|
Personal Information |
|
Last Name
|
First Name
|
Middle Name
|
Gender
Male Female |
|
Date of Birth (year/month/day)
|
Language Preference
English French |
First Language
English French Other |
|
Current Status |
|
Married Common-law Sole support parent
separated, divorced, or widowed and you have NO
children living with you .
You have not been a full time student at a
high school or post secondary institution for at
least 12 months in a row
|
|
Home Telephone No.
( ) |
No phone |
Work or other telephone no
( ) |
|
Social Insurance Numger
|
Do you have a permanent disability?
Yes No |
|
Mailing Address |
|
Street no. and name
|
Apartment no.
|
|
City
|
Province
|
Postal Code
|
Country
|
|
Education |
|
Proposed studies for the 1999-2000 academic year
Discipline Code Discipline name
|
Proposed level of study
Degree program Diploma Certificate |
|
When did you move to Ontario? (y/m/d)
|
Have you ever taken full time post-secondary studies?
Yes No |
|
Have you ever had a Canada Student Loan?
Yes No |
Are you currently in default on a Canada Student Loan and/or Ontario
Student Loan?
Yes No |
|
E. Citizenship Status |
|
Canadian Citizen Permanent Resident Date permanent status received (y/m/d)
|
|
F. Agreement |
|
I confirm that:
-I have given complete and true information on this form.
-I must have assistance to continue my post-secondary studies, and I
will use this assistance to pay my academic fees first and then to cover
educational and living costs related to my studies.
-I will notify the financial aid administrator in writing if my
academic, financial, family, or study period status changes because I
understand these changes may affect my assessment.
-I am responsible to provide to my financial aid office or the
ministry, all the required supporting documentation as requested on this
application form.
-I will keep a copy of my application and all supporting documentation
in the event that I am required to produce this information for audit and
verification purposes.
|
|
Signature of applicant
|
Date
|
