AUTOMOTIVE PROGRAMS REWARD APPLICATION
You must:
1. Complete this application
2. Provide details of the financial need for this award. Be thorough in your explanations and provide as much information as possible. More information allows for better assessment of your application by the selection committee.
3. Applications are dated and reviewed when received in the Financial Office. ONLY successful applicants will be notified. Please allow 4 weeks for award processing.
Personal Data:
Name of Applicant:
SIN:
Mailing Address:
Postal Code:
Phone:
Email:
Marital Status:
Single
Married
Seperated
Divorced
Common Law
Number of Dependents Living with Applicant:
Ages of Children:
Accommodation:
Parents
Shared Accommodation
Renting
Own Accommodation
Other
Do You Own a Vehicle?
Yes
No Year:
Do You Drive to School?
Yes
No
Educational Data:
Student ID#:
Program:
Date of Course Start:
Name of Course:
Year of Apprenticeship:
1st
2nd
3rd
4th Your overall average for the last semester:
Academic Acheivements:
Name:
Department:
Financial Data:
Monthly budgets are based on students finance guidelines
Estimated Monthly Expenses
Amount
Estimated Monthly Revenues
Amount
Total curriculum costs for the term of your program (including books, supplies etc.)
Total Amount of Savings
Rent/Mortgage
Total Amount of Student Loans,Appeals, and / or grants you will receive.
Utilities (light, water, telephone, heat)
Employment Insurance
Food and Personal Care
Part-Time Work
Clothing
Spouses Monthly income after Deductions
Vehicle Payments
Monthly Contribution from Parents
Transportation Expenses
Family Allowance
Medical Costs not covered by Insurance
Child Support/Alimony
Child Care Cost
VRDP / AISH / WCP
Other
Indian / Northern Affairs Funding
Orphans Benefits / Other Resource
TOTAL EXPENSES
TOTAL REVENUES
Employment Data
Current Dealership Employer
Immediate Supervisor
Years
Occupation
Previous Employer
Address
Years
Occupation
The following space is to be used by the applicant's current employer, immediate supervisor, or department head
Please provide comments or supporting statements with respect to attendance, achievements and / or productivity.
Applicant Declaration
I declare that the information I have given is true and reflects and accurate financial summary.
Name of Applicant:
Date: