaster University reserves the right to request any invoices or copies of official or legal documentation in connection with this application. Study period start (day/month/year) / / Study period end / / ESTIMATED EXPENSES PER TERM RESOURCES AT THE START OF THE TERM Tuition & Supplementary Fees Assets (bonds/term deposits, etc.) Books & Supplies Summer savings, if applicable (before any tuition is/was paid) Residence/Rent /mo. x mos. = Part-time work during study period /wk. x wks. = Utilities, etc. /mo. x mos. = Parental/spousal contribution Phone/cable /mo. x mos. = Bank loan/line of credit Food $ /mo. x mos. = Scholarship(s) Clothing Bursaries (Faculty/external/entrance) Entertainment /wk. x wks. = Government Income Personal /mo. x mos. = Uninsured medical (receipt required) Uninsured dental (receipt required) Uninsured optical (receipt required) (Orphans/FBA/Welfare/CPP/UIC/Indian Affairs) OSAP/(Canada & Ontario Student Loan)/government loans from other Province Canada Study Grant Child Care Bursary Child care /mo. x mos. = (unsubsidized amount only) Transportation (including car loan, gas, insurance, repairs, parking, trips home) Minimum credit card payment /mo. x mos. = Other Resources please specify Other Resources please specify TOTAL TOTAL (See for your OSAP information.)

4 SECTION E: ADDITIONAL INFORMATION We require students to use all other sources of funding before applying for a bursary. If you are unable to apply for government student loans, your application may still be considered. In this section, please outline clearly any extenuating circumstances that you wish to be taken into consideration. You should also outline other steps you are taking to manage your financial deficit. Please write legibly or print. SECTION F: SIGNATURES AND DECLARATIONS 1. STUDENT S DECLARATION: I have read the entire application form. I have submitted complete and true information on this form and I understand that failure to do so may prevent my getting assistance now or in the future. I also realize that information included herein may be compared with information from the Registrar s Office and/or my OSAP file and that any bursary funding received could reduce my OSAP entitlement. I understand that any bursary amount granted will be used to pay my University account first. Signature of applicant: _ Date: 2. RELEASE OF INFORMATION TO DONORS Some bursaries are funded by private donors who wish to receive limited information about the recipient(s). Do you agree to the release to the donor of your name, program and level? Yes No (If no, you will be considered for a bursary from other sources.) Signature of applicant: _ Date:

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