Applicant’s Name
Address
Telephone
Fax
Email
Parent(s)/Guardian Name
Insurance Firm (Parent/Guardian) associated with
University Attended Last Academic Year (if applicable)
Studies Completed - Year/Faculty
University to be attended next Academic Year
Please provide a short profile of your chosen field of studies and career objectives
Special Studies completed/work experience
Outside interest/organization/offices held-since last year in high school
From summer employment (total earnings)
From scholarships received or expected
From bursaries received or expected
From Canada Student Loan & Government Bursary Programs
From other sources (parents, relatives, etc.)
TOTAL of above resources
Fathers Name
Occupation
Mothers Name
Name and Ages of other dependants in household
Names and addresses of two individuals that may be contacted as references. Both references must be from Academic sources familiar with your studies.
