Scholarships, Awards & Named Bursary Application

Scholarships, Awards & Named Bursary Application Form:

Step 1 of 3

Use this online application to apply for a Scholarship, Award or Named Bursary.
Before you start:
1. Review the Scholarships, Awards or Named Bursaries to determine which are available to you. (some are specific to certain programs or specific program years)
2. Make note of the Criteria for each Scholarship, Award or Named Bursary you want to apply for;
3. Prepare any documents (e.g. letter of application or references) in Word or PDF format which will need to be submitted online;
4. If the Scholarship, Award or Named Bursary requires you to demonstrate financial need (refer to the Criteria), have your income and expense information on hand to enter on page 2 of the application;
5. When ready, enter your Personal Information below (Step 1), then proceed to the Financial Needs Assessment page (Step 2) and then to the final page to agree to guidelines (Step 3).
Personal Information
Name * Required
First Last
Student ID# * Required
Address * Required
Street Address Address Line 2 City Province Postal Code
Phone * Required
Michener Email * Required
Program of Study * Required
Current Year * Required
Scholarship/ Award Name * Required
Warning: Please ensure you have requested or received a Faculty or Clinical nomination
Warning: Award recipient determined by the Registrar
Demonstrate how you meet the award criteria
Please refer to the specific award criteria for word count requirements

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Financial Needs Assessment
This page only needs to be completed if the criteria of Scholarships, Awards & Named Bursaries requires you to demonstrate financial need. If not, scroll to the bottom of the page and press Next.
Failure to submit complete applications will result in your application being ineligible.
Citizenship Status
Marital Status
Age of 1st Dependent
Age of 2nd Dependent
Age of 3rd Dependent
Age of 4th Dependent
Age of 5th Dependent
Age of 6th Dependent
Resident of Ontario Last 12 Months
- Yes
- No
Monthly Expenses & Income
Provide a summary of monthly income and expenses. Please:
1. Include evidence of expenses (additional evidence may be requested and required)
2. Calculate your expenses by month prorating semester expenses (e.g. one semester of tuition would be divided by 4)
3. Prorate any assets by the duration of the semester (e.g. savings of $2,000.00 would be divided by 4)
4. Attach any additional supporting documentation outlining your situation or extraordinary expenses
Residence
(Mortgage/Rent)
Utilities
(Include Telephone/Internet)
Transportation
Food/Personal Care
Child Care
Other expense amount
Expense type
Please specify the type of expense
Bank Balance
Education Savings Plan
Net Employment Income
Spouse’s Net Employment Income
Child Tax Credit/ HST Rebate/ Orphan’s Benefits
Support Payments
(Parental/Spousal)
Other Income
- Yes
- No
Other income amount
Please Specify
Please Specify your other income
Other Financial Assistance

Please list the type of all other financial assistance (Loans, Grants, Scholarships) you have applied for or received during the study period.
1.
Type of Financial Assistance (Loans, Grants, Scholarships)
Date Applied - must be mm/dd/yyyy format * Required
Date Format: MM slash DD slash YYYY
Amount * Required
Received/Expected to Receive
2.
Type of Financial Assistance (Loans, Grants, Scholarships)
Date Applied - must be mm/dd/yyyy format * Required
Date Format: MM slash DD slash YYYY
Amount * Required
Received/Expected to Receive
3.
Type of Financial Assistance (Loans, Grants, Scholarships)
Date Applied - must be mm/dd/yyyy format * Required
Date Format: MM slash DD slash YYYY
Amount * Required
Received/Expected to Receive
Additional Information
Please include any additional information

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Student Awards Ceremony - Your Information
Short bio to be used for the Student Awards Ceremony. * Required
Clear Headshot Photo
Accepted file types: jpg, gif, png.
Skip this step if you would like your Student ID photo to be used.
(Allowed file ext. jpg, gif, png & Maximum upload file size: 2 MB )
I certify that the information contained herein and in the supporting documents is true, correct and complete. I understand that any incomplete disclosure, misrepresentation or falsified information on the application and supporting documents may result in the cancellation of/disqualification from a Scholarship, Award, or Named Bursary.

The information on this form is collected under the authority of the Michener Institute of Education at UHN and will be protected and used in compliance with the Ontario Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c. F.31. I authorize the release of my personal information to The Michener Institute of Education at UHN for the purposes of determining my eligibility for a Scholarship, Award, or Named Bursary.

I consent to the use of my Student ID photo at the Student Awards Ceremony for presentation and visual publications, should I not provide my own photo. I also understand that my name will be published. Note: Incomplete applications will not be considered.
* Required
- I agree to the above term of use

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Scholarships, Awards & Named Bursary Application Form:

Step 1 of 3

Personal Information

Financial Needs Assessment

Monthly Expenses & Income

Other Financial Assistance

Student Awards Ceremony - Your Information