Sample documents for: B.C. Deaf Students who are planning on attending Gallaudet University or National Technical Institute for the Deaf This document contains copies of documents as samples only. It is the responsibility of the B.C. Deaf student to contact Gallaudet University, National Technical Institute for the Deaf and StudentAid B.C. to make sure they have the most up-to-date and correct documents. The documents can be found on the following websites: Gallaudet University: www.gallaudet.edu National Technical Institute for the Deaf (at Rochester Institute of Technology): www.rit.edu/ntid StudentAid B.C. : www.studentaidbc.ca Prepared by Family Network for Deaf Children [email protected] Page 1 of 178 TABLE OF CONTENTS for Sample Documents Click on the “TAB” below to go directly to the Sample Document: Gallaudet University ! TAB A! Student Admission Application National Technical Institute for the Deaf ! TAB B! Student Admission Application StudentAid B.C. Application Package for Full Time Students ! TAB C! Student Application Form ! TAB D! Appendix 1 ! TAB E! Appendix 2 ! TAB F! Appendix 3 ! TAB G! Instruction Guide ! TAB H! Student Guide StudentAid B.C. – Other Forms ! TAB I! Permanent Disability Programs Application ! TAB J! Notification of Assessment ! TAB K! Master Student Financial Assistance Agreement & Information ! TAB L! Confirmation of Enrollment ! TAB M! Appendix 7 Page 2 of 178 TAB A SAMPLE DOCUMENT Gallaudet University Undergraduate Application Page 3 of 178 NOTES: Page 4 of 178 International/Permanent Resident T N E Undergraduate M Gallaudet U N I V E R S I T Y M A S E L U C O D P Page 5 of 178 Application Gallaudet University Undergraduate Application Application Checklist Please note that application received without one of the following items below will not be processed until this office receives all of your application items. o 1. Complete and sign your portion of the international application. o 2. Mail the non-refundable $50 application fee directly to us. Use the Application Payment form. (page 6) o 3. Two Application Essays. (page 6) o 4. High School Transcript (secondary school transcript and/or upper secondary school transcript) or University Transcript(s) for Transfer Applicant only. NOTE: Transcript(s) must be translated by a certified translator. Without the translated transcript(s), the applicant will not be allowed to enroll and register for courses. o 7. High School/Secondary Education Record. (page 13) E L o 8. Standardized Test Report - choose one of the following tests: ACT Institutional Code: 0662 www.act.org or SAT Institutional Code: 5240 www.sat.org or www.collegeboard.com M A S You must send your official transcript(s) along with a copy of the college catalog(s). Your transcripts will be reviewed, and you will be notified if any tests are necessary. If you do not submit your transcript, you will be required to submit SAT or ACT test scores. P (TOEFL is not accepted for undergraduate admissions) For students who do not live near an ACT or SAT testing center: Ask your school administrator to verify that there are no testing centers nearby. If there are none, you will need the school to fill out the Test Authorization and Order form (see page 11) in order to administer a different test, the Stanford test, to you instead. The school administrator can send the letter and the Test Authorization and order form to Office of Admissions, Gallaudet University. After we receive the letter and form from your school administrator, the Stanford Test will be mailed to your school. T N E English Language Institute (ELI) M U C O D o 5. Provide evidence of financial support with financial support documents (see pages 7-10). If you are a permanent resident (green card holder), you do not need to fill out the Certificate of Finances and Sponsor’s Affidavit forms. Instead, make a photocopy of your permanent resident card (both sides) and send it or fax to the Office of Admissions at (202) 651-5744. o 6. Two Letters of Recommendation. (page 12) Transfer Students If you do not currently have English/ASL skills, you are strongly encouraged to contact the English Language Institute for program information. The English Language Institute is a precollege program that offers intensive English language instruction to deaf or hard of hearing international students. Many international students apply to Gallaudet University after successfully completing the ELI program. (202)651-5815 (tty/voice) (202)448-6954 (fax) [email protected] (E-mail) http://cips.gallaudet.edu o 9. Audiogram (must be completed by a physician or an audiologist). (page 14) Please make a photocopy of your application form, documents, and essays for your records. Page 6 of 178 Gallaudet University Application for international & Permanent resident Admission II Thank you for your interest in applying for undergraduate admission to Gallaudet University. Your application and supporting documents represent who you are and what you have to gain from and contribute to Gallaudet University. We encourage you to make sure that these documents are a complete and fair representation of your qualifications for admission to Gallaudet University. Students who are admitted to Gallaudet University have the unique opportunity to achieve their personal and professional goals in a barrier-free environment. Our liberal arts curriculum allows you to develop your individual skills while preparing you to be a vital part of the increasingly competitive work force. We hope you will soon join our proud and strong community of excellence. Gallaudet University does not provide funding for international students first year of studies. However, that does not mean there is no assistance out there available to you. We encourage you to contact your local government or public/private agencies to request assistance. P The deadline for international applications is June 30 for fall admission and November 30 for spring admission. If you do not provide evidence of sufficient funds by these deadlines, your enrollment will be deferred in the future semester. M A S Academic Advising (202) 651- 5355 (tty/voice) (202) 651- 5759 (fax) [email protected] Admissions - Undergraduate (866) 563- 8896 (videophone) (800) 995- 0550 (tty/voice) (202) 651- 5114 (tty) (202) 651- 5750 (voice) (202) 651- 5744 (fax) [email protected] Although permanent residents need to fill out an international application, they pay the U.S. tuition rate. All other international students pay the international tuition rate. We welcome your application for undergraduate admission and are available to assist you throughout the process. (866) 563-8896 (videophone) (202) 651-5114 (tty) (202) 651-5750 (voice) (202) 651-5744 (fax) [email protected] (E-mail) Our office hours: Monday - Friday, 8:30 a.m. - 4:30 p.m. T N E Athletics Department (202) 651- 5603 (tty/voice) (202) 651- 5274 (fax) M U C O D All international students except those with a permanent resident card will be required to submit a completed Certification of Finances form. Please note that a B-1/B-2 visitor visa does not allow you to attend school as a student. In compliance with U.S. Citizenship and Immigration Services (USCIS) regulations, all international applicants on the F-1 visa (student visa) must provide evidence of sufficient funds available for their studies. E L Contact Information Financial Aid Office (202) 559- 5586 (videophone) (800) 995- 0990 (tty/voice) (202) 651- 5290 (tty/voice) (202) 651- 5740 (fax) [email protected] Honors Program (202) 651- 5550 (tty/voice) (202) 651- 5896 (fax) [email protected] Orientation Programs (202) 651-5064 (voice) (202) 651- 5572 (fax) [email protected] Registrar’s Office (202) 651- 5393 (tty/voice) (202) 651- 5182 (fax) [email protected] Residence Life and Housing (202) 651- 5255 (tty/voice) (202) 651- 5757 (fax) [email protected] Student Financial Services (888) 651- 5447 (tty) (888) 651- 5145 (voice) (202) 651- 5711 (fax) [email protected] Student Health Service (202) 651- 5090 (tty/voice) (202) 651- 5743 (fax) [email protected] University Operator (202)651-5000 (tty/voice) www.gallaudet.edu Page 7 of 178 Gallaudet University Application for international & Permanent resident Admission III Undergraduate International/Permanent Resident Application Applying for Year 20_____ o Fall/August o Spring/January For Office Only: PS ID# ___________________________ You may complete this application online at admissions.gallaudet.edu or complete a downloaded print copy and mail it to Office of Admissions with a $50 non-refundable check or money order made payable to Gallaudet University. Application fee paid: oCheck oCredit Card oMoney Order Signature: ________________________ Date: ____________________________ Personal Information oRE Choose one: o Undergraduate International Freshman (no previous college experience/credits) o Undergraduate International Transfer (prior college experience/credits) o Undergraduate Freshman/Transfer with permanent resident card (green card) Choose one: oFC oFR oPH oHO T N Test: ______________ GPA: __________ oPres oProv oDean oLead oDav oFos E oNSP oOSWD o Deaf o Hard of Hearing M U C O D ARC: ____ ____ ____ ____ ____ ____ JS/PLUS ___________ Plus __________ Full Legal Name: ____________________________________________________________________________________________ (Please indicate as printed on your passport or Social Security card.) last name __________________________________________________________ E L address line 1 __________________________________________________________ address line 2 P __________________________________________________________ state/province M A S zip/postal code __________________________________________________________ country middle name Preferred Name: ____________________________ Home Address: city first name Phone: ___________________________________ o tty o voice o vp Fax: ________________________________________________________ Maiden Name, if any: ________________________ Social Security #: ____________________________ (if applicable) Date of Birth: ________ /_______ / _____________ Birth State: _________________________________ Birth Country: ______________________________ Gender: o Male o Female Marital Status: o Single o Married o Divorced Mailing Address: __________________________________________________________ address line 1 __________________________________________________________ address line 2 __________________________________________________________ city state/province zip/postal code __________________________________________________________ country Phone: ___________________________________ o tty o voice o vp Personal E-mail: ___________________________________________________________________________________________ Page 8 of 178 Gallaudet University Application for international & Permanent resident Admission 1 Application Information Are you a U.S. citizen? o Yes o No How long have you lived in the United States? If no, are you a permanent resident? o Yes o No __________________________________________ o If yes, what is your permanent resident card number? What date did you enter the U.S.? A#________________________________________ __________________________________________ o (Eligible for Scholarships) If no, please explain and submit verification of permanent residence application status from immigration. Are you currently in F-1 or J-1 status and attending college/university? o Yes o No T N College name: ______________________________ E Have you ever been charged with a felony or been convicted of a misdemeanor resulting in imprisonment? o Yes o No If yes, please explain: _______________________________________________________________________________________ M U C O D What is your current interest/major? ___________________________________________________________________________ How did you hear about Gallaudet? (check all that apply) o Teacher o Summer camps o Counselor o Knowledge for College o Visiting faculty/staff o Convention o Family member o Recruiter visit o Student at Gallaudet University o Alumnus/alumna o Friend o VR Have you ever visited Gallaudet? If yes, through which program(s)? o Admissions Office visit o General visit o Open House visit o Sports camps M A S o Yes o No P E L o Gallaudet Link o Internet o Mail o Newspaper/magazine o Recruiter presentation DVD o Other: __________________________ o Sign language classes o Homecoming o Conference on campus/D.C. o Visitors Center o Knowledge for College o Summer camps o Other______________________________________________________________ Have you previously applied to Gallaudet? o Yes o No If yes, were you admitted? o Yes o No If yes, did you enroll? o Yes o No Please list other names used: ________________________________________________________________________________ What type of amplification do you use? o Hearing aid(s) o Cochlear implant o None What was your age at the onset of your deafness or hearing loss? __________________________________________________ If known, what was the cause of your hearing loss or deafness? ____________________________________________________ How long have you been using sign language? __________________________________________________________________ Please rate your ability to communicate in sign language: o Native/Excellent o Good o Fair o Poor o None The amount of time you communicate in sign language? o 100% o 75% o 50% o 25% o Never If you are a new signer, would you be interested in attending our New Signers Program? Do you plan to live on campus? Are you a Gallaudet employee? Are you a Gallaudet employee’s immediate family member? Page 9 of 178 Gallaudet University Application for international & Permanent resident Admission o Yes o Yes o Yes o Yes o No o No o No o No 2 Family Information Father/Legal Guardian Mother/Legal Guardian Name: _______________________________________________ Name: _______________________________________________ Address: _____________________________________________ Address: _____________________________________________ ____________________________________________________ ____________________________________________________ surname/family name/last name given name/first name middle/second name street city state/province zip/postal code/country code surname/family name/last name given name/first name middle/second name street city state/province zip/postal code/country code ____________________________________________________ ____________________________________________________ country country Telephone: _________________________ o tty o voice o vp Telephone: _________________________ o tty o voice o vp Fax: _________________________________________________ Fax: _________________________________________________ E-mail: _______________________________________________ E-mail: _______________________________________________ Attended High School o Yes o No High School Graduate o Yes o No Attended College o Yes o No College Graduate o Yes o No Attended Gallaudet o Yes o No Do you have deaf relatives? o Yes o No E T N M U C O D Attended High School o Yes o No High School Graduate o Yes o No Attended College o Yes o No College Graduate o Yes o No Attended Gallaudet o Yes o No If yes, o Father o Mother o Brother(s) o Sister(s) o Other(s)___________________________________________________ E L Do you have any relatives currently or previously associated with Gallaudet? o Yes o No If yes, list name: ________________________________________ M A S P Relationship: _____________________________________ Alumni; Employee; Student; Former student; Donor Financial Aid (Permanent resident only) Are you interested in applying for financial aid? o Yes o No Vocational Rehabilitation Counselor Do you have a Vocational Rehabilitation Counselor? If yes, please complete: o Yes o No Name: _____________________________________________________________________________________________________ Address: ___________________________________________________________________________________________________ ___________________________________________________________________________________________________________ city state/province zip/postal code/country code ___________________________________________________________________________________________________________ country Phone Number: ________________________________ o tty o voice o vp Fax Number: ______________________________ E-mail: ____________________________________________________________________________________________________ Page 10 of 178 Gallaudet University Application for international & Permanent resident Admission 3 Educational Information High School Educational Background Do you have a high school or secondary school diploma/certificate or its equivalent? If yes, what is your graduation date? _____ /_____ /_____ If no, what is your expected date of graduation/completion? _____ /_____ /_____ o Yes o No If no, please name a certificate that is equivalent to high school or secondary school diploma. T N ____________________________________________________________________________________________________ Home study? o Yes o No E High School/Secondary Program Information M U C O D Begin with the most recent school attended. Be sure to send official, sealed high school transcript(s) from ALL high schools attended. Copies will not be accepted. When available, send final transcript(s) showing date of graduation. Without the transcript(s), the applicant will not be allowed to enroll and register for courses. 2. School Name: 1. School Name: Address: _____________________________________________ Address: _____________________________________________ street street ____________________________________________________ city E L state/province zip/postal code/country code ____________________________________________________ city state/province zip/postal code/country code ____________________________________________________ ____________________________________________________ country country P Telephone: _____________________________ o tty o voice o vp M A S Fax: _______________________________________________________ Telephone: _____________________________ o tty o voice o vp Fax: _______________________________________________________ E-mail: _____________________________________________________ E-mail: _____________________________________________________ Date of Attendance: Date of Attendance: From _________________________ To __________________________ month/year month/year From _________________________ To __________________________ month/year month/year Year of Graduation __________________________________________ Year of Graduation __________________________________________ Type of Program: Type of Program: School for the Deaf o Yes o No School for the Deaf o Yes o No Mainstream program at public school o Yes o No Mainstream program at public school o Yes o No Other __________________________ Yes o No Other __________________________ Yes o No Page 11 of 178 Gallaudet University Application for international & Permanent resident Admission 4 Gallaudet Entrance Requirements Standardized Test Information Indicate which of the standardized tests you have taken and have your official results sent to Gallaudet as aoon as possible. Our institutional code number for the ACT is 0662 and the code for the SAT is 5240. ACT o Yes o No SAT o Yes o No Advanced Placement Test o Yes o No Postsecondary Education Information (To be completed by transfer students only) T N E Begin with most recent college/university attended. List all community colleges, colleges, and universities attended after high school. Applicants must submit an official college transcript from every school attended. Photocopies of transcripts will not be accepted. Allow three weeks mailing time when sending transcripts and catalogs from other universities to Gallaudet. 1. College Name/Department Name: M U C O D Address: _________________________________________________________________________________________ street _________________________________________________________________________________________________ city state/province zip/postal code/country code _________________________________________________________________________________________________ E L country Telephone: _________________________ o tty o voice o vp Fax: _____________________________________ P Dates Attended: From _____________________________________ To _______________________________________ month/year month/year M A S 2. College Name/Department Name: Address: _________________________________________________________________________________________ street _________________________________________________________________________________________________ city state/province zip/postal code/country code _________________________________________________________________________________________________ country Telephone: _________________________ o tty o voice o vp Fax: _____________________________________ Dates Attended: From _____________________________________ To _______________________________________ Send transcript(s) to: month/year month/year Director of Admissions Office of Admissions Gallaudet University 800 Florida Avenue, NE Washington, DC 20002 Page 12 of 178 Gallaudet University Application for international & Permanent resident Admission 5 Recommendations (Recommendations must be from a professional. At least two are required. Form is on page 12.) 1. Name __________________________________________________________________________________________________ last name first name middle name o Superintendent/Principal o Employer/Teacher o Coach o School Counselor o Community Leader Telephone: ________________________________ o tty o voice o vp Fax: _____________________________________ E-mail: _________________________________________________________________________________________________ 2. Name __________________________________________________________________________________________________ last name first name T N middle name o Superintendent/Principal o Employer/Teacher o Coach o School Counselor o Community Leader Telephone: ________________________________ o tty o voice o vp Fax: _____________________________________ E E-mail: _________________________________________________________________________________________________ Essay Questions M U C O D Instructions: There are limitations to what grades, test scores, and recommendations can tell us about any applicant. Your answers to the following questions will help us learn more about you so we can fairly evaluate your academic commitment and readiness for college. We hope in writing these essays you will reflect on your attitudes, values and perception. On additional paper, answer both questions below, using at least 250 words for each essay. Essay Question One: Explain in detail your involvement the past three years in all community, employment, academic, or extracurricular activities. Essay Question Two: Your academic interests, personal perspectives and life experiences will add much to Gallaudet’s diverse community. Describe a personal experience that shows what you will bring to Gallaudet’s diverse community. Applicant Certification M A S E L P I understand that falsifying or withholding information in completing the application may result in the cancellation of my admission to the University and/or registration with the University. I certify that the information provided in this application is true and correct. Applicant Signature___________________________________________ Date_________________________________________ Application Payment The required nonrefundable $50 application fee is a requirement and will not be waived. Applications arriving without the application fee will be considered inactive and will not be processed. Check #/Money Order ___________________________ Name of Payee ________________________________________ Credit Card #_______________________________________o VISA o MC Expiration Date ______________________ Name on Account (please print) _________________________________________________________________________ $______________________________________________________________ Date_______________________________ Card Owner Signature _________________________________________________________________________________ Page 13 of 178 Gallaudet University Application for international & Permanent resident Admission 6 Certification of Finances Form Academic Year 20_____ to 20_____ Confidential You may fax this to (202) 651-5744, but you must also send the original document(s) in the mail. In order to issue the I-20 Certificate of Eligibility or DS-2019, students must submit proof of financial ability. Gallaudet University is required by the U.S. Citizenship and Immigration Services (USCIS) regulations to verify the availability of adequate funding for your tuition, fees, living and books and expenses for the duration of your academic program. Full Legal Name (type your name EXACTLY as it appears on your passport) T N Name: ___________________________________________________________________________________________________ surname/family name/last name given name/first name middle/second name E E-mail address: ___________________________________________________ Native Lanaguage: _______________________ Country of Birth: _______________________ M U C O D Country of Citizenship: _____________________________________________ Sex/Gender: o Male o Female Date of Birth: ________/_______/_________ Month Day Year Mailing Address: E L Address: _________________________________________________________________________________________________ ________________________________________________________________________________________________________ city P state/province Country zip/postal code/country code Phone: _______________________________________________ Fax: ______________________________________________ M A S Visa Information: Are you currently in F-1 or J-1 status and attending another educational institution? o Yes o No If yes, please write the college name: ___________________________________________________ Please enclose photocopies of the following documents. o Passport and Visa Stamp in passport o I-94 Card (both sides) o I-20 Form or DS-2019 Form or other immigration documents (both sides) Will you request Gallaudet University to issue the I-20 Certificate of Eligibility or DS-2019? o Yes o No If yes, o F-1 or o J-1 Page 14 of 178 Gallaudet University Application for international & Permanent resident Admission 7 Estimated Additional Costs. You should plan to have at least $2,000 for personal expenses each academic year. If you plan to stay at Gallaudet University through the winter and summer vacation periods, you will need to pay an additional $3,000. If your family will stay with you while you are a student, plan an additional $5,000 for your spouse and $3,000 for each child. Student’s Sources of Funds/Required Documents Please mark your source(s) of funding for the duration of your program at Gallaudet University. You MUST submit documents for each source of funds that you mark. Documents must be in English and bear a signature, official seal or be on a letterhead from an official agency. These documents must be less than 6 months old when presented to Gallaudet University. Sources T N Required Documents o Student Funds o Support Available From Family/Friends o Support Available From Sponsors o Your Government/ Embassy o Charitable Organizations o OSAP/Canada Students Loan/VR/Others o No other support is available M A S E 1. Bank statement for checking, savings and/or other accessible account 2. Certificates of deposit:; mutual, stock or bond fund 1. Complete the Sponsors Affidavit in this application 2. Official letter from sponsor’s employer showing annual earnings. Official Letter E L P Applicant Certification M U C O D 1. Complete the Sponsor Affidavit in this application 2. Bank statement for checking and /or savings 3. Certificates of deposits, mutual, stock or bond funds Official Letter Pending after acceptance (Canadian Students Only) Pending after acceptance I hereby certify that the total amount of money that I have available for my first academic year at Gallaudet University is US$________________________. Further, I certify that the information I am providing is correct and complete, and that I will notify Gallaudet University of any changes in my financial circumstances. I understand that if I am a tourist without a student visa and/or Form I-20/DS-2019, I cannot register as a student at Gallaudet University. I further understand if I have no support available, my I-20/DS-2019 Certificate of Eligibility will not be released to me. ________________________________________________________________ _______________________________ Signature Date Note: This information is provided as a guide only and is not considered a contract or binding on the University. The University reserves the right to change tuition costs, fees, and other charges at any time. Page 15 of 178 Gallaudet University Application for international & Permanent resident Admission 8 Guide to Sponsor’s Affidavit of Annual Cash Support What does affidavit mean? By completing this affidavit, you, as a sponsor, are sworn to the United States government that you will support with a specific amount of money from your own financial resources for each year of the student’s studies and residence at Gallaudet University in the United States of America. Please note that you also must attach a document with proof to show that you are sworn to support that student every year. T N By signing the affidavit, you are making a financial commitment to the student that you must not break. If sponsors do not provide money support as sworn, the student will be forced to leave college. Do not expect that the student will be able to help support the costs through employment. Employment is strictly controlled by the Immigration Service and very limited. E How to complete the enclosed Sponsor’s Affidavit of Annual Cash Support Form: o Fill out the affidavit form in ENGLISH! M U C O D o Promise to give only as much money as you can afford. The most common reason we reject affidavits is we do not believe a sponsor can pay the amount of money as promised. o Attach proof of financial capability document(s) as explained below. o Sign the affidavit in front of your country’s notary public or appropriate official. Proof of Financial Capability Documents: E L You must prove that you are financially capable to support EACH YEAR of your student’s studies by attaching a proof of income document and a bank statement. (If one of these documents is not attached, your support will not be considered). P o Proof of Income Document. This must be on your employer’s business stationery, on income tax returns or receipts, or estimates by a bank with a private account if you are self-employed. The income of your company will not be accepted as proof of income. You must provide an official statement of the salary paid to you or it must be on your tax returns. M A S o Bank Statement must be in your name and your statement must state the following information: date when your account was opened, current balance in U.S. dollars or its equivalent, average deposits and average balances. We cannot accept statements that do not specify balances unless it is stated to be a minimum of USD 100,000. If another person’s name appears on your bank statement, that person must complete a separate affidavit or submit a notarized statement permitting those funds to be considered as financial support for the student. Documents must be: o Current (less than two months old) o In English o Notarized Page 16 of 178 Gallaudet University Application for international & Permanent resident Admission 9 Sponsor’s Affidavit of Annual Cash Support This is my sworn promise of cash support I, _______________________________________________________________, promise that I can and will give no less my name than U.S.$ ________________________________________ in cash for every year of the student’s program of study at Gallaudet University to:_____________________________________________________________________________. Full Name of Student T N My relationship to the student is ______________________________________________________________________________. E Father, Mother, Spouse, Brother, Sister, Friend My address: ____________________________________________________________________________________________ ____________________________________________________________________________________________ Phone: ____________________________________________ Fax: ___________________________________________ Email: ____________________________________________________________________________________________ M U C O D The following persons are fully or partially dependent upon me for their support. (Do not include the student named above) ______________________________________ _______________________________ Name Relationship to me E L ______________________________________ P ______________________________________ M A S ________________________ Age _______________________________ ________________________ _______________________________ ________________________ Name of My Employer: _______________________________________________________________________________________ Annual Salary: _______________________________________ (USD) Other Income: _______________________________(USD) My proof of income document and bank statement are attached: o Yes o No I swear that information I have provided above is true and correct. ____________________________________________________________________ Signature of Sponsor Sworn and subscribed before me this day: _________________________________ ____________________________________________________________________ Page 17 of 178 Gallaudet University Application for international & Permanent resident Admission Signature of Notary 10 Test Authorization and Order Form To be completed and returned by a designated test proctor (school administrator or counselor). International students seeking admission are required to show proof of their academic readiness and use of the English language on specific standardized admission tests. Applicant must identify a professional in the field of education or their school counselor, to administer these tests. If you are willing to administer these entrance exams, please fill in all the requested information below. Please mail or fax this form to the Office of Admissions. All tests must be taken and their results submitted for review by April 15. Applicant’s Name: ____________________________________________________________________________________________ Your Name (Please print in upper case letters): _____________________________________________________________________ Your Title: ___________________________________________________________________________________________________ Agency/School Name:_________________________________________________________________________________________ Agency/School Address: _______________________________________________________________________________________ ____________________________________________________________________________________________________________ city state/province E M U C O D Phone: _________________________o tty o voice o vp Country T N zip/postal code/country code Fax (if any): ___________________________________________ E-mail Address (if any): ________________________________________________________________________________________ Date you have scheduled to administer the test (must be before March 15): _____________________________________________ E L I agree to administer all entrance exams in an ethical and professional manner. In addition, I will not assist the applicant by answering any questions. I understand that failure to adhere to ethical standards while administering these tests will lead to the withdrawal of the applicant’s admission file. I also understand that these proctors will be held responsible for administering these tests properly and for providing an appropriate test environment. M A S P Your signature:____________________________________________________ Please indicate your selection below. If you currently have the correct 9th Edition of the Stanford, you do not need to order another. Please allow at least four weeks for the processing and delivery of test materials. Materials will be sent to the address exactly as it is listed above. Mail or fax completed form to: Office of Admissions Gallaudet University 800 Florida Avenue, NE Washington, DC 20002 (202) 651-5744 (fax) Date: __________________________________ Number of Tests Needed Stanford Achievement Test 9th Edition, Advanced 2 English Language Writing Sample Elementary/High School Mathematics Test Page 18 of 178 Gallaudet University Application for international & Permanent resident Admission 11 Confidential Recommendation TO THE APPLICANT: Please print this form and complete your section, using blue or black ink. Then give this form to a high school teacher in an academic subject area. Applicant’s name: __________________________________________________________________________________________ Name of high school: _____________________________________________________________ Country: __________________ Birth date: ________/_______/___________ month day Applying for term: Fall/August 20_____ Spring/January 20______ year I authorize my high school teacher to release the recommendation form or letter and other information to Gallaudet University. Applicant’s signature: ______________________________________________ TO THE TEACHER: Please rate the nature and quality of the applicant’s academic work, including the applicant’s motivation, originality, intellectual breadth or depth, and capacity for independent thought. In addition, add any impressions you have about the applicant as a person. Include any anecdotes you may have that illustrate the applicant’s character, goals, values, maturity, leadership potential and ability to do college work. Rate this student as realistically as you can in comparison with your college-bound students. If you prefer, a letter of recommendation may be substituted for the rating chart. For those students with low GPAs and/or weak academic performance and motivation, a letter from an academic personnel is strongly recommended. Teacher’s name: _______________________________________________________ Title/Position: _________________________________________________________ E L tty voice vp E-mail: _______________________________________________________________ P Teacher’s signature: _______________________________ M A S Academic Rating Ability Motivation E Please mail or fax completed form to: M U C O D Telephone: ________________________________________ T N Date: __________________________________ Office of Admissions Gallaudet University 800 Florida Avenue, NE Washington, DC 20002 (202) 651-5744 (fax) Thank you for your response and assistance. If you have any questions concerning the application process, contact us at: (866) 563-8896 (videophone) (800) 995-0550 (tty/voice) admissions.offi[email protected] Date: ______________ Below Average Average Good Excellent-Top 10% Outstanding-Top 2 or 3% Below Average Average Good Excellent-Top 10% Outstanding-Top 2 or 3% Creative Qualities Self-Discipline Achievement Ability to Succeed Character and Personality Rating Leadership Potential Self-confidence Cocurricular Participation Attitude about School Maturity Initiative Reaction to Setbacks Interpersonal Skills with Peers Page 19 of 178 GALLAUDET UNIVERSITY APPLICATION FOR INTERNATIONAL & PERMANENT RESIDENT ADMISSION 12 Confidential Recommendation TO THE APPLICANT: Please print this form and complete your section, using blue or black ink. Then give this form to a high school teacher in an academic subject area. Applicant’s name: __________________________________________________________________________________________ Name of high school: _____________________________________________________________ Country: __________________ Birth date: ________/_______/___________ month day Applying for term: Fall/August 20_____ Spring/January 20______ year I authorize my high school teacher to release the recommendation form or letter and other information to Gallaudet University. Applicant’s signature: ______________________________________________ TO THE TEACHER: Please rate the nature and quality of the applicant’s academic work, including the applicant’s motivation, originality, intellectual breadth or depth, and capacity for independent thought. In addition, add any impressions you have about the applicant as a person. Include any anecdotes you may have that illustrate the applicant’s character, goals, values, maturity, leadership potential and ability to do college work. Rate this student as realistically as you can in comparison with your college-bound students. If you prefer, a letter of recommendation may be substituted for the rating chart. For those students with low GPAs and/or weak academic performance and motivation, a letter from an academic personnel is strongly recommended. Teacher’s name: _______________________________________________________ Title/Position: _________________________________________________________ E L tty voice vp E-mail: _______________________________________________________________ P Teacher’s signature: _______________________________ M A S Academic Rating Ability Motivation E Please mail or fax completed form to: M U C O D Telephone: ________________________________________ T N Date: __________________________________ Office of Admissions Gallaudet University 800 Florida Avenue, NE Washington, DC 20002 (202) 651-5744 (fax) Thank you for your response and assistance. If you have any questions concerning the application process, contact us at: (866) 563-8896 (videophone) (800) 995-0550 (tty/voice) admissions.offi[email protected] Date: ______________ Below Average Average Good Excellent-Top 10% Outstanding-Top 2 or 3% Below Average Average Good Excellent-Top 10% Outstanding-Top 2 or 3% Creative Qualities Self-Discipline Achievement Ability to Succeed Character and Personality Rating Leadership Potential Self-confidence Cocurricular Participation Attitude about School Maturity Initiative Reaction to Setbacks Interpersonal Skills with Peers Page 20 of 178 GALLAUDET UNIVERSITY APPLICATION FOR INTERNATIONAL & PERMANENT RESIDENT ADMISSION 12 High School/Secondary Education Record TO THE APPLICANT: Please print this form and complete your section, using blue or black ink. Then give this form to a high school official. Applicant’s name: __________________________________________________________________________________________ Birth date: ________/_______/__________ month day Telephone: ________________________________________ o tty o voice o vp year E-mail: ___________________________________________________________________________________________________ T N TO THE SCHOOL OFFICIAL: Please mail this form to Office of Admissions, Gallaudet University, 800 Florida Avenue, NE, Washington, DC 20002 or fax ato (202) 651-5744. E School’s name: _______________________________________________________________________________________ M U C O D Address: ____________________________________________________________________________________________ street ___________________________________________________________________________________________________ city state/province zip/postal code/country code ___________________________________________________________________________________________________ country Telephone: _________________________ o tty o voice o vp Fax: _______________________________________ E-mail: _____________________________________________________________________________________________ E L All the information below is required for every applicant. Please return this completed form as soon as possible. P A. High School Transcript Please attach a copy of the applicant’s high school transcript. M A S B. Academic Achievement Record(s) 1. The following standardized test scores may be sent: oACT oSAT oAdvanced Placement Test 2. If achievement test scores are not available or if you question their appropriateness, we would be happy to suggest suitable testing. 3. This applicant’s file will be considered incomplete if appropriate test results are not made available to the Admissions Office. C. Student o Graduated o Will graduate _________________ D. Outstanding, Activities, Honor, or Awards _____________________________________________ _____________________________________________ _____________________________________________ E. Mainstream Program Number of years student was mainstreamed _________ F. How many deaf and hard-of-hearing students are at your school? ________________________________ Educational access/support service(s) student received: (check all that apply) o Interpreter o Notetaker o Tutor o Resource Room o Other (explain)________________________________ ______________________________________________ ______________________________________________ Signature of School Official: ____________________________________________________ Date: _________________ Page 21 of 178 Gallaudet University Application for international & Permanent resident Admission 13 Audiological Record TO THE APPLICANT: Check with your doctor, audiologist, school counselor, or vocational rehabilitation counselor to see if a copy of your audiogram is already on file. If they have it, send a copy in the enclosed envelope. This form does not need to be completed. If they do not have one, send this form to your doctor or audiologist. Applicant’s name: __________________________________________________________________________________________ Birth date: ________/_______/__________ month day Telephone: ________________________________________ o tty o voice o vp year E-mail: ___________________________________________________________________________________________________ T N TO THE CERTIFIED AUDIOLOGIST: All the information below is required for every applicant. Please return this completed form as soon as possible. o Birth 1. Onset of hearing loss: E o Other______________________________________________________ Month Year M U C O D 2. Cause of hearing loss: ____________________________________________________________________________ 3. Pure Tone: Date Administered Month Right Ear Frequency Year 125 Air Hearing Level Bone E L Indicated Standard Used: ISO-ANSI M A S 1. P Frequency 250 500 750 Left Ear 125 250 500 750 Name: __________________________________________________________ Title/Position: ____________________________________________________ Agency/School: __________________________________________________ ________________________________________________________________ street ________________________________________________________________ 1000 2000 3000 4000 6000 8000 Air Hearing Level Bone Signature: _______________________________________________________ city 1000 2000 3000 4000 6000 8000 state/province zip/postal code/country code Telephone: ____________________________________ o tty o voice o vp Please mail or fax completed form to: Office of Admissions Gallaudet University 800 Florida Avenue, NE Washington, DC 20002 (202) 651-5744 (fax) Thank you for your response and assistance. If you have any questions concerning the application process, contact us at: (866) 563-8896 (videophone) (800) 995-0550 (tty/voice) [email protected] Email: __________________________________________________________ Page 22 of 178 Gallaudet University Application for international & Permanent resident Admission 14 TAB B SAMPLE DOCUMENT National Technical Institute for the Deaf Undergraduate Application Page 23 of 178 NOTES: Page 24 of 178 UNDERGRADUATE APPLICATION T N E E L P C O D M A S 2011-2012 M U Page 25 of 178 Please refer to the application timetable below to determine when you should file your application, based upon your applicant status and desired entry term. If you have any questions about the application process, please call the Undergraduate Admissions Office at 585-475-6631, or the NTID Admissions Office at 585-475-6700 (voice/TTY), toll free in the U.S. and Canada at 866-644-6843 (voice/TTY), or by videophone at 585-743-1366. You may return your application form in the enclosed envelope, but keep the application timetable and instructions (pages A through D) for future reference. Application Timetable Applicant Status Entry Term Application Deadlines Notification Date Freshman– Fall Quarter Early Decision Submit application, test scores and transcript by 12/1 (postmarked). Early Decision notification mailed by 1/15. Freshman– Fall Quarter Regular Decision Submit application, test scores and transcript by 2/1* (postmarked). Regular Decision notification mailed by 3/15. Freshman– Fall Quarter Regular Decision After 2/1*: Applications reviewed on a space-available basis. Notification 4–6 weeks after all documents received. Freshman Winter, Spring, or Applications received Summer Quarters on a rolling basis. M U C O Transfer All Quarters Applications received on a rolling basis. D T N E Notification 4–6 weeks after all documents received. Notification 4–6 weeks after all documents received. *You must submit your application and academic records by February 1 to be considered for merit-based scholarships and the RIT Honors program. E L P Freshman Application Checklist Item Mailed or Given to Date Application and $50 Fee (or fee Undergraduate Admissions Office waiver) _______________________ Secondary School Transcript Request College Counselor at your school _______________________ Audiological Form** for all deaf and hard-of-hearing students NTID Admissions Office _______________________ Request that required admission test scores be sent to RIT (SAT Code #2760, ACT Code #2870) College Counselor, College Entrance Examination Board (SAT), or ACT _______________________ Art Portfolio (if required) Undergraduate Admissions Office _______________________ (Candidates applying for need-based financial aid must also file Federal FAFSA form. RIT federal code #002806.) Federal Processor _______________________ M A S **All deaf and hard-of-hearing students must submit the RIT Audiological Form or an official audiogram from a certified audiologist in order for their application to be considered. RIT promotes and values diversity within its workforce and provides equal opportunity to all qualified individuals regardless of race, color, creed, age, marital status, gender, religion, sexual orientation, gender identity, gender expression, national origin, veteran status, or disability. © 2011 Rochester Institute of Technology. All rights reserved. RIT and NTID are registered trademarks of Rochester Institute of Technology. 10M-P1141-7/11-TUK-ASG Page 26 of 178 Application Instructions Apply Online: admissions.rit.edu Applicant Status You should apply to RIT as a freshman if you are currently in secondary school or have graduated from secondary school but have not yet attended college. You should apply to RIT as a transfer if you have attended any college after graduating from secondary school. Special information regarding admission as an Early Decision freshman, NTID or HEOP candidate is provided below. Early Decision Plan If you’re applying to RIT as a freshman and have identified RIT as your first-choice college, you may want to apply for an early review of your application through our Early Decision Plan. Please note that this plan is not an option for transfer applicants. To apply for Early Decision, you should check the appropriate box in the Applicant Status section of your application and return your completed form along with all supporting credentials (including transcripts, SAT or ACT scores, and recommendation) by December 1 in order to have your Early Decision notification mailed by January 15. Under the Early Decision Plan, if you are admitted to RIT in your first-choice academic program, you must submit a $300 acceptance of admission deposit by February 15 and withdraw your applications with all other colleges/universities at that time. M A Early Decision candidates who are not accepted will, in most cases, be asked to submit midyear senior grades and will be reviewed a second time as part of the Regular Decision group of applicants. Candidates who are accepted to an alternate (second- or third-choice) program of study may request to be released from the conditions of the Early Decision Plan. S Early Decision candidates who desire an early estimate of financial aid eligibility should submit an “early version” financial aid application to RIT. This application will be available online to all Early Decision applicants. Regular Decision Plan T N E All applications for transfer admission, and all freshman applications for winter, spring, or summer quarter entry, are reviewed on a “rolling” basis, with notification letters mailed four to six weeks after the application is complete. All applications filed by international students are also reviewed and notified on a “rolling” basis. Most applications for admission to RIT are reviewed under our Regular Decision Plan. All transfer, international, and freshman applicants other than those choosing to apply as Early Decision candidates (see above) are reviewed as Regular Decision candidates. M U C O Deaf and Hard-of-Hearing Applicants Deaf and hard-of-hearing students may apply for admission to programs offered at the National Technical Institute for the Deaf (NTID) or to any other college of RIT. Whether you are applying to an NTID program or a program in any other RIT college, you should check the appropriate box in the Applicant Status section of the application and submit an audiological record in order to qualify for educational access and support services (such as sign language interpreting services, real-time captioning services, notetakers, tutors), and to receive the federally supported tuition rate for deaf and hard-of-hearing students. D Students who select RIT as their first-choice college after December 1 should contact the Undergraduate Admissions Office to discuss consideration options. E L P Under this plan, freshman applicants for fall quarter (September) entry who have provided all required application materials by February 1 will have their admission notification mailed by March 15. Freshmen who apply for fall quarter admission after February 1 are notified of admission decisions on a space-available basis four to six weeks after their application is complete. Candidates who submit their applications and academic records by February 1 will be considered for RIT’s merit-based scholarship programs (academic and extracurricular) and the RIT Honors program. Higher Education Opportunity Program The Higher Education Opportunity Program (HEOP) provides educationally and financially disadvantaged residents of New York State with access to independent colleges and universities throughout the state by providing special academic support services and financial assistance. New York state residents who wish to be considered for admission through HEOP should check the box for HEOP admission in the Applicant Status section. HEOP candidates must also be prepared to submit financial documentation to determine HEOP eligibility. The Undergraduate Admissions Office will request this information once your application has been received. Please contact our HEOP Office at 585-475-2221 to discuss HEOP financial eligibility guidelines before applying. HEOP admission is available only to students who have not previously attended college, or to transfer students who were part of their previous college’s EOP or HEOP program. Candidates are encouraged to request a waiver of the normally required $50 application fee if needed. Page 27 of 178 A International Applicants International students may apply online, use this application form, or use RIT’s International Student Application. Students whose native language is not English must submit results of the Test of English as a Foreign Language (TOEFL) or International English Language Testing System (IELTS) examination. International applicants applying for fall quarter (September) admission should have all educational records and admission materials on file by March 1. Appli cations are reviewed on a “rolling” basis, with admissions notification four to six weeks after all materials are received by RIT. International applicants who are deaf should check the appropriate box in the Applicant Status section of the application and submit an audiological record in order to qualify for educational access and support services provided through NTID. Program Selection When you apply for admission to RIT, you are asked to select a specific academic program as part of our admission process. This is important because we offer a variety of academic programs, and admission requirements may differ from one program to another. In this section, you will select the academic program you want to study at RIT. The programs and their corresponding codes are listed on pages C and D. Please refer to this list when indicating your program choice. If you do not feel ready to select a specific academic program, you may apply for admission to one of the “undeclared option” programs offered by several RIT colleges, or choose the University Studies program if your interests span more than one RIT college. E L P All students applying for admission to the School of Art, the School of Design, or the School for American Crafts must submit an art portfolio for consideration. The portfolio should consist of 10 to 20 pieces of the student’s best work, and should be submitted on 35mm slides or a digital CD. Please review the portfolio instructions available at www.rit.edu/admissions/application-forms before submitting your portfolio. Students who wish to make special arrangements to show their art portfolio while visiting campus should contact the Undergraduate Admissions Office. Applicants who are deaf or hard of hearing should contact NTID Admissions. T N E Transfer applicants to the School of Photographic Arts and Sciences seeking credit for previous photography courses must submit a photography portfolio for credit evaluation. Photography portfolios are not required for freshman admission. M U Required Admission Tests (RIT SAT Code #2760, RIT ACT Code #2870) All freshman applicants must submit results from the SAT Reasoning Test (SAT-I) of the College Board or ACT assessment scores from the ACT Testing Program. Applicants should have the testing agency send SAT or ACT scores directly to RIT or have scores included on their high school transcript. RIT will accept results from any test date, and ACT or SAT examinations are equally acceptable for admission consideration. The ACT’s optional writing test is recommended but not required for those students who choose the ACT. C O D If you do not meet the requirements for admission to your first-choice program of study, or if that program has filled all available spaces, you will not be offered admission to that program. You may, however, be offered admission to a second- or third-choice alternate program if you have selected one. Applicants who choose alternate programs from different colleges within RIT are more likely to be admitted to one of their chosen programs. M A S Academic Transcripts This application packet includes a Secondary School Transcript Request Form. If you are applying for freshman admission, you should take this form to your high school guidance office to be completed and returned to RIT with an official copy of your transcript in a sealed school envelope. If you are a transfer applicant, you should request immediate forwarding of official college transcripts from all colleges previously attended. If you have completed fewer than 30 semester hours or 45 quarter hours, you also must submit official secondary school transcripts. If you are currently enrolled in college, please be sure to submit the Transfer Course List to indicate any courses you will complete before entering RIT. You may complete the Transfer Course List on the Web at www.rit.edu/admissions. B Portfolio Requirements International students whose native language is not English must submit results of the TOEFL or IELTS and are encouraged to also submit SAT or ACT results if available. Honors Program Admission Prospective students begin the Honors program admission process by submitting RIT’s Application for Undergraduate Admission along with secondary school transcripts and SAT or ACT scores. These materials must be submitted no later than February 1. Applications postmarked by February 1 are reviewed by the Undergraduate Admissions Office to select a limited number of candidates who are then admitted to the Honors program. Important E-mail Instructions Providing us with a correct and current e-mail address is important. E-mail is how we most often communicate with you throughout the application process. We recommend that you add [email protected] and [email protected] to your address book and remove any spam blockers that may obstruct our e-mail, and that you frequently check the e-mail address provided. Page 28 of 178 Undergraduate Day Programs College of Applied Science and Technology Program Code School of Engineering Technology* ITFZ Undeclared Engineering Technology ITFC Civil Engineering Technology ITFP Computer Engineering Technology ITFE Electrical Engineering Technology ITFL Electrical/Mechanical Engineering Technology (Transfers) ITFS Electrical/Mechanical Engineering Technology (Freshmen) ITFF Manufacturing Engineering Technology ITFM Mechanical Engineering Technology ITFT Telecommunications Engineering Technology * Please note that the engineering technology degree programs offered in RIT’s College of Applied Science and Technology differ in focus and entrance requirements from programs offered in RIT’s College of Engineering. Please review admission materials for additional information before choosing your program. Environmental Sustainability, Health and Safety School of International Hospitality and Service Innovation Packaging Science IEMEEnvironmental Sustainability, Health and Safety ISMK International Hospitality & Service Management IPKT Packaging Science College of Business BBUU Undeclared Business BBUA Accounting BBUF Finance BBUT International Business BBUG Management BBUIManagement Information Systems BBUM Marketing BREP New Media Marketing VGCU Computing Exploration (Undeclared Computing) (Freshmen) VGIU Informatics Exploration (Undeclared Informatics) (Freshmen) M A Computer Science School of Informatics VCSG Computer Science VNSAApplied Networking & System Administration S Undecided? School of Interactive Games & Media Software Engineering VIGD Game Design and Development VIGN New Media Interactive Development VSEN Software Engineering College of Engineering EENG Engineering Exploration (Undeclared Engineering) EBME Biomedical Engineering ECME Chemical Engineering EECC Computer Engineering EECS Computer Engineering– Software Engineering Option EEEE Electrical Engineering EEEM Electrical Engineering– Biomedical Engineering Option EEEC Electrical Engineering– Computer Engineering Option EEER Electrical Engineering–Robotics Option EIEI Industrial Engineering EIEE Industrial Engineering– Ergonomics Option EIEY Industrial Engineering– Information Systems Option EIEL Industrial Engineering– Lean Six Sigma Option EIEN Industrial Engineering– Manufacturing Option EIEK Industrial Engineering–Six Sigma Option EMEM Mechanical Engineering EMEA Mechanical Engineering–Aerospace Option EMEV Mechanical Engineering– Automotive Option EMED Mechanical Engineering– Bioengineering Option EMEE Mechanical Engineering– Energy & Environment Option EMCR Microelectronic Engineering E L P College of Computing and Information Sciences If you have interests that span two or more of our colleges, our broadest and most flexible option, University Studies, allows you up to a year to explore and focus your academic and career interests. If your primary interests fall within a specific college, but you are unsure of your specific major, many colleges offer Undeclared Options. These college-based options help you discover more about your specific interests within the majors offered by the college. WUSP University Studies JADA Undeclared Art and Design BBUU Undeclared Business VGCU Computing Exploration (Undeclared Computing) (Freshmen) EENG Engineering Exploration (Undeclared Engineering) ITFZ Undeclared Engineering Technology VGIU Informatics Exploration (Undeclared Informatics) (Freshmen) GLAU Liberal Arts Exploration (Undecided Liberal Arts) SSEG General Science Exploration (Undeclared Science)* * Will prepare students for a major in either the College of Health Sciences and Technology or the College of Science. VNSF Information Security and Forensics VKSF Information Technology VKSM Medical Informatics College of Health Sciences and Technology SSEG General Science Exploration (Undeclared Science) HSBS Biomedical Sciences HCLS Diagnostic Medical Sonography (Ultrasound) (BS) HCLT Diagnostic Medical Sonography (Certificate) HSMD Nutrition Management HCLA Physician Assistant (BS/MS) College of Imaging Arts and Sciences JADA JADF JADL JADM School of Art Undeclared Art & Design Optionu Fine Arts Studiou Illustrationu Medical Illustrationu School of Design JADA Undeclared Art & Design Optionu JADQ 3D Digital Graphicsu JADC Graphic Designu JADU Industrial Designu JADI Interior Designu JADW New Media Design & Imagingu JSCU JSCC JSCG JSCM JSCW JSCA JPHB Biomedical Photographic Communicationsg JPHT Imaging & Photographic Technologyg JPHD Professional Photographic Illustration– Advertising Photography Optiong JPHA Professional Photographic Illustration– Fine Art Photography Optiong JPHR Professional Photographic Illustration– Photojournalism Optiong JPHU Visual Mediag School of Print Media JPRW Media Arts & Technology (formerly New Media Publishing) College of Liberal Arts GLAU GPTA GCJC GECN GSSI GPTJ GCRS GPIL GPLS GPTC GPSY GPPD GUCS Liberal Arts Exploration (Undeclared Liberal Arts) Advertising & Public Relations Criminal Justice Economics International Studies Journalism Museum Studies Philosophy Political Science Professional & Technical Communication Psychology Public Policy Urban & Community Studies T N E M U C O D School of Photographic Arts & Sciences Center for Multidisciplinary Studies WMDFApplied Arts & Science National Technical Institute for the Deaf Interpreting Program NITF ASL-English Interpretation (BS) (See additional program listings on page D) College of Science SSEG General Science Exploration (Undeclared Science) Center for Imaging Science School of Biological and Medical Sciences School of Mathematical Sciences Department of Chemistry Department of Physics SIMG Imaging Science SBIC Bioinformatics SBIB Biology SBIV Environmental Science SBIT Molecular Bioscience & Biotechnology (formerly Biotechnology) SBIF Molecular Bioscience & Biotechnology– Bioinformatics Option SMAM Applied Mathematics SMAS Applied Statistics SMAC Computational Mathematics SCHB Biochemistry SCHC Chemistry SPSP Physics Premedical/Preoptometry/Preveterinary/ Predental Studies‡ School for American Crafts Undeclared Crafts Optionu Ceramics & Ceramic Sculptureu Glassu Metalcrafts and Jewelryu Woodworking & Furniture Designu Woodworking (AOS)u School of Film & Animation JPHQ Film and Animation JPHF Motion Picture Science (formerly Cinema) PageDigital 29 of 178 uA portfolio is required for admission. gTransfer applicants seeking credit for previous photography courses must submit a photography portfolio for credit evaluation. Photography portfolios are not required for freshman admission. ‡ A preprofessional advising program is provided by the College of Science. Applicants should select a degree program code from programs listed above. National Technical Institute for the Deaf (NTID) Program Code Career-Focused Associate Degree Programs NBNA Accounting Technology NOTAAdministrative Support Technology NACAApplied Computer Technology NAIAArts & Imaging Studies NBBOBusiness Technology NCDAComputer Aided Drafting Technology NMTOComputer Integrated Machining Technology NLSALaboratory Science Technology Associate+Bachelor’s Degree Programs*** NOTA Administrative Support Technology NACT Applied Computer Technology NALA Applied Liberal Arts Career Exploration Studies Pre-baccalaureate Programs NAPEEngineering Technology Pre-baccalaureate NAPFVisual Communication Pre-baccalaureate NAPL Liberal Arts Pre-baccalaureate NAPSScience Pre-baccalaureate Interpreting Program Please note that RIT also offers 35 certificate-level programs not listed below. Students who wish to matriculate in a certificate program should request a certificate application from the Office of Part-time Enrollment Services at 585-475-2229 or e-mail [email protected]. College of Business M A E L P ITPP Computer Engineering Technology–BS‡ ITPE Electrical Engineering Technology–BS‡ ITPF Manufacturing Engineering Technology–BS‡ D BBEG Management–BS M U College of Computing and Information Sciences VNSY Applied Networking and System Administration–BS VCSX Computer Science–BS VNSW Information Security and Forensics–BS VKSZ Information Technology–AAS, BS Center for Multidisciplinary Studies WMDDApplied Arts & Sciences–diploma WMDBApplied Arts & Sciences–AAS, BS S D T N E C O ITPM Mechanical Engineering Technology–BS‡ ITPD Mechanical Technology–AAS School of Engineering Technology *** Applied Computer Technology AS degree provides direct transfer to RIT’s College of Computing and Information Sciences. Applied Liberal Arts AS degree provides direct transfer to RIT’s College of Liberal Arts. Business AS degree provides direct transfer to RIT’s College of Business. Applied Mechanical Technology AAS and Hospitality and Service Management AS degrees provide direct transfer to RIT’s College of Applied Science and Technology. Administrative Support Technology AAS and Laboratory Science Technology AAS degrees provide direct transfer to RIT’s Center for Multidisciplinary Studies. NITFAmerican Sign Language-English Interpretation—BS degree These degree programs are primarily for part-time study. Please limit choice to one. Program Code Deaf and hard-of-hearing students seeking freshman or transfer admission to RIT’s day undergraduate programs should check the NTID access/support services box in the Applicant Status section of the application and indicate their desired program title and program code from those listed on page C. NCXUCareer Exploration/Undecided Part-time and Evening Programs College of Applied Science and Technology Baccalaureate Programs NAMA Applied Mechanical Technology NBSABusiness NHMA Hospitality and Service Management NLSA Laboratory Science Technology †These AAS degree programs are fully transferable to RIT’s College of Business. ‡Admission to these programs requires appropriate associate degree or equivalent. Page 30 of 178 Application for Undergraduate Admission Please review application instructions and type or print all responses neatly in ink. Return to Rochester Institute of Technology, Undergraduate Admissions Office, 60 Lomb Memorial Drive, Rochester, N.Y. 14623-5604, with a non-refundable $50 application fee or fee waiver. Personal Data Month Name Permanent Address U.S. Social Security Number (optional) Last/Family/Surname First/Given Number and Street Apt# Applicant Status ( ) TTY Number (if applicable) Number and Street City/Town Are you applying for admission as a E L P Middle (Complete) Suffix (Jr., etc.) State/Province Zip/Postal Code M U IM Address ( ) Current Number C O D Freshman? Female Gender Country (if other than U.S.) E-mail Address Mailing Address Male T N E City/Town Electronic Addresses (If different from above) Year Date of Birth County (if New York State) Telephone Day ( ) Mobile Number State/Province Zip/Postal Code Transfer? Are you applying under RIT’s Early Decision Plan? (See instructions) Yes No Are you applying for access/support services from RIT’s National Technical Institute for the Deaf? Are you applying through RIT’s HEOP Program? (NY residents only—see instructions) Yes Yes No No Please indicate the calendar year/academic quarter you plan to enroll. 2011 M A 2012 Fall (September) Winter (December) Spring (March) Summer (June) Do you wish to enroll as a full-time or part-time (fewer than 12 credits/quarter) student? Have you applied to RIT before? S College and Program Selection Yes No Full-time If yes, when? Please list the RIT college that best fits your academic interests and indicate the name and corresponding code of your first-choice program of study (see code listing on pages C & D). 1. _______________________________________ _ ______________________________ RIT College Program Name Alternate Program Selection Part-time Program Code If we are unable to offer you admission to your first-choice program, and you would like to be considered for alternate programs, please list them below in order of preference. 2. ______________________________________ _______________________________ RIT College Program Name Program Code 3. _______________________________________ _ ______________________________ RIT College Program Name Program Code Please check here if you plan to pursue the program(s) listed above to prepare for admission to a medical, dental, optometry, or veterinary school. A premedical studies adviser will assist you at RIT. Page 31 of 178 Citizenship Are you a U.S. citizen? Yes No Permanent Resident Will you need a visa form (I-20 or DS2019) issued by RIT? Citizenship (if not U.S.) Yes No (If you have a visa, indicate type: ) Country of Birth Educational Data Please list below any schools you have previously attended and any you are currently attending, indicating the most recent school first. Freshman applicants should also provide test scores and senior year classes as requested below. High School(s) Attended CEEB Code Name and Address of High School (if known) Starting Month/Year Ending Month/Year 1 to 2 to 3 First Semester or Trimester C O Second Semester or Trimester E L P D T N E M U to Senior Year Classes Please list any academic classes you are taking this year. Date of Graduation Third Trimester (if applicable) Test Scores Indicate the date you plan on taking required admission tests. If you have already taken a test, indicate your score. M A Test Type (SAT, ACT, TOEFL, or IELTS) Test Scores S Date Taken OR Date to Be Taken College(s) Attended Please provide information below and review academic transcript requirements on page B. CEEB Code Name of College and Major Field (Including RIT) (if known) Starting Month/Year Ending Month/Year 1 to 2 to 3 to Phi Theta Kappa (Transfer Students) Are you a member of the Phi Theta Kappa honorary society at your college? Yes No Date of Induction:_____________________________ Page 32 of 178 Degrees Received Honors Briefly list any academic honors you have received since the 9th grade or international equivalent (e.g., National Merit, Cum Laude Society). 9 Grade Level Honor 10 11 12 PG Level of Recognition (School, State/Regional, National, International) School and Community Activities T N E Please list the activities in which you have been most involved. Include years participated, leadership positions, and if you plan to participate in a similar activity at RIT. Attach an additional page if necessary. Grade Level 9 10 11 12 Activity PG Hours per Week Work Experience Weeks per Year Positions Held, Honors Won M U C O D Participate at RIT? Please list paid or volunteer work experience you have had, dates of employment and the number of hours per week you worked. Employer E L P Position Dates of Employment Hours/Week M A Personal Conduct Have you ever been subjected to disciplinary action by any school, college, or university, or convicted of a violation of any state or federal law, other than a minor traffic violation? Yes If yes, explain fully on an attached sheet. No S Personal Statement Please attach your essay to the last page on a separate sheet(s). You must put your full name, date of birth, and name of secondary school on each sheet. This brief statement helps to personalize your application, allowing us to become better acquainted with you. Please choose one of the options listed below: State your reasons for aspiring to a career in your chosen area of academic interest. Write a brief essay indicating your main reasons for applying to RIT. Describe a significant experience or achievement that has special meaning to you. Provide a copy of an essay you have already written for a school assignment (any subject). Page 33 of 178 Family Information Relative Full Name Occupation Who Do You Live With? Education: Please List Degrees and Name Colleges Attended Parent 1 Parent 2 Brother or Sister Brother or Sister Brother or Sister Spouse Parent 1 Home Address (If different from yours) Number and Street City/Town Parent 1 E-mail Address Parent 2 Home Address (If different from yours) T N E State/Province Zip/Postal Code State/Province Zip/Postal Code Parent 1 Telephone Number and Street City/Town Parent 2 E-mail Address M U Parent 2 Telephone RIT Employment Are you an RIT employee or a dependent of an RIT employee? Yes RIT Alumni Did one or both of your parents, or any siblings, graduate from RIT? Yes C O RIT Students Please list names of family members currently attending RIT: D No No Deaf Family Members Please list family members who are deaf or hard of hearing: Optional Information E L P The following questions are optional. Refusal to provide this information will not subject the applicant to any adverse treatment in the admission process. Any information provided will remain confidential. If you wish to be identified with a particular ethnic or racial group, please indicate how you would describe yourself: M A Ethnicity Hispanic or Latino Not Hispanic or Latino Race (please select one or more): S Asian American Indian or Alaska Native Black or African American Native Hawaiian or Other Pacific Islander White Other surname used (on school transcripts, etc.): Language spoken at home (if other than English): Do you plan to apply for financial aid? Are you interested in: Army ROTC? Yes No Navy ROTC? Air Force ROTC? Have you enrolled in any Project Lead The Way courses in your high school? Yes No What other colleges will you apply to this year? Signature and Date Signature Date My signature above indicates that all information provided in this application is complete, factually correct, and honestly prepared. I understand that any misrepresentation may result in refusal or cancellation of admission, or suspension from classes if discovered after I have commenced my studies at RIT. Page 34 of 178 Secondary School Transcript Request Please fill in the Applicant Section below and give this form to your secondary school counselor. Be sure to give your counselor time to fill out this form before the due date. After completing the form, your counselor should send it to: Rochester Institute of Technology Undergraduate Admissions Office 60 Lomb Memorial Drive Rochester, NY 14623-5604 Due Dates (Postmark) Early Decision Plan December 1 Regular Decision Plan February 1 Applications completed after February 1 will be reviewed on a rolling basis. Applicant Section: Name T N E Applicant’s full legal name—last name first Address Social Security Number (optional) Date of Birth School Name Address Number and Street M U City/Town Yes Are you applying under the Early Decision Plan? State/Province No C O Zip/Postal Code Counselor Section: (Please note that lack of rank and GPA will make this application more difficult to process) CEEB CODE Entered Class Rank Withdrew month & year D Will graduate month & year month & year The candidate ranks ___________ in a class numbering __________ during the period from __________ to __________. The rank is weighted E L P unweighted. If there are other students tied at that rank, how many share the same ranking? __________ If a precise rank is not available, indicate the rank to the nearest tenth from the top. __________ We do not rank. Of last year’s graduating class, percentage of students attending: four-year __________ two-year __________ college or university. Grade Point Average M A The applicant’s cumulative GPA is __________ on a __________ scale, covering a period from __________ to __________. This GPA is weighted S unweighted. The applicant’s highest possible GPA is __________. Your school’s minimum passing grade is 60 65 70 other (specify) __________. In comparison to other college preparatory students at your school, this applicant’s course selection is: most demanding very demanding demanding average less demanding Standardized Test Scores ACT Tests Date taken/ to be taken English Math Reading Science Composite Writing Date taken/ to be taken English Math Reading Science Composite Writing Critical Math Writing Reading SAT Reasoning Tests Date taken/ to be taken Critical Math Writing Reading Date taken/ to be taken Date taken/ to be taken Subject Score TOEFL/IELTS (international applicants) Date taken/ to be taken Test Score SAT Subject Tests Date taken/ to be taken Critical Reading Date taken/ Subject Score to be taken Date taken/ to be taken Subject Score Date taken/ Date taken/ to be taken Test Score Test Score be taken Pageto 35 of 178 Math Writing Counselor Recommendation Please rank applicant in the following categories: Below Average Average Above Average Academic promise Character and personal promise Potential for success at RIT Overall Excellent (top 10%) Outstanding (top 5%) Mainstream Program If applicant is deaf or hard of hearing, please indicate if the student has been mainstreamed and any access/support services received: Years mainstreamed Interpreter Speech-to-text Services Tutor Resource Room Notetaker Self-contained Classroom Summary and Recommendation Please write a summary appraisal of the applicant. We are particularly interested in observations about character, motivation, ability, and any special talent or quality. Please describe any special factors that should be considered in interpreting the applicant’s record, such as unusual home conditions or illness. Please don’t hesitate to attach a copy of a letter you have already written on behalf of this applicant. T N E E L P M U C O D Counselor Signature:_________________________________________________ Date:_________________________________________ M A Name (please print):_________________________________________________ Title:_________________________________________ E-mail Address at School:_____________________________________________ Telephone Number at School:______________________ S Early Decision If the student is applying under RIT’s Early Decision Plan (indicated on front page), please read the following and sign below: I have discussed Early Decision consideration with this applicant. The applicant understands Early Decision is a first-choice plan. _________________________________________________ Signature Transcript Profile _____________________ Date An official copy of the applicant’s secondary school record should be included with this form. Please include a copy of your school’s profile (information about curriculum, percentage of graduates going on to college, standardized-test scores, and the like). Page 36 of 178 ROCHESTER INSTITUTE OF TECHNOLOGY NTID Audiological Record Deaf and hard-of-hearing applicants may submit this form or use an official audiogram from a certified audiologist. Part A (To be completed by applicant) Month Day Year ■■ ■■ ■■ Personal Data Date of Birth Name Last Address Electronic Addresses Telephone Number and Street City E-mail Address ( First Middle Province Country/Postal Code IM Screen Name ) ( ) VP/TTY Number (Circle One) ■ Optional: Please indicate your preferred method of communication. Sign Language M U ■ Speech ■ T N E ( ) Mobile Number Combination of both C O Applicant: I give permission for my audiological records to be released to RIT/NTID. (If under 18, parent/guardian signature required.) Signature______________________________________________________________________________________ D Parent/Guardian: I give permission for my son/daughter’s audiological records to be released to RIT/NTID. E L P Signature______________________________________________________________________________________ Part B (To be completed by certified audiologist, CCC-A) All the information below is required for every applicant. Submitted audiograms must have been completed within three years of the application date. Please return this completed form as soon as possible. M A 1. Onset of hearing loss ■ At birth ■ Other____________________ Month / Year 2. Cause of hearing loss ______________________________________________________________________ S 3. Hearing aid/cochlear implant information a. The applicant uses a hearing aid: ■ All the time ■ 1-4 hours/day ■ Only in classroom settings ■ 5-8 hours/day ■ Never b. The applicant uses a cochlear implant: ■ All the time ■ 1-4 hours/day ■ Only in classroom settings ■ 5-8 hours/day ■ Never c. The applicant uses an FM System: ■ All the time ■ 1-4 hours/day ■ Only in classroom settings ■ 5-8 hours/day ■ Never Right Ear Left Ear Make Model Style Serial # Age of aid/implant (Continued on reverse side) Page 37 of 178 Applicant's Name 4. Audiometric Assessment (please list test results without amplification) Date Administered Month Year Right Ear Frequency 125 250 500 750 125 250 500 750 1000 2000 3000 4000 6000 2000 3000 4000 6000 8000 Air Hearing Level Bone T N Left Ear Frequency 1000 Air Hearing Level E Bone M U 5. Otologic history (surgery, middle ear infections, dizziness, tinnitus) C O 6. Speech Recognition Right % Correct Test Materials Recorded Live Voice M A Visual Cues Used S D Left E L P Presentation Level Please attach any additional supporting documents. Signature Name 8000 Please mail or fax completed form to: Rochester Institute of Technology NTID Office of Admissions 52 Lomb Memorial Drive Rochester, New York 14623-5604 585-475-6700 (Voice/TTY) 585-475-2696 (Fax) Audiologist (Please print) Title/Position Address Number Street City Province Country/Postal Code E-mail Phone Area Code Number Fax 250-779-6/10-KAW ©2010 Rochester Institute of Technology Area Code Number Page 38 of 178 Declaration of Financial Support Note: Students and their parents are responsible for demonstrating that sufficient funding is available to meet all academic and living expenses for the duration of study at RIT. A Certificate of Eligibility (I-20 or DS-2019) cannot be issued until this form is completed and returned to the Undergraduate Admissions Office with all the appropriate supporting documents. Documents must be accompanied by an English translation. Applicants for undergraduate study must provide a bank statement showing at least $30,000USD available for their support before their application can be reviewed. All applicants are considered for merit scholarships, which typically range from $6,000 to $15,000 per academic year. Since scholarships are limited, and applicants are able to apply for limited need-based scholarships, the total support that may include these scholarships must total $44,000USD in order for RIT to issue the 1-20 or DS-2019 Forms necessary to apply for a student visa. Name __________________________________________________________________ Family Given Middle Visa Requested: r F-1 (I-20) Other _____________________________ FINANCIAL RESOURCES** E M U Assured Support First Year PERSONAL SAVINGS: Please submit an original bank letter verifying amount that is available. (If you are sponsoring yourself, this figure must match or exceed RIT’s estimated expenses. Please refer to the enclosed cost sheet.) C O D PARENTS/RELATIVES/PERSONAL SPONSORS: Please submit the following: a. An original bank statement verifying the amount that is available. Support should be available in a time deposit account (i.e., checking or savings account) T N Date of Birth _______/_______/_______ Month Day Year Projected Support Second Year Third Year Fourth Year b. An original letter from the sponsor certifying that he/she will finance your education. The letter must indicate the actual amount of support in U.S. dollars. E L Sponsor’s Name: ______________________________________________ P Address: _____________________________________________________ Relationship to applicant: ________________________________________ M A S SPONSORING ORGANIZATION, EMPLOYER, OR GOVERNMENT AGENCY: Please submit an original letter indicating amount for tuition, fees, living expenses, and length of time covered by the award. Sponsor’s Name: _______________________________________________ Address: _____________________________________________________ **Funds may be assured by several sources if necessary. However, each source of funding must provide the appropriate financial documents. We will accept only original or true certified copies of the above documents. Photocopies and faxes are not acceptable. I certify that the total amount (excluding travel funds) available for my first year of study at RIT is US$ ___________________________. I certify that the information provided above is correct and complete. Applicant’s Signature_____________________________________________________________ Date ___________________________ Sponsor’s Signature______________________________________________________________ Date ____________________________ Page 39 of 178 PDF-P1172-3/11-ASG NOTES: Page 40 of 178 TAB C SAMPLE DOCUMENT StudentAid BC Student Application Form Page 41 of 178 NOTES: Page 42 of 178 T N M A S P E L C O D Page 43 of 178 E M U T N M A S P E L C O D Page 44 of 178 E M U T N M A S P E L C O D Page 45 of 178 E M U T N M A S P E L C O D Page 46 of 178 E M U T N M A S P E L C O D Page 47 of 178 E M U T N M A S P E L C O D Page 48 of 178 E M U T N M A S P E L C O D Page 49 of 178 E M U T N M A S P E L C O D Page 50 of 178 E M U TAB D SAMPLE DOCUMENT Appendix 1 (StudentAid BC) Page 51 of 178 NOTES: Page 52 of 178 Appendix 1 2011/ 2 0 1 2 StudentAidBC PARENT(S)/STEP-PARENT/SPONSOR/LEGAL GUARDIAN INFORMATION ARE YOU A ‘Group A’ STUDENT? WHO COMPLETES APPENDIX 1? The applicant’s parent(s)/step-parent/ sponsor/legal guardian. A ‘Group A’ student: has not been out of high school for at least 48 months (4 years); and If your parent(s)/step-parent/sponsor/ legal guardian lives outside of Canada you will need to: is not married, living common-law, separated, divorced, widowed or a single parent; and has not worked in the full-time labour force for two periods of 12 continuous months each since leaving high school; and is not a youth in continuing care or custody of a director of child welfare in B.C. – the government is/was your legal guardian. mail Appendix 1 to them for completion or have them download and print Appendix 1 from www.StudentAidBC.ca and have them return it to you by mail to submit with your application. T N E M U If you are a ‘Group A’ student, Appendix 1 must be completed by your parent(s)/ step-parent/sponsor/legal guardian. If you are a permanent resident or landed immigrant under sponsorship, your sponsor must complete Appendix 1. C O D If your parents are separated or divorced, or if your parent is single, Appendix 1 must be completed by the parent who is your main financial supporter. When Appendix 1 has been completed and returned to you: PURPOSE The information in Appendix 1 is necessary to assess how much money the applicant’s parent(s)/ step-parent/ sponsor/legal guardian may be required to contribute. Please answer all questions. P The applicant will have access to all information provided on Appendix 1. M A S Instructions for your parent(s)/stepparent/sponsor/legal guardian are printed on the other side of this page. Do not separate these pages before Appendix 1 is complete. No faxes or copies are accepted as original signatures are required. Enter your application number on line 4. Make sure all questions have been answered and both the Canada Revenue Agency consent and the StudentAid BC declaration on Appendix 1 have been completed and signed. E L NOTE If you have already submitted your StudentAid BC application, and you are completing a new Appendix 1 to make changes to your original submission, include an Appendix 7 - Request for Reassessment, with your submission. When you are sure it is complete, separate Appendix 1 from this instructions page and staple it to the inside back of your application. FEDERAL POLICY “ Parents are expected to plan for and make adequate financial preparation in anticipation of the student’s post-secondary education. It is expected that the funding of the student’s education will be a priority for the family. Situations that arise due to lack of ” preparation or due to the directing of resources towards priorities other than the student’s education will not normally be considered. A financial contribution (based on federal policy) may be expected from your parent(s)/step-parent/sponsor/legal guardian, based on family size, income and allowable income deductions. The contribution formula takes into account parent(s)/step-parent/sponsor/legal guardian’s gross income as declared on line 150 of their 2010 income tax return, less income taxes payable, Canada Pension Plan contributions, employment insurance contributions and a moderate standard of living. The income remaining following the deductions of these amounts is called “discretionary income (see weekly parental contribution formula on next page).” Based on the level of discretionary income remaining, a separate formula is applied. Page 53 of 178 Page 1 (continued on next page) PARENT(S) MODERATE STANDARD OF LIVING (MSOL) FAMILY SIZE MSOL 2 $42,058 3 $54,638 4 $63,560 5 $70,480 6 $76,136 7 $80,920 8 $85,063 9 $88,716 10 $91,982 *Note: The symbol means to refer to the INSTRUCTIONS booklet, which is included in the StudentAid BC application package. Question 06 Marital Status Mark the appropriate box. If you have remarried or are in a common-law relationship, your partner must provide his or her financial information. If you are separated, divorced or single this form must be completed by the parent who has legal responsibility for the applicant’s post-secondary education and/or is the main financial supporter. Question 07 Gross Income *Family size includes: the student, the parent(s)/step-parent/ sponsor/legal guardian and eligible dependants. (see definitions on Question 14) WEEKLY PARENTAL CONTRIBUTION FORMULA ‘DI’ means discretionary income ‘PS’ means post-secondary studies Discretionary income = $0 - $7,000 Formula: (DI x 15%) ÷ 52 ÷ # of dependent children in PS P M A S Discretionary income = $7,001 - $14,000 Formula: [(DI - 7000) x 20% + $1,050] ÷ 52 ÷ # of dependent children in PS HELP FOR PARENT(S)/STEP-PARENT/SPONSOR/LEGAL GUARDIAN Discretionary income = $14,001 and above Formula: [(DI - 14000) x 40% + $2,450] ÷ 52 ÷ # of dependent children in PS DECLARATION AND CONSENT Read, sign and date both the Canada Revenue Agency consent and the StudentAid BC declaration. Without the complete information, including dates and signatures, we can not process the student’s application. Once you have completed Appendix 1, return it to the student who will submit it with his or her application. Enter the amount from line 150 of your 2010 income tax return. The line 150 income you report will be checked against Canada Revenue Agency (CRA) records. If the amount you indicate is different from their records, CRA data will be used in the applicant’s needs assessment calculation. If CRA records are incorrect, you must submit an Appendix 1 (and Appendix 7) with documentation showing the correct income. If you did not file a Canadian Income Tax Return, enter your total 2010 gross income from all sources both inside and outside Canada, including employment, pension, investment, rental, RRSP, foster parent, net professional income, workers’ compensation, employment insurance, disability assistance, etc. Convert foreign currency into Canadian dollars. If you are married or living common-law, both Parent #1 and Parent #2 incomes must be completed even if “0”. Round all amounts to the nearest dollar. Single parents must complete and sign the “Parent #1” section of Appendix 1. T N C O D E M U Question 08 Net Value of Assets Include the net value of all Canadian and foreign assets, including term deposits, stocks, bonds, GICs, bank accounts, rental properties, etc. Do not include RRSPs, principal residence, business assets, vehicles or household items. Question 09-12 Deductions E L Refer to your 2010 income tax return to determine the amounts deducted for income taxes, Canada Pension contributions and employment insurance contributions. If no deductions, enter ‘0’ on appropriate lines. Question 14 Dependants For StudentAid BC purposes, eligible dependants are any dependants for whom you receive the Canada child tax benefit or for whom you claim a benefit on your 2010 income tax return. Eligible dependants include the student and: your child(ren) under 19 years of age as of the start of the applicant’s classes, for whom you have custody or provide care (they live with you) at least two days per week during the applicant’s entire study period; or your child(ren) age 19 or over who are Group A full-time students (see definition of ‘Group A’ status on page 7); or your permanently disabled child(ren) age 19 or over, who you fully support and declare on your income tax return; or your foster children, if foster parent income is claimed on Appendix 1 on line 7; or your elderly relatives who you fully support and declare on your income tax return. CONTACT INFORMATION TO REACH StudentAid BC BY PHONE: TO REACH StudentAid BC BY MAIL: Call (250)-387-6100 StudentAid BC Mailing address: P.O. Box 9173 Stn Prov Govt Victoria B.C. V8W 9H7 If you are on the B.C. Lower Mainland, call (604)-660-2610 If you are calling from anywhere else in Canada or the U.S., call toll-free 1-800-561-1818 Page 54 of 178 Page 2 Courier address: c/o StudentAid BC 1st Floor, 835 Humboldt Street Victoria B.C. V8V 4W8 Visit us on-line at www.StudentAidBC.ca Appendix 1 2011/ 2012 ALL QUESTIONS MUST BE ANSWERED IN INK StudentAidBC PARENT(S)/STEP-PARENT/SPONSOR/LEGAL GUARDIAN INFORMATION (01) STUDENT’S LAST NAME (03) STUDENT’S SOCIAL INSURANCE NUMBER (02) STUDENT’S FIRST NAME MIDDLE INITIAL (04) STUDENT’S APPLICATION NUMBER 2 0 1 1 PARENTAL INFORMATION (05) RELATIONSHIP PARENT(S)/ TO STUDENT STEP-PARENT LEGAL GUARDIAN SPONSOR A B Parent #1 C (06) MARITAL STATUS OF PARENT(S)/ STEP-PARENT SPONSOR/LEGAL GUARDIAN (MARK ONE BOX ONLY) ENTER ‘0’ IF NO INCOME OR ASSETS PARENT/STEP-PARENT/ SPONSOR/LEGAL GUARDIAN (07) SINGLE PARENT SINGLE A .00 $ .00 (08) C O D C E M U Enter your reported gross income from line 150 of your 2010 income tax return. If you did not file a 2010 income tax return, enter your total gross income from all sources both inside and outside of Canada. $ T N MARRIED B Enter the total net value of all Canadian and foreign assets (do not include RRSPs, principal residence or business). Enter ‘0’ if none. COMMON -LAW SEPARATED/ DIVORCED/ WIDOWED D E Parent #2 PARENT/STEP-PARENT/ SPONSOR/LEGAL GUARDIAN $ .00 $ .00 INDICATE AMOUNTS PAYABLE ON YOUR 2010 INCOME TAX RETURNS $ .00 (09) Total income tax from line 435. Enter ‘0’ if none. $ .00 $ .00 (10) Canada Pension Plan contributions (CPP) from line 308 (contributions through employment). Enter ‘0’ if none. $ .00 $ .00 (11) $ .00 $ .00 (12) Canada Pension Plan contributions (CPP) from line 310 (contributions payable on self-employment and other earnings). Enter ‘0’ if none. Employment insurance (EI) from line 312. Enter ‘0’ if none. $ .00 P M A S E L (13) How much money will you and your spouse/common-law partner be giving the student during this study period, including registered education savings plans (RESPs) and scholarship trust funds? $ .00 (14) List only the student and eligible dependants as per the attached instructions page. Do not include your spouse/common-law partner. DATE OF BIRTH STUDENT’S NAME YEAR OTHER ELIGIBLE DEPENDANTS’ NAME(S) (Do not include spouse/common-law partner) MONTH DAY DATE OF BIRTH IS DEPENDANT ATTENDING POST-SECONDARY? WAS THIS DEPENDANT CLAIMED ON YOUR 2010 TAX RETURN? YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO Page 55 of 178 YOU MUST COMPLETE THE REVERSE SIDE OF THIS APPENDIX Page 3 2011/12 APPENDIX 1 CANADA REVENUE AGENCY CONSENT - must be signed and dated for this application to be complete Parent #1 (16) FIRST NAME MALE YEAR MONTH (20) ADDRESS Apt./suite number DAY PARENT/STEP-PARENT/SPONSOR/LEGAL GUARDIAN (15a) LAST NAME (16a)FIRST NAME (17) GENDER MIDDLE (18) DATE OF BIRTH Parent #2 you must complete all information PARENT/STEP-PARENT/SPONSOR/LEGAL GUARDIAN (15) LAST NAME (17a) GENDER MIDDLE MALE FEMALE (18a) DATE OF BIRTH (19) SOCIAL INSURANCE NUMBER YEAR MONTH (20a) ADDRESS Apt./suite number STREET NUMBER AND STREET NAME/PO BOX DAY (19a) SOCIAL INSURANCE NUMBER STREET NUMBER AND STREET NAME/PO BOX T N Use these lines for any part of your address not indicated above Use these lines for any part of your address not indicated above (21) CITY/TOWN (21a) CITY/TOWN (22) PROVINCE/STATE (24a) COUNTRY (24) COUNTRY (25) AREA CODE ( ) E M U (22a) PROVINCE/STATE (23) POSTAL/ZIP CODE C O D (25a) AREA CODE TELEPHONE NUMBER ( - FEMALE ) (23a) POSTAL/ZIP CODE TELEPHONE NUMBER - For the purpose of verifying the data provided in this application for student assistance, I hereby consent to the release, by the Canada Revenue Agency, to the Ministry of Advanced Education (or a person delegated by the ministry), of taxpayer information from any portion of my income tax records that pertains to information given by me on any StudentAid BC application. The information will be used solely for the purpose of verifying information on my StudentAid BC application forms and for the general administration and enforcement of StudentAid BC policy and the Canada Student Financial Assistance Act. This authorization is valid for the two taxation years prior to the year of signature of this consent, the year of signature of this consent and for any other subsequent consecutive taxation year for which assistance is requested. Parent #1 E L PARENT/STEP-PARENT/SPONSOR/LEGAL GUARDIAN (26) SIGNATURE (IN INK) (27) DATE SIGNED P SIGN HERE M A S YEAR MONTH DAY Parent #2 PARENT/STEP-PARENT/SPONSOR/LEGAL GUARDIAN (26) SIGNATURE (IN INK) (27) DATE SIGNED SIGN HERE YEAR MONTH DAY StudentAid BC DECLARATION - must be signed and dated for this application to be complete StudentAid BC DECLARATION - must be signed and dated for this application to be complete. I. I/we understand that: 1) all information provided in the appendix may be audited and may be electronically matched with Canada Revenue Agency, Human Resources and Skills Development Canada, and the Ministry of Social Development to verify reporting accuracy; 2) the student will have access to information provided on this appendix; 3) the Ministry of Advanced Education may share this information with the student’s school. 4) the information on this appendix is subject to audit and verification. II. I/we understand that signing the Declaration means: 1) I/we certify that the information I/we have given is correct and complete and that I/we have not altered or added to any of the pre-printed application and/or appendix questions. I/we also agree with everything written in this declaration, and I/we give my consent to the exchange of information between the Ministry of Advanced Education (or its agent) and the following agencies: Canada Revenue Agency, ICBC, credit agencies, financial institutions, B.C. Assessment, B.C. Registry Services, Land Titles Office, Superintendent of Bankruptcy, Citizenship and Immigration Canada, Human Resources and Skills Development Canada, WorkSafe BC, Ministry of Social Development, First Nation Bands, Federal, Provincial, Municipal ministries, departments, agencies to receive information and to verify that the information provided by myself/us is accurate. 2) I/we consent to the verification of my/our social insurance number(s), name(s), date(s) of birth and gender(s), with information contained in Human Resources and Skills Development Canada’s (HRSDC) Social Insurance Register. This information will be disclosed to HRSDC for the purpose of confirming the accuracy of my/our identification in the context of the student’s application for Canada-BC Integrated Student Financial Assistance. Parent #1 all information is subject to audit and verification PARENT/STEP-PARENT/SPONSOR/LEGAL GUARDIAN (28) SIGNATURE (IN INK) (29) DATE SIGNED SIGN HERE YEAR MONTH DAY Parent #2 PARENT/STEP-PARENT/SPONSOR/LEGAL GUARDIAN (28a) SIGNATURE (IN INK) (29a) DATE SIGNED SIGN HERE YEAR MONTH DAY Collection and use of information. The information included in this form and authorized above is collected and managed in accordance with Section 26 of the Freedom of Information and Protection of Privacy Act, and under the authority of the Canada Student Financial Assistance Act, R.S.C. 1994, Chapter C-28 and StudentAid BC. The information provided will be used to determine eligibility for a benefit through StudentAid BC. If you have any questions about the collection and use of this information, contact the Executive Director, StudentAid BC, Ministry of Advanced Education, PO Box 9173, Stn Prov Govt, Victoria B.C., V8W 9H7, telephone (250)-387-6100, (604)-660-2610 (in the B.C. lower mainland), or 1-800-561-1818 (toll-free in Canada/U.S.). of 178 1 to the student when completedPage , return56 appendix Page 4 TAB E SAMPLE DOCUMENT Appendix 2 (StudentAid BC) Page 57 of 178 NOTES: Page 58 of 178 Appendix 2 2011/ 2012 StudentAidBC SPOUSE/COMMON-LAW PARTNER INFORMATION HELP FOR THE SPOUSE/COMMON-LAW PARTNER WHO COMPLETES APPENDIX 2? The applicant’s spouse/common-law partner. If your spouse/ common-law partner has arrived in Canada as a landed immigrant and does not have a valid social insurance number (SIN), apply as ‘married’. When your spouse/common-law partner has received a valid SIN, forward a copy of their SIN to StudentAid BC (include your name and SIN). ARE YOU COMMON-LAW? You and your partner are considered to be common-law if you meet both of the following: you are currently living together in a marriage-like relationship; and you will have been living together for at least 12 consecutive months as of the first day of classes. PURPOSE The information on Appendix 2 will help determine how much your spouse/common-law partner may be required to contribute to help pay for your education. WHO DOES NOT COMPLETE APPENDIX 2? If your spouse/common-law partner is not a Canadian citizen/ landed immigrant (does not have a valid social insurance number) you must apply as a single student (mark marital status ‘Single’); or If your spouse/common-law partner is not a Canadian citizen/landed immigrant (does not have a valid SIN) lives in a country other than Canada as of your first day of classes, and you have eligible dependent children under your care, living in Canada, you must apply as a single parent student (mark marital status ‘Single Parent’ on the application). P DECLARATION AND CONSENT *Note: The symbol means to refer to the INSTRUCTIONS booklet, which is included in the StudentAid BC application package. Question 11a-f Income Ensure that you declare income from all sources during the applicant’s entire study period. Do not include student loans/grants child tax benefits, tax refunds, HST rebates or B.C. Family Bonus. T N Question 12c Day-care costs See definition of day-care costs on page 48 of the StudentAid BC Guide. Enter study period day-care costs for your child(ren) aged 11 or under. Include the amount of child care subsidy. Do not include costs declared by the applicant on line 50 of Section 3 of the application. E M U Question 13 Net Worth of RRSPs This is how you calculate the net worth of RRSPs: Amount of RRSP - Amount owing on the RRSP loan(s) - Amount withheld by bank for tax and/or penalties (if cashed) C O D = Net worth of RRSP Do not include RRSPs declared by the applicant on his or her application. Contact your bank, credit union or trust company to accurately determine the net worth of your RRSPs. Question 14 Net Worth of Other Investments This is how you calculate the net worth of other investments: Amount of investment - Amount owing on investment - Any fees that may be charged for withdrawing the investment E L = Net worth of investment If assets are jointly owned, use the net worth of the portion you own. Contact your bank, credit union or trust company to accurately determine the net worth of your other investments. Read, sign and date both the Canadian Revenue Agency consent and the StudentAid BC declaration. Without the complete information including dates and signatures, we cannot process the student’s application. Once you have completed Appendix 2, return it to the applicant. The applicant will submit it with his or her application. No faxes or copies are accepted as original signatures are required. Question 16 Net Worth of Business NEXT STEP If the business is jointly owned, use the net worth of the portion you own. M A S When Appendix 2 is complete, detach and staple it to the inside back page of your application. An incomplete Appendix 2 will not be processed. HELP FOR THE SPOUSE/ COMMON-LAW PARTNER Question 03 Marriage/Common-law Date This is the date you were married or, if common-law, the date you began living together in a marriage like relationship. Read page 3. Question 07 Other Sources of Income Ensure that you declare income from all sources during the four months before the applicant starts classes. Do not include student loans/grants, child tax benefits, tax refunds, HST rebates or B.C. Family Bonus. Question 10c Separate Living Allowances If you must live separately from the applicant during the study period, separate living allowances will be assessed. This is how you calculate the net worth of your business: Total business assets (land, buildings, accounts receivable, etc.) - Total liabilities (accounts payable, notes payable, mortgages, etc.) = Net worth of business Question 16a Gross Income from 2010 Income Tax Return Enter the amount from line 150 of your 2010 Income Tax Return. The line 150 income you report will be checked against Canada Revenue Agency (CRA) records. If the amount you indicate is different from their records, CRA data will be used in the applicant’s needs assessment calculation. If CRA records are incorrect, you must submit an Appendix 2 (and Appendix 7) with documentation showing the correct income. If you did not file a Canadian Income Tax Return, enter your total 2010 gross income from all sources both inside and outside Canada, which includes employment, pension investment, rental, RRSP, foster parent, net professional/self-employment income, worker’s compensation, employment insurance, and disability assistance. Convert foreign currency into Canadian dollars. Question 17 Motor Vehicles Owned Include the current resale value of all cars/trucks/motorcycles whether in running order or not, insured or not, fully paid for or not, for which you are the registered owner. If you share registered ownership (per ICBC) of the motor vehicle with your spouse/common-law partner, the motor vehicle value may be divided in half. Your spouse/common-law partner may declare half the value on the application. You will be asked to submit your ICBC owner’s certificate of insurance and vehicle licence documentation. Question 17a Motor Vehicles Leased If you are currently leasing a motor vehicle, enter the information required on Question 17a, including your monthly lease payments. If you share a lease (per ICBC) of the motor vehicle with your spouse/ common-law partner, the motor vehicle lease payments may be divided in half. Your spouse/commonlaw partner may declare half the lease payments on the application. You will be asked to submit your ICBCPage lease certificate insurance and vehicle licence documentation. 59 ofof178 Page 1 2011/ 2012 Appendix 2 ALL QUESTIONS MUST BE ANSWERED IN INK SPOUSE/COMMON-LAW PARTNER INFORMATION (01) STUDENT’S LAST NAME (04) STUDENT’S SOCIAL INSURANCE NUMBER (02) STUDENT’S FIRST NAME MIDDLE INITIAL (05) STUDENT’S APPLICATION NUMBER 2 0 1 1 YEAR T N MONTH (03) Date of marriage or the date you began living together in a marriage-like relationship ..................... SPOUSAL ACTIVITIES AND INCOME - BEFORE CLASSES START (06) In the four months BEFORE the applicant starts classes, were you or do you expect to be: E M U (a) Enrolled in full-time study for at least two months (including high school)? ........................................................... (06a) (b) At home caring for eligible dependent child(ren) on a full-time basis for at least two months? (Only one parent may claim to be the full-time caregiver) ...................................................................................... (06b) C O D (07) In the four months BEFORE the applicant starts classes, what is the total amount of: (a) Income assistance (welfare) and/or B.C. income assistance for persons with disabilities you receive? Enter ‘0’ if none ..................................................................................................................................................................................(07a) $ E L YES NO YES NO 00 (b) Employment insurance benefits (EI) you receive? Enter ‘0’ if none ..................................................................................................................................................................................(07b) $ 00 (c) Gross earnings from employment and net self-employment income? Enter ‘0’ if none .................................................................................................................................................................................. (07c) $ 00 P M A S (d) Child care subsidy you receive? (Only one parent may claim child care subsidy) Read page 10............(07d) $ 00 (e) Other sources of income you receive (e.g., First Nation band funding, pension, child support, spousal support and maintenance, monetary gifts, etc.). Do not include student loans/grants. Enter ‘0’ if none Specify: ...............................................................................................(07e) $ 00 (08) In the four months BEFORE the applicant starts classes, what is the total amount of: $ 00 $ 00 (c) Total day-care costs for your child(ren) age 11 years or under? Include child care subsidy $ amount from line 7D. (Only one parent may claim day-care costs) Read page 11 .....................................(08c) 00 $ 00 (a) Canada student loan and/or provincial student loan payments? ................................................................................ (08a) (b) Tuition and book costs (for post-secondary studies) that are not funded by a student loan or grant? ........(08b) (d) Child support and/or spousal support payments?............................................................................................................(08d) (09) What is the balance in all of your bank accounts (chequing and savings) both inside and outside of Canada, at the start of classes? Do not include RRSPs, term deposits, GICs, mutual funds, stocks or bonds. $ Enter ‘0’ if none, or if a negative amount ........................................................................................................................................... (09) 00 CONTINUED NEXT PAGE Page 60 ON of 178 Page 2 2011/12 APPENDIX 2 2011/ 2012 Appendix 2 ALL QUESTIONS MUST BE ANSWERED IN INK SPOUSAL ACTIVITIES AND INCOME - STUDY PERIOD (SEE LINES 41 AND 42 OF APPLICATION) (10) During the applicant’s study period, will you be: (a) Employed full-time or part-time?............................................................................................................................................... (10a) YES NO (b) At home caring for eligible dependent child(ren) on a full-time basis for the entire study period? .................(10b) YES NO (c) Living with the applicant during the study period?............................................................................................................ (10c) YES NO (d) A full-time post-secondary student for at least three months of the applicant’s study period? ........................(10d) YES NO (11) During the applicant’s study period, what will be the total amount of: (a) Income assistance (welfare) and/or B.C. income assistance for persons with disabilities you will receive? Enter ‘0’ if none ................................................................................................................................................................................... (11a) $ (b) Employment insurance benefits (EI) you will receive? Enter ‘0’ if none ...................................................................................................................................................................................(11b) $ T N 00 00 E M U (c) Gross earnings you will receive from employment and net self-employment income? Read page 10. Enter ‘0’ if none .................................................................................................................................................(11c) $ (d) Child care subsidy you will receive? (Only one parent may claim child care subsidy) Enter ‘0’ if none ...................................................................................................................................................................................(11d) $ 00 00 (e) Scholarships or merit-based awards, including Passport to Education, Provincial Government $ Scholarships, etc., you will receive? Enter ‘0’ if none............................................................................................................. (11e) 00 (f) Other sources of income you will receive? (e.g. First Nation band funding, pension, child support, spousal Specify: support and maintenance, monetary gifts, etc.) Enter ‘0’ if none .................................................................................... (11f) $ 00 C O D (12) During the applicant’s study period, how much will you pay for: (a) Canada student loan and/or provincial student loan payments? ...................................................................................(12a) $ 00 (b) Tuition and book costs (for post-secondary studies) that are not funded by a student loan or grant? $ Read page 11 ............................................................................................................................................................................... (12b) 00 (c) Total day-care costs? Include child care subsidy amount from line 7D. $ (Only one parent may claim day-care costs) Read page 11 ...................................................................................(12c) 00 (d) Child support and/or spousal support and maintenance? .............................................................................................. (12d) $ 00 P E L SPOUSAL ASSET INFORMATION - ALL INFORMATION IS SUBJECT TO VERIFICATION AND AUDIT M A S List all Canadian and foreign assets. Include ‘locked-in’ assets. (13) What is the net worth of your RRSPs? Enter ‘0’ if none ................................................................................................................. (13) $ 00 (14) What is the net worth of all your term deposits, GICs, mutual funds, stocks, bonds, etc.? Do not include RRSPs. Enter ‘0’ if none................................................................................................................................................ (14) $ 00 (15) What is the net worth (your share) of any assets such as revenue/holding/recreational properties, boat, RV, etc.? $ Do not include principal residence or motor vehicles listed in questions 17 and 17a. Enter ‘0’ if none ......................(15) 00 (16) What is the net worth (your share) of a business? Enter ‘0’ if none .......................................................................................... (16) $ 00 (16a) Enter your reported gross income from line 150 of your 2010 income tax return. If you did not file a 2010 Income Tax Return, enter your total gross income from all sources both inside and outside of Canada. ............. (16a) $ 00 (17) Do you own a car/truck/motorcycle/other motor vehicle of which you are the registered owner? You must answer questions 17 and 17a. Uninsured vehicles must be declared ...........................................(17) YEAR 2010 MAKE AND MODEL Acura CSX TYPE 4dr Sedan PURCHASE DATE YEAR 2 0 1 0 MONTH 0 6 and answer question 17a) PURCHASE PRICE $ $ $ 1 7 2 0 0 .00 .00 .00 RESALE VALUE $ $ $ (17a) Do you lease a car/truck/motorcycle/other motor vehicle of which you are the registered lessee? Uninsured vehicles must be declared ........................................................................................................................................(17a) YEAR 2010 MAKE AND MODEL Acura CSX TYPE 4dr Sedan LEASE DATE YEAR 2 0 1 0 MONTH 0 6 Page 178 TURN OVER61 TOof CONTINUE Page 3 $ $ $ NO (you must answer question 17a) YES (give details below) VEHICLE VALUE AT LEASE DATE 1 7 2 0 0 .00 $ .00 $ .00 $ 1 6 5 0 0 .00 .00 .00 YES (give NO details below) MONTHLY LEASE PAYMENTS 3 8 0 .00 .00 .00 2011/12 APPENDIX 2 CANADA REVENUE AGENCY CONSENT - must be signed and dated for this application to be complete For the purpose of verifying the data provided in this application for student assistance, I hereby consent to the release, by the Canada Revenue Agency, to the Ministry of Advanced Education (or a person delegated by the ministry), of taxpayer information from any portion of my income tax records that pertains to information given by me on any StudentAid BC application. The information will be used solely for the purpose of verifying information on my StudentAid BC application forms and for the general administration and enforcement of StudentAid BC policy and the Canada Student Financial Assistance Act. This authorization is valid for the two taxation years prior to the year of signature of this consent, the year of signature of this consent and for any other subsequent consecutive taxation year for which assistance is requested. (18) LAST NAME (19) SOCIAL INSURANCE NUMBER (20) FIRST NAME MIDDLE INITIAL MALE (23) MAILING ADDRESS Apt./Suite (22) DATE OF (21) GENDER FEMALE BIRTH YEAR MONTH DAY STREET NUMBER AND STREET NAME/PO BOX Use this line for any part of your address not indicated above (24) CITY/TOWN (26) POSTAL/ZIP CODE (27) COUNTRY T N (25) PROVINCE/STATE E M U (28) AREA CODE ( (29) SIGNATURE OF SPOUSE/COMMON-LAW PARTNER (IN INK) PRINT NAME TELEPHONE NUMBER ) (30) DATE SIGNED YEAR PRINT HERE SIGN HERE C O D - MONTH DAY StudentAid BC DECLARATION - must be signed and dated for this application to be complete StudentAid BC DECLARATION - must be signed and dated for this application to be complete. I. I understand that: 1) all information provided in Appendix 2 is subject to audit and verification, and may be electronically matched with Canada Revenue Agency, Human Resources and Skills Development Canada, and BC Ministry of Social Development to verify reporting accuracy; 2) the student will have access to information provided on this appendix; 3) the Ministry of Advanced Education may share this information with the student’s school. II. I understand that signing the Declaration means: 1) I certify that the information I have given is correct and complete and that I have not altered or added to any of the pre-printed application and/or appendix questions. I also agree with everything written in this declaration, and I give my consent to the exchange of information between the Ministry of Advanced Education (or its agent) and the following agencies: Canada Revenue Agency, Insurance Corporation of British Columbia, credit agencies, financial institutions, B.C. Assessment, B.C. Registry Services, Land Titles Office, Superintendent of Bankruptcy, Citizenship and Immigration Canada, Human Resources and Skills Development Canada, WorkSafe BC, Ministry of Social Development, First Nation Bands, Federal, Provincial, Municipal ministries, departments, agencies to receive information and to verify that the information is accurate. 2) I consent to the verification of my social insurance number, name, date of birth and gender, with information contained in Human Resources and Skills Development Canada’s (HRSDC) Social Insurance Register. This information will be disclosed to HRSDC for the purpose of confirming the accuracy of my identification in the context of the student’s application for Canada-BC Integrated Student Financial Assistance. P M A S E L (31) SIGNATURE OF SPOUSE/COMMON-LAW PARTNER (IN INK) PRINT NAME (32) DATE SIGNED PRINT HERE SIGN HERE YEAR MONTH DAY Collection and use of information. The information included in this form and authorized above is collected and managed in accordance with Section 26 of the Freedom of Information and Protection of Privacy Act, and under the authorit y of the Canada Student Financial Assistance Act, R.S.C. 1994, Chapter C-28 and StudentAid BC. The information provided will be used to determine eligibility for a benefit through StudentAid BC. If you have any questions about the collection and use of this information, contact the Executive Director, StudentAid BC, Ministr y of Advanced Education, PO Box 9173, Stn Prov Gov t, Victoria B.C., V8W 9H7, telephone (250)-387-6100, (604)-660-2610 (in the B.C. lower mainland), or 1-800-561-1818 (toll-free in Canada/U.S.). CONTACT INFORMATION TO REACH StudentAid BC BY PHONE: TO REACH StudentAid BC BY MAIL: Call (250)-387-6100 StudentAid BC Mailing address: P.O. Box 9173 Stn Prov Govt Victoria B.C. V8W 9H7 If you are on the B.C. Lower Mainland, call (604)-660-2610 If you are calling from anywhere else in Canada or the U.S., call toll-free 1-800-561-1818 Courier address: c/o StudentAid BC 1st Floor, 835 Humboldt Street Victoria B.C. V8V 4W8 Visit us on-line at www.StudentAidBC.ca If you have already submitted your StudentAid BC application, and you are completing Appendix 2 to make changes to your original submission, include an Appendix 7 - Request for Reassessment, with your submission. Page 62sTUdENT of 178whEN COmplETE RETURN appENdIx 2 TO ThE Page 4 2011/12 APPENDIX 2 TAB F SAMPLE DOCUMENT Appendix 3 (StudentAid BC) Page 63 of 178 NOTES: Page 64 of 178 Appendix 3 2011/2012 SCHOOL AND PROGRAM INFORMATION WHO COMPLETES APPENDIX 3? Not all students have to submit an Appendix 3. Have it completed only if you are attending: a school outside of B.C., or if financial aid staff at your B.C. school have confirmed that Appendix 3 is required. DOES MY SCHOOL HAVE TO BE DESIGNATED? For your program of study to be eligible for StudentAid BC funding, your school must be a designated school authorized by British Columbia, and it must meet B.C. post-secondary education requirements. T N All public universities, university colleges, colleges and institutions in B.C. are designated; however, not all private training schools or out-of-province schools have been reviewed and designated by the Ministry of Science and Universities. E M U Not all schools choose to be designated. Before applying for StudentAid BC funding, you should confirm the school’s designation status on www.StudentAidBC.ca . Note: Your school must be designated at the time we receive your application, or your application will not be processed. PURPOSE The information on Appendix 3 provides educational costs and study dates, and helps StudentAid BC determine how much money you may receive. Students attending most B.C. schools do not need Appendix 3 as their educational costs will be determined by the school. P M A S NOTE Instructions for your school are printed on the other side of this page. Do not separate these pages before Appendix 3 has been completed by your school official. No faxes or copies are accepted as original signatures are required. C O D If you wish to have your school designated, please complete the designation request form available on our website and forward it to StudentAid BC for review. The designation process may take several weeks to complete. Assistance through StudentAid BC cannot be considered before the school is designated because funding is not retroactive. E L SECTION A All students who need Appendix 3 must complete Section A. SECTION B This section must be completed by staff at the financial aid office or the registrar’s office of your school. Take or mail Appendix 3 to the financial aid office or to the registrar at the school you plan to attend. Check with the school first to make sure you send the form to the right person. SECTION C If you are mailing an Appendix 3 to your school for completion, the school’s staff will return it to the address you have entered in Section C. Incomplete Appendix 3s will be returned to you and will delay processing of your application. Ensure that you have completed all sections before you submit your application to StudentAid BC. Page 65 of 178 Page 1 2011/12 APPENDIX 3 Instructions to School The information you provide in Appendix 3 is necessary to determine the eligibility of the program and the student’s financial need. It also determines the disbursement and negotiation dates for any assistance and the date the loan will go into repayment status. B.C. Public Schools Schools Outside B.C. This form must only be completed by financial aid or registrar’s staff who have signing authority for student loan documents. Department heads, other faculty members and teaching staff DO NOT have authority to complete or sign this form. Ensure the mailing address listed is for the financial aid or registrar’s office at the school, not the department or faculty address. Leave the school and program codes blank. StudentAid BC staff will complete this information. Ensure your school stamp or seal is used. Indicate the program of study in which the student is intending to start classes between August 1, 2011 and July 31, 2012. It is not expected that students pay their fees before the school completes this form. QUESTION 17 DATE CLASSES START Enter first day of classes for the program of study in which the student is or will be registered. T N B.C. public schools are authorized to complete this form for students enrolling in continuous intake programs, once the actual class start date is confirmed. Note: The program of study must be at least 12 weeks long. Appendix 3 may only be completed by authorized financial aid staff. Submitted forms must bear the official FAO stamp. Department heads, faculty members, and teaching staff DO NOT have authority to complete or sign this form. Complete the school and program code boxes and ensure your FAO stamp is used. Indicate the program of study in which the student is intending to start classes between August 1, 2011, and July 31, 2012. Provide the actual tuition and book costs for the student’s program of study. Include any sponsored tuition amount. Note: If you are completing Appendix 3 to extend a study period end date (reassessment), enter the original study period start date on Question 17. The program of study cannot exceed 52 weeks in length. P M A S Box 19 is for B.C. private schools only. B.C. Private Schools This form must only be completed by staff at the school who have signing authority for Canada and B.C. student loan documents. Flight Schools Maximum funding for aviation programs at flight schools: 17 weeks for commercial pilot’s licence 13 weeks for instructor’s rating 13 weeks for endorsements (IFR, float, multi-engine) QUESTION 18 DATE CLASSES END E M U Enter the last day of classes or exams, whichever is later, for the program of study. C O D QUESTION 21 YEAR OF PROGRAM Most programs have a standard length for completion. Indicate the year of the program the student will be in, not the total number of years the student has spent working towards completion of the program. For example: i. If the program requires one year or less to complete, mark 1 in the box. ii. If the student is entering the third year of a four-year program, mark 3 in the box. iii. If the student is entering their fifth year of study, working towards completion of a four‑year program, mark 4 in the box. E L QUESTION 23 correspondence/distance education program Students enrolled in correspondence studies, distance education, on-line programs or other programs with a non-traditional form of delivery are required to submit the Confirmation of StudentAid BC Distance Education Eligibility form. Download the form at: www.StudentAidBC.ca. This form must be completed by the school official and submitted to StudentAid BC with the required documentation. QUESTION 24 PROGRAM TYPE Indicate type of credential the student will receive upon successful completion of this program. QUESTION 25 TOTAL COSTS Identified Educational Costs TUITION Line 25 (a) Tuition Mandatory Fees Line 25 (b) Registration Fee Program Related Costs Line 25 (c) Actual Books Exceptional Expenses Line 25 (d) Compulsory Trips – – – Archiving Fee Student License AMS/Student Society Fees Association Fees Supplies Instruments Kit Practicum Costs Clothing/Uniform Safety Equipment Shoes/Boots Personal Tools Other Equipment Rental (diving, aviation, photography, etc.) Not to include: local transportation, medical premiums Computer Equipment to a maximum of $300 per year (software, usage charges, repairs, etc.). – Page 66 of 178 Page 2 2011/2012 Appendix 3 SCHOOL AND PROGRAM INFORMATION SECTION A - STUDENT: COMPLETE SECTION ‘A’ (FRONT PAGE) AND ‘C’ (BACK PAGE) ONLY (01) STUDENT’S LAST NAME (03) STUDENT’S SOCIAL INSURANCE NUMBER ALL QUESTIONS MUST BE ANSWERED IN INK MIDDLE INITIAL (04) STUDENT APPLICATION NUMBER (02) STUDENT’S FIRST NAME 2 0 1 1 (05) STUDENT NUMBER (IF KNOWN) T N SECTION B - to be completed by an official of the financial aid office or registrar’s office only (school and program information) (06) SCHOOL NAME SCHOOL CODE EMAIL OF FINANCIAL AID OFFICE OR REGISTRAR’S OFFICE OFFICIAL STAMP OR SEAL OF SCHOOL (07) MAILING ADDRESS OF FINANCIAL AID OFFICE OR REGISTRAR’S OFFICE (08) MAILING ADDRESS OF FINANCIAL AID OFFICE OR REGISTRAR’S OFFICE (10) CITY/TOWN ( (13) COUNTRY (15) PROGRAM/FACULTY (17) DATE CLASSES START YEAR MONTH C O D (11) POSTAL/ZIP CODE (12) PROVINCE/STATE P AREA CODE E L (18) DATE CLASSES END DAY M A S TO YEAR E M U PROGRAM CODE MONTH ) TELEPHONE NUMBER (Financial Aid Office) - ( AREA CODE ) FAX NUMBER (Financial Aid Office) - (14) TYPE OF SCHOOL - MARK ONE A PUBLIC ACADEMIC B PRIVATE ACADEMIC D PRIVATE NON-ACADEMIC C PUBLIC NON-ACADEMIC (16) MAJOR/DEPARTMENT (if applicable) DAY (19) TOTAL (NOT TO EXCEED 52 WEEKS FROM START DATE) WEEKS (20) STUDENT’S INTENDED COURSE LOAD (20a) PRIOR LEARNING ASSESSMENT (PLA) % YES NO (21) What year will the student be in (e.g., 1st, 2nd, 3rd, 4th, etc.)......................................................................................................................... YEAR (22) How long is the program when taken at 100% including program breaks? (If less than 60 weeks, mark ‘1’ in box).................. YEAR(S) (23) Is this a correspondence/distance education program?................................................................................................................................... YESNO (24) Program type (mark one box only)... CERTIFICATE ASSOCIATE/diploma A B UNIVERSITY TRANSFER C BACHELOR MASTER D E DOCTORATE F PROFESSIONAL UNCLASSIFIED/QUALIFYING H G (25) Total costs: must be shown in Canadian dollars. (a) Actual tuition, do not deduct any sponsored tuition amount.......................................................................................... (25a) $ (b)Mandatory fees, do not include optional fees......................................................................................................................... (25b) $ (c)Program related costs, actual books, supplies, instruments, etc.......................................................................................(25c) $ (d)Exceptional Expenses, compulsory trips and practicums, uniforms, etc....................................................................... (25d) 00 00 00 $ 00 (a)What is the amount of scholarship(s) the student will receive from your school?.................................................... (26a) $ 00 (b)What is the amount of bursaries the student will receive from your school?.............................................................. (26b) $ 00 (c) What is the amount of teaching/research assistantship income the student will receive from your school?.(26c) $ 00 will receive from your school?....................................................................................................................................................... (26d) $ 00 (26) Student awards: must be shown in Canadian dollars. (d)What is the amount of institutional funded employment program income the student (27) SIGNATURE OF SCHOOL OFFICIAL (IN INK) SIGN HERE PRINT NAME PRINT HERE (28) DATE SIGNED YEAR MONTHDAY Page 67 of 178 return appendix 3 to the student when complete Page 3 2011/12 APPENDIX 3 SECTION C - STUDENT’S MAILING ADDRESS LAST NAME FIRST NAME MAILING ADDRESS Apt./suite Street Number and Street Name/PO Box Use this line for any part of your address not indicated above T N Use this line for any part of your address not indicated above CITY/TOWN PROVINCE/STATE POSTAL/ZIP CODE COUNTRY AREA CODE ( ) TELEPHONE NUMBER - E-MAIL ADDRESS P M A S E L C O D E M U CONTACT INFORMATION TO REACH StudentAid BC BY PHONE: TO REACH StudentAid BC BY MAIL: Call (250)-387-6100 StudentAid BC Mailing address: P.O. Box 9173 Stn Prov Govt Victoria B.C. V8W 9H7 If you are on the B.C. Lower Mainland, call (604)-660-2610 If you are calling from anywhere else in Canada or the U.S., call toll-free 1-800-561-1818 Courier address: c/o StudentAid BC 1st Floor, 835 Humboldt Street Victoria B.C. V8V 4W8 Visit us on-line at www.StudentAidBC.ca Page 68 of 178 Page 4 2011/12 APPENDIX 3 TAB G SAMPLE DOCUMENT Instructions (StudentAid BC) Page 69 of 178 NOTES: Page 70 of 178 2011/2012 u u u How to complete your StudentAid BC Application Instructions instructions E T N M A S E PL M U C O D Apply on-line www.StudentAidBC.ca Page 71 of 178 When you see this symbol, you should read this book for further instructions These instructions are designed to help you to correctly complete questions on your StudentAid BC application. The application includes appendices 1, 2 and 3 (as applicable). The questions on your application are numbered. This book has line numbers that correspond to the line numbers on your application. Before answering a question on the StudentAid BC application, refer to the corresponding line number in the book and read the information given. A deadline for applying for assistance is in place to ensure that you receive your funding before your study period ends. DEADLINE Your correctly completed application and any reassessments, appeals, or transfers must be received at StudentAid BC no later than six weeks before the date your classes end. Applications are subject to audit to verify information you have reported. 2011/2012 Contents T N M U C O E Instructions for Completion of Application D SECTION 1 - Personal Information................................................................................................. 3 E PL SECTION 2 - Before Classes Start ..................................................................................................... 10 SECTION 3 - After Classes Start (Study Period)............................................................................12 M A S SECTION 4 - Asset Information ....................................................................................................... 19 SECTION 5 - Dependants..................................................................................................................... 22 SECTION 6 - StudentAid BC Declaration.................................................................................... 22 SECTION 7 - Canada Revenue Agency Consent................................................................... 23 SECTION 8 - Alternate Address........................................................................................................ 23 SECTION 9 - Release of Information.............................................................................................. 23 APPENDICES - Instructions for Completion............................................................................. 24 Contact Information............................................................................................................. back cover Page 72 of 178 Page 2 SECTION 1 Personal Information Questions 01 to 10 & 14 Name and Address This information is needed to identify and contact you if we have questions. Your identity will be verified through Human Resources and Skills Development Canada (HRSDC) before your application is processed. Your name and social insurance number, together with your date of birth and gender, must match HRSDC records. If the information cannot be verified, your application will not be processed. If you have changed your name since birth (e.g. marriage), ensure you have updated your records with HRSDC before applying for StudentAid BC funding. T N To contact HRSDC Employment Insurance Information Centre call: 1-800-206-7218. E Questions 02a Middle Name M U C O If you have a middle name, enter your middle name in Question 02a. If you have more than one middle name, enter your first middle name. Question 11 E-mail Address If you supply a valid e-mail address, StudentAid BC will contact you by automated e-mail concerning your application status. D Question 12 Social Insurance Number E PL You must have a valid social insurance number. If you are a protected person as defined in the Immigration and Refugee Protection Act and have a social insurance number beginning with a ‘9’, please visit www.StudentAidBC.ca for further information regarding documentation you will need to submit with your application. M A S Question 13 Student Number Enter the student number your post-secondary school assigned to you. Your student number will assist your school in confirming your full-time enrolment to StudentAid BC. If your school did not assign a student number to you, leave Question 13 blank. Question 16 Marital Status Marital Status is defined below. Please read the definitions carefully. Mark one box in the status category on your application: • Single: if you are not married and have no dependent children, mark box ‘A’. • Single Parent: if you have custody of your children, or your children live with you at least two days per week during your entire study period, mark box ‘B’. • Married: if you are married as of the first day of classes, mark box ‘C’. • Common-Law: mark box ‘D’. You and your partner are considered to be common-law if you meet both of the following: • you are currently living together in a marriage-like relationship; and • you will have been living together for at least 12 consecutive months before the first day of classes. Page 73 of 178 Page 3 ...continued on next page SECTION 1 Personal Information Question 16 Marital Status - continued • Separated/Divorced/Widowed: if you are separated, divorced or widowed before the first day of classes and have dependent children, mark box ‘B’. Note: If your spouse/common-law partner has arrived in Canada as a landed immigrant and does not have a valid social insurance number (SIN), apply as ‘married’. When your spouse/common-law partner has received a valid SIN, forward a copy of their SIN to StudentAid BC (include your name and SIN). Question 17 School Code T N If you are attending a B.C. post-secondary school, locate your designated school code on www.StudentAidBC.ca and write the school code on Question 17. E If you are attending school outside of B.C., leave Question 17 blank. M U C O Question 18 Program Code The program code is used to determine the cost of your tuition, books, and practicum/clinical expenses, by linking to a cost table in our computer system that is updated by your school. If you are attending a B.C. post-secondary school, you can find your program code on our website: www.StudentAidBC.ca. Find your program code and write your program code in Question 18 on your application. If you cannot find your program code, contact your financial aid office to obtain the correct code or arrange for completion of Appendix 3 by your school. E PL D If you are attending a school outside of B.C., you must attach Appendix 3, which you will have your school complete. Leave Question 18 blank on your application. Question 19 for Applicants with a Permanent Disability M A S A permanent disability refers to a functional limitation caused by a physical or mental impairment that restricts the ability of a person to perform the daily activities necessary to participate in studies at a post-secondary level or the labour force and is expected to remain with the person for the person’s expected natural life. If you answer ‘yes’ to Question 19, you must complete a Permanent Disability Programs application to document your permanent disability, and have your permanent disability status approved by StudentAid BC. You are only required to submit your medical documentation once unless otherwise requested. Note: Students with permanent disabilities may qualify for other programs. Contact the Disability Services Coordinator, Adult Special Education Coordinator or financial aid office at your school, or visit www.StudentAidBC.ca . Question 20 Landed Immigrant/Protected Person If you are a protected person as defined in the Immigration and Refugee Protection Act and have a SIN beginning with a ‘9’, visit www.StudentAidBC.ca for further information regarding documentation you will need to submit with your application. Page 74 of 178 Page 4 ...continued on next page SECTION 1 Personal Information Question 20 Landed Immigrant/Protected Person - continued If you are not a Canadian citizen, landed immigrant (permanent resident), or protected person, you are not eligible for StudentAid BC funding. You are a landed immigrant (permanent resident) if you have a permanent resident card or a valid Confirmation of Permanent Resident document (IMM 1000 or IMM 5292). You are not eligible for StudentAid BC funding if you are in Canada on a student visa or ministerial permit. If this situation applies to you, do not complete the application. Question 21 Bankruptcy T N 1) If you had outstanding student loans at the time you declared bankruptcy, you must answer ‘YES’ to Question 21 unless all of the following conditions apply: E • you were discharged from bankruptcy involving student loans; and M U C O • you have applied for reinstatement through the Canada Student Loans Program (CSLP); and • you have received clearance in writing from CSLP for reinstatement of your eligibility through StudentAid BC. If all three of these conditions apply, you may answer ‘NO’ to Question 21. Keep documentation of your clearance through CSLP. D 2) If you did not have student loans at the time you declared bankruptcy, answer ‘NO’ to Question 21. E PL • If you or your spouse are currently in an undischarged bankruptcy, you must have your trustee agree that any funds you may be eligible to receive are not seized to pay for debts involved in your bankruptcy. M A S For more information regarding the process of requesting reinstatement of eligibility for StudentAid BC funding after bankruptcy, visit www.StudentAidBC.ca. Question 22 Cashed a Canada student loan You may have received a Canada student loan from B.C. or another province. • If you have previously received and cashed a Canada student loan, mark ‘YES’. • If you have never received and cashed a Canada student loan, mark ‘NO’. • If you are unsure if you have cashed a Canada student loan, contact the National Student Loan Service Centre, your bank/credit union, or the Canada Student Loans Program. • Toll-free: 1-888-815-4514 (within North America) • Toll-free outside North America: international access code and 800-2-225-2501 • Outside North America without international access code: Call Canadian operator at 800-0800-096-0634, then call collect 905-306-2950 Page 75 of 178 Page 5 SECTION 1 Personal Information Question 23 Date You Graduated from or left Secondary (high) School: Enter the date you graduated from or left secondary (high) school (whichever is later). • This is the date you graduated from secondary (high) school. • If you left secondary (high) school and later earned your secondary school credential, enter the date you received your credential (high school equivalency). • If you never attended secondary (high) school, enter the date you left the last elementary school you attended. T N Question 24 Previous Full-time Post-Secondary Studies Include all previous full-time post-secondary studies of at least three months (12 weeks) in length. This includes courses and activities taken at public or private universities, colleges or training schools in any country. This includes British Columbia or any other province/territory in Canada and in any country outside Canada. You must count all time spent in activities for credit (Example: attending classes, distance education, etc.) at a public or private institution. E M U C O Do not include college preparatory (high school level) courses or apprenticeship training. Do not include the study period for which you are now applying. If you have more than 99 months of previous post-secondary studies, put ‘99’ in the box. D Some schools use units instead of credits. Check with your school to be sure of the correct calculation. Include all previous post-secondary months up to the start date of this application, including non-funded post-secondary months. E PL Previous Part-time Post-Secondary Studies If you have completed post-secondary courses on a part-time basis, you will need to convert your part-time studies, to full-time studies. M A S For example, for many academic programs, 15 credits (usually five courses) equals one semester of full-time study. For trades and vocational programs, 129 contact (instructional) hours usually equals one month of full-time study. Prior Learning Assessment/Course Challenge If you received credit for prior learning assessment or course challenge, you must include this in your calculation of previous post-secondary studies. For example, if you received credit for two semesters towards your degree or diploma, enter eight months previous post-secondary study in Question 24. Question 25 High School Completion Did you complete your Grade 12 equivalency after leaving high school? If you did, calculate the number of months by using the date you originally left high school, not the date of your equivalency. Page 76 of 178 Page 6 SECTION 1 Personal Information Question 26 Married/Common-law See the definitions of married and common-law on Question 16 on page 3. If you are currently married or common-law, your spouse/common-law partner must complete Appendix 2. If you have dependent children as defined by StudentAid BC, you must complete Section 5 of the application. Question 28 Labour Force Full-time labour force means working a minimum of 32 hours each week. You are not eligible for full-time funding if you are working more than 32 hours per week. Time spent in the full-time labour force may include periods of unemployment. You may be asked to provide receipts that show you received Employment Insurance (EI) benefits or documents that show you were looking for work. This can include letters of rejection, confirmation of interviews, etc. Question 29 Youth in Continuing Care of the B.C. Director T N E M U C O For a variety of reasons, the B.C. government may become the legal guardian for a child. If you are or were a youth in continuing care/custody of a director of child welfare in B.C. on your 19th birthday, answer “YES” to Question 29. If you were a youth in continuing care or custody of a director of child welfare in B.C. on your 19th birthday from a province other than B.C., answer “NO” to Question 29 and submit an appeal form to apply for Modified Group B status. Note: E PL D • If you indicated “Yes” to Question 29, the Ministry of Children and Family Development may be asked to verify your status as a former youth in continuing care or custody of a director of child welfare in B.C. M A S • If you are a full-time student or a student with a permanent disability studying at a reduced course load, you may qualify for grants from the Youth Education Assistance Fund. For more information about this program, follow the link to bursaries and grants at www.StudentAidBC.ca . Question 30 Parents or Legal Guardian Deceased If both your parents are deceased, and you do not have a legal guardian mark “YES”. Question 31 Group Status A or B A ‘Group A’ student is one: • who has not been out of high school for at least 48 months (4 years); and • who is not married, separated, divorced, widowed or a single parent; and • who is not in a common-law relationship (read definition of “Common-law” in Question 16 on page 3); and • who has not worked in the full-time labour force for two periods of 12 continuous months each since leaving high school (read definition of “full-time labour force” in Question 28); and Page 77 of 178 Page 7 ...continued on next page SECTION 1 Personal Information Question 31 Group Status A or B - continued A ‘Group A’ student is one: • who is not a youth in continuing care or custody of a director of child welfare in B.C. (ward of the court – the government is/was their legal guardian). A ‘Group A’ student, through StudentAid BC, is considered dependent on his/her parent(s)/ step-parent/sponsor/legal guardian, whether they live at home or not, or whether they are supported financially or not. T N Note: If you are considered a “Group A” student as per the information above, and there has been a complete and permanent breakdown in your relationship with your parent(s), you may be eligible for “Modified Group B” status. See the appeal request form, available at www.StudentAidBC.ca or contact the financial aid office at your school. E M U C O A ‘Group B’ student is one: • who has been out of high school for at least 48 months (4 years); or • who is married, a single parent, separated, divorced, or widowed; or • who is part of a common-law relationship for at least 12 consecutive months before the start of classes; or E PL D • who has worked in the full-time labour force for two periods of twelve continuous months each since leaving high school (read definition of “labour force” in Question 28 (on the previous page); or • who is, or was at the time of their 19th birthday, a youth in continuing care or custody of a director of child welfare in B.C. (ward of the court – the government is/was their legal guardian); or M A S • whose parent(s) are deceased AND who has no legal guardian. Question 32 ‘Group B’ Students: Residency As a ‘Group B’ student you are a resident of B.C. if: • you have lived in B.C. all your life; or • B.C. is the province where you last lived for 12 continuous months, as of your study start date, not including months of full-time post-secondary study; or • you arrived in B.C. as a permanent resident or landed immigrant, or protected person, and will attend school in B.C., and you have not lived in any other province for 12 continuous months. If you are not a B.C. resident as defined above, you are not eligible for financial assistance through StudentAid BC. You must apply for assistance through your home province or territory. Do not complete this application. You may only apply for funding from one province or territory. Page 78 of 178 Page 8 ...continued on next page SECTION 1 Personal Information StudentAid BC expects you to save as much money as possible during the four months before classes start. The information in Section 2 helps us to determine how much money we expect you to pay toward your education. It is recommended that you look at a calendar and count back four months from your class start date. Example: T N • If your class start date is September 6, 2011, then the four months before classes start is May 2, 2011 to September 5, 2011. • If your class start date is January 4, 2012, then the four months before classes start is September 4, 2011 to January 3, 2012. E M U C O Question 33 ‘Group A’ Students: Residency of parent(s), step-parent, sponsor, or legal guardian As a ‘Group A’ student, you are a resident of the province in which your parent(s), step-parent, sponsor or legal guardian have most recently lived for 12 continuous months as of your first day of classes. D If they do not live in B.C., you must apply for financial assistance from the province or territory in which they lived for 12 consecutive months as of your first day of classes. E PL If you are a landed immigrant (permanent resident) under sponsorship, your sponsor must complete Appendix 1. Residency is based on where your sponsor lives. M A S Question 34 Before Classes Start A. Living with your parents. For at least two of the four months before classes start, were you or do you expect to be living in a home owned or rented by your parent(s)/step-parent/sponsor/legal guardian? If you were or will be living in a self-contained suite in your parents’ home and paying fair market rent, mark the ‘NO’ box. The suite must have a separate entrance, kitchen, bathroom and living area/bedroom. You will be responsible for your share of the utilities (hydro, telephone, cable, etc.) if not included in your rent. If you are living with your parents and paying room and board costs you may be eligible for a living allowance. In order to be considered for this living allowance you are required to submit an appeal request form for room and board costs. ...continued on next page Page 79 of 178 Page 9 SECTION 2 Before Classes Start B. Enrolled in full-time study. For at least two of the four months before classes start, were you attending school full-time (full-time is defined as at least 60 percent of a full course load)? This could be high school, adult basic education, college prep, summer school, post-secondary, a training program, or co-op work term. C. Caring for your eligible dependent child(ren). For at least two of the four months before classes start, did you care for your (or your spouse’s/ common-law partner’s) dependent child(ren) full-time? T N Note: Caring for your dependent children prevented you from being employed outside of the family home. Read definition of “eligible dependant” in Question 74 on page 22. Only one parent may claim being the full-time caregiver. E M U C O Question 35 Sources of Income A. Enter the total amount of income assistance (welfare) and/or B.C. income assistance for persons with disabilities you receive during the four months before classes start. Note: D If you are married or common-law, you must either split the amount of income assistance (welfare) received between line 35a of your application and line 7a of Appendix 2 or only one of you may claim the full amount. E PL B. Enter your total Employment Insurance benefits (EI) you receive during the four months before classes start. C. Enter your total gross employment earnings and/or net self-employment income you receive during the four months before classes start. M A S Net self-employment income is the gross income minus the business operating expense. Self-employment includes business income, professional income, commission income, farming income and fishing income. These income amounts are before the deductions for pension contributions, employment insurance, personal exemptions and income tax. Do not include HST rebates, child tax benefits, tax refunds, or the B.C. Family Bonus you receive during the four months before classes start. D. Enter the total Child Care Subsidy you receive during the four months before classes start. Child Care Subsidy is the amount of money given to you by the Ministry of Children and Family Development to help you pay for day-care. Do not include the Universal Child Care Benefit. E. Enter the amount you will receive from all other sources. Do not include HST rebates, child tax benefits, tax refunds or the B.C. Family Bonus. If these are your only sources of ‘other income’, leave the ‘specify’ box blank and enter ‘0’ on line 35e. Page 80 of 178 Page 10 SECTION 2 Before Classes Start Question 36 Allowable Costs A. Canada student loan (CSL) and/or Provincial student loan payments. Payments are defined as those which have been set under a formal monthly repayment schedule with your service provider and/or bank. Do not include payments or interest penalties on defaulted loans, loan overaward payments, or voluntary payments in excess of the expected monthly payment. B. Educational costs. If you were in school during the four months before classes start, but did not receive a student loan or grant, indicate the amount you paid for tuition and books. Do not include tuition or deposits for the study period you are applying for now (Questions 41 and 42). T N E C. Enter total day-care costs (including Child Care Subsidy) for your child(ren) age 11 or under. In the four months before classes start, what is the total amount of day-care costs for your child(ren) age 11 years or under. Include child care subsidy amount (only one parent may claim day care costs). M U C O Day-care costs are the monies paid to a caregiver to look after a student’s child or children (age 11 or younger), allowing the student and their spouse or common-law partner to attend classes or to work during the study period and/or pre-study period. Note: if the spouse or common-law partner is at home caring for the student’s dependent child or children during the study period or the pre-study period (the four months before classes start) then day-care costs cannot be claimed. E PL D Child Care Subsidy + Amount you pay = Total day care costs Do not include costs declared by your spouse/common-law partner on the Appendix 2 form. Do not include food, shelter or clothing costs. These are covered under a moderate standard of living calculation used in the assessment process. M A S D. Enter any child support and/or spousal support payments. Enter child support and/or spousal support payments made by you in the four months before classes start. This includes court-ordered or other arranged monthly payments. Question 37 Balance in Bank Accounts Enter your savings, which includes cash on hand or any money in your savings/chequing accounts from both inside and outside of Canada, at the start of classes (the date you will enter on Question 41). Do not include your spouse/common-law partner’s account balances here. Do not include RRSPs, mutual funds, term deposits, stocks or bonds here, as these assets must be claimed in Section 4 - Asset Information; otherwise, your assets will be assessed twice. If you paid your tuition and/or book costs before the start of classes, include that amount on Question 37. Page 81 of 178 Page 11 SECTION 3 After Classes Start This section asks for information about your school, program of study, allowable extra costs and study period income. Question 38 Name of School Enter the name of the school you are or will be attending. If you are or will be attending two schools at the same time, this is called a split enrolment. Enter the name of the school where you are or will be taking the most courses. A split enrolment must be approved by the school where you are or will be taking the most courses. T N Question 39 Program/Faculty Enter the name of the program/faculty in which you are or will be registered. Example: arts or science or cooking or electronics or nursing. E M U C O Question 40 Major/Department/Option Programs may have more than one option. In such cases, list your chosen option. For example: Program/Faculty Major/Option Arts Science Culinary Arts E PL Information Technology Nursing M A S D History, English Physics, Chemistry Core, Short Order, Banquet, etc. Computers, Telecommunications If you do not have a major or option, leave this section blank. Question 41 Date Classes Start Enter the date of your first day of classes in the study period for which you are or will be registered and want financial assistance. Example: If you attend university, most classes will begin in September and end in April. The correct start date of your classes is critical. If you are not sure when classes start, contact your school. Note: The total number of weeks between your class start date and class end date cannot be more than 52. Question 42 Date Classes End Enter the date of your final class or exam, whichever is later. Remember, we are only interested in the study period for which you are registered and are applying for financial assistance. Example: If you attend university, most classes will begin in September and end in April. The correct end date of your classes is critical. If you are not sure when classes end, contact your school. Page 82 of 178 Page 12 ...continued on next page SECTION 3 After Classes Start Note: The total number of weeks between your class start date and class end date cannot be more than 52. Six week deadline for applying for assistance A deadline for applying for assistance is in place to ensure that you receive assistance before your study period ends. Your correctly completed application and any reassessments, appeal requests, or transfer requests must be received no later than six weeks before your study end date. T N Question 43 Co-op Work Term If you will be on an approved paid co-op work term during the study period indicated on Questions 41 and 42, answer ‘YES’. If you answer “YES” to Question 43, you must complete the income field for Question 53. Failure to do so will delay your application. E M U C O If you will be attending school for two semesters and may be in a paid co-op work term in your second semester, submit a separate StudentAid BC application for each semester of study. Question 44 Course Load To be eligible for StudentAid BC funding, you must be a full time student. If you are in a creditbased (academic) program, you must take at least 60 percent of a full-time course load for credit. If you are in a non-credit (hours based) program, you must attend a minimum of 20 hours of instructional time per week at your school. E PL D If you are repeating a previously passed course only to improve your grade level, the course cannot be included as part of the 60 percent calculation. If you are a student with a permanent disability, you may request consideration for full-time funding at the 40 percent course load level. Complete an appeal request form. If you have been previously approved by StudentAid BC to study at a 40 percent course load level, you do not need to submit a new appeal. Note: M A S Students with permanent disabilities may qualify for other programs. Contact the Disability Services Coordinator, Adult Special Education Coordinator or financial aid office at your school, or visit www.StudentAidBC.ca . If you are not sure what percentage of courses you are taking, contact your financial aid office. Question 45 Program Type A program is a combination of courses leading to a credential. The program type identifies the certificate, diploma or degree you expect to receive upon completion of the program. Example: If you are enrolling in a diploma program, mark the box that says ‘Associate/ Diploma’, even if you plan to go on to a bachelor or masters degree. If you are enrolled in university transfer courses, mark the ‘University Transfer’ box, not the ‘Unclassified/Qualifying’ box. Page 83 of 178 Page 13 ...continued on next page SECTION 3 After Classes Start Note: “Unclassified/Qualifying” studies refers to a study period where you are taking courses in preparation for entry into a specific program or faculty. Maximum funding for “Unclassified/Qualifying” studies is 52 weeks. For example: If you have completed an undergraduate degree, you may need to take additional courses before being admitted into graduate studies. Question 46 Year of Program Most programs have a standard length for completion. Indicate the year of the program you will be in, not the total number of years you have spent working towards completion of the program. For Example: • If the program requires one year or less to complete, mark one in the box. T N E M U C O • If you are entering the third year of a four year program, mark three in the box. • If you are entering your fifth year of study, working towards completion of a four year program, mark four in the box. If you are not sure which year of your program you are in, contact the financial aid office at your school. D Question 47 Full-time Employment E PL Full-time work is considered to be 32 hours or more per week, for more than half of your entire study period. If “YES”, you are not eligible for StudentAid BC funding. Do not complete this application. If you have: M A S • a full-time job for less than 32 hours per week during your study period or • a full-time job for 32 hours or less per week for less than half of your entire study period, answer “NO” to this question Question 48 Where You Expect to Live While attending school, indicate whether or not you will be living with your parent(s), step‑parent, sponsor or legal guardian. If you will be living in a self-contained suite in your parents’ home and paying fair market rent, mark the ‘NO’ box. A self-contained suite is defined as having its own separate entrance, kitchen, bathroom and living area/bedroom and you are responsible for your share of the utilities (hydro, telephone, cable, etc.). Note: If you are living with your parents and paying room and board costs, mark “Yes”. You will be required to submit an Appeal Request for Room and Board. Page 84 of 178 Page 14 SECTION 3 After Classes Start Question 49 Do You Need Appendix 3? See the information on Appendices on page 24. Question 50 Day-Care Costs Read the definition of day-care in the StudentAid BC Guide. Enter study period day-care costs for your child(ren) aged 11 or under. Include the amount of Child Care Subsidy. Child Care Subsidy + Amount you pay T N = Total day-care costs Do not include costs declared by your spouse/common-law partner on Appendix 2. Do not include food, shelter or clothing costs. These are covered under a moderate standard of living calculation used in the assessment process. E M U C O Question 51 Child Support and/or Spousal Support Payments Enter child support and/or spousal support payments made by you during your study period. This includes court-ordered or other arranged monthly payments. Question 52 Return Transportation D Return transportation assists eligible students to return home to visit during the study period, or move back home when classes finish. (This does not include daily transportation costs. If you require additional assistance with these expenses, refer to the appeal request form.) For a program of: E PL • 12-26 weeks in length, you may be allowed one return trip. M A S • 27-52 weeks in length, you may be allowed two return trips. You are expected to travel as economically as possible. This travel allowance includes the price of fuel for those students travelling home in their own vehicle; however, this allowance does not cover vehicle loan payments, vehicle insurance or maintenance costs. Note: If you are/will be on an exchange program, do not include travel costs. These costs are not covered by StudentAid BC funding. Question 53 Co-op Earnings Enter gross study period earnings from approved co-op work placements. Question 54 Assistantships/stipends Enter gross income from teaching/research assistantships and stipends. Page 85 of 178 Page 15 SECTION 3 After Classes Start Question 55 Gross Employment Earnings/Net Self-Employment Income Enter your total gross employment earnings and/or net self-employment income you expect to have for your entire study period. Net self-employment income is the gross income minus the business operating expense. Self-employment includes business income, professional income, commission income, farming income and fishing income. These income amounts are before the deductions for pension contributions, employment insurance, personal exemptions and income tax. Do not include amounts entered on Questions 53 and 54. T N Question 56 Child Support and/or Spousal Support and Maintenance Enter the amount of child support and/or spousal support and maintenance you will receive during your study period. E M U C O Question 57 Employment Insurance Benefits (EI) Enter the amount of Employment Insurance benefits (EI) you will receive during your study period. Question 58 Bursaries or Needs-Based Academic Awards D A bursary is an award given to a student who has demonstrated financial need. If you know you are receiving a bursary, enter the amount. If your award is a combined needs-based and merit-based scholarship or bursary, do not include the amount here, include the amount on Question 61. Note: E PL If you will be receiving a nurses education bursary, or a youth educational assistance fund award, do not include the amount. They are exempt from assessment. M A S Question 59 WorkSafe BC benefits Enter the amount of WorkSafe B.C. benefits (formerly known as Workers Compensation Board) you will receive during your study period. Question 60 Pension Income Include Orphan’s Benefits, Canada Pension Plan (CPP), retirement pensions, disability pensions, or any other pension you will receive during your study period. Students receiving disability assistance must claim the income on Question 66. Question 61 Scholarships, Merit-Based and Other Awards A scholarship is an award given to a student who has demonstrated high academic standing. If you know you will be receiving a scholarship or other merit based award, enter the amount. If you have received a Passport to Education or Provincial Scholarship include these as well. Question 62 First Nations Band Funding Enter funding you will receive during your study period, from your First Nation band. Do not include Indian Residential School payments. Enter sponsored tuition and books on Question 65. Page 86 of 178 Page 16 SECTION 3 After Classes Start Question 63 Contributions from Parents Include all monetary contributions from your parent(s)/step-parent/sponsor/legal guardian, including any money received from cashed registered education savings plans (RESPs), not the total value in RESP account, but amount cashed for you for this study period, even if the amount is already indicated on Appendix 1. Include scholarship trust funds. Question 64 Day Care Subsidy Enter the amount of assistance you receive from the Ministry of Children and Family Development (or any other agency) to assist you with the cost of day-care. Do not include the Universal Child Care Benefit. Question 65 Sponsored Tuition/Books T N E A number of organizations, agencies and employers provide sponsorship for tuition and books. If you are receiving sponsorship, enter the total amount you will receive for your entire study period on Question 65. M U C O Question 66 Income Assistance (Welfare) and/or B.C. Income Assistance for Persons with Disabilities You are not usually eligible to receive income assistance (welfare) while attending postsecondary studies, unless you are a student with a permanent disability in receipt of disability assistance. E PL D If you are currently receiving income assistance, you must contact your employment and assistance worker or social worker and advise them of your intention to take full-time post‑secondary studies. Your worker will determine whether you can continue to receive income assistance during your study period based on employment and income assistance criteria, or whether your income assistance will stop while you are in full-time studies. M A S If you have a permanent disability and you are receiving disability assistance from the Ministry of Social Development, contact your local office to find out if you will be eligible to continue to receive disability assistance during your study period. If you continue to receive income assistance or B.C. income assistance for persons with disabilities while in full-time studies, you are subject to an agreement between our ministries. Under the agreement, the Ministry of Social Development continues to provide maintenance (shelter, food, etc.) while StudentAid BC considers the cost of your program. These costs are limited to: • tuition • books/supplies • disability allowance • transportation costs • unsubsidized day-care costs, if you have dependent children • specialized equipment and services. Do not include on Question 66 the income assistance/B.C. income assistance for persons with disabilities amount claimed by your spouse on Question 11A of Appendix 2 or you will be assessed twice for these funds. Page 87 of 178 Page 17 SECTION 3 After Classes Start Question 67 Employment Program for Persons with Disabilities Income The Employment Program for Persons with Disabilities provides assessments and planning, employment-related training, work placement, employment crisis services, assistive technology and disability supports for people whose disabilities are barriers to employment. Enter the amount of assistance you receive from the Employment Program for Persons with Disabilities in Question 67. Question 68 Other Sources of Income Include financial gifts, income from assets, cashed assets (CSBs, RRSPs, mutual funds, etc.), registered education savings plans (RESPs) not listed on Question 63, net rental income from rental property you own, insurance settlements, inheritance, education/savings plans or any other income not listed on Questions 53 to 67 that you will receive during your study period. If you have received funding from any other agency not listed above, include the amount on Question 68. T N E M U C O If you are a ‘Group A’ student, do not include contributions or education/scholarship plans from parent(s)/step-parent/sponsor/legal guardian here. Include this amount on Question 63. Your parent(s)/step-parent/sponsor/legal guardian must also declare these amounts on Appendix 1. Do not include child tax benefits, tax refunds, HST rebates or the B.C. Family Bonus. If these are your only sources of ‘other income’, leave the ‘specify’ box blank and enter ‘0’ on Question 68. M A S E PL D Page 88 of 178 Page 18 SECTION 4 Asset Information The information provided in this section assists StudentAid BC to determine if you will be required to provide an additional contribution toward your education. Question 69 RRSP RRSP means registered retirement savings plan. This is how you calculate the net worth of RRSPs: Amount of RRSP – Amount owing on the RRSP loan (if any) T N – Amount withheld by bank for tax purposes and/or penalties if cashed = Net worth of RRSP E On Question 69, include all RRSPs you own, ‘locked-in’ or not. Contact your bank, credit union or trust company to accurately determine the net worth of your RRSPs. M U C O Question 70 Net Worth of Other Investments Declare all other investments and/or trust funds in your name, ‘locked-in’ or not. Include all Canadian and foreign assets. This is how you calculate the net worth of other investments: D Amount of other investments E PL – Amount owing on investment loans – Any fees that may be charged for withdrawing investments M A S = Net worth of investments If investments are jointly owned, use the net worth of your portion. Example: Your parents or grandparents may have purchased bonds for you. Ask them. If they have, include the amount on Question 70. Question 71 Net Worth of Other Assets Declare the net worth of all other Canadian and foreign assets you own except for your principal residence, which is defined as the home you own and live in most of the time. All other real estate must be included as an asset. Do not include items such as: bicycles, computer or camera equipment, musical instruments, furniture or motor vehicles (listed in Question 73). This is how you calculate the net worth of other assets: Market value of assets – Amount owing on assets (if any) = Net worth of assets If assets are jointly owned, use the net worth of your portion. ...continued on next page Page 89 of 178 Page 19 SECTION 4 Asset Information Example: If you and your spouse/common-law partner own a boat 50-50, use half of the net value in this calculation. Your spouse/common-law partner will declare the other half on Appendix 2. Question 72 Own a Business This is how you calculate the net worth of your business: Total business assets (lands, buildings, accounts receivable, etc.) – Total liabilities (accounts payable, notes payable, mortgages, etc.) T N = Net worth of business Do not include business vehicle(s). E If you are part owner of a business, enter the value of your portion. M U C O Example: If the business is worth $500,000 and you own 10 percent, then your portion of the business is worth $50,000. Question 72(a) Gross income from 2010 income tax return Enter the amount from line 150 of your 2010 income tax return. The line 150 income you report will be checked against Canada Revenue Agency (CRA) records. If the amount you indicate is different from their records, CRA data will be used in the needs assessment calculation. If CRA records are incorrect, you must submit a reassessment and documentation showing the correct income. If you did not file a Canadian income tax return, enter your total 2010 gross income from all sources both inside and outside Canada, which includes employment, pension investment, rental, RRSP, foster parent, net professional income, workers’ compensation, employment insurance and disability assistance. Convert foreign currency into Canadian dollars. M A S E PL D Question 73 Motor Vehicles Owned Include all cars/trucks/motorcycles whether in running order or not, insured or not, fully paid for or not, for which you are the registered owner. YEAR 2010 PURCHASE DATE YEAR MONTH MAKE AND MODEL TYPE Acura CSX 4dr Sedan PURCHASE PRICE RESALE VALUE 2 0 1 0 0 6 $1 7 2 0 0 $1 6 5 0 0 All information is subject to verification through the Insurance Corporation of British Columbia (ICBC). If you transfer a motor vehicle to a different person with little or no monetary exchange, the value of your motor vehicle will still be considered. If motor vehicles are sold, it is expected that the transaction will be for fair market value. ...continued on next page Page 90 of 178 Page 20 SECTION 4 Asset Information Note: • If you and someone else are both registered owners (per ICBC), the motor vehicle value may be divided in half. You may be asked to submit your ICBC owner’s certificate of insurance and vehicle licence documentation. • If you share registered ownership (per ICBC) of the motor vehicle with your spouse/ common-law partner, the motor vehicle value may be divided in half. Your spouse/ common‑law partner may declare half the value on Appendix 2. You may be asked to submit your ICBC owner’s certificate of insurance and vehicle licence documentation. T N Question 73(a) Motor Vehicles Leased Leased Vehicles An increasing number of students are choosing to lease motor vehicles. When you qualify for a lease agreement, this indicates access to resources that could have been used for educational costs, thus reducing the need for assistance from StudentAid BC. The payments you make on your leased vehicle are therefore considered a resource in assessing your financial need. StudentAid BC does not provide any funds for lease payments for motor vehicles. E M U C O If you are currently leasing a motor vehicle, enter the information required on Question 73(a), including your monthly lease payments. YEAR MAKE AND MODEL 2010 Acura CSX Note: M A S E PL TYPE 4dr Sedan D LEASE DATE YEAR MONTH VEHICLE VALUE AT LEASE DATE MONTHLY LEASE PAYMENTS 2 0 1 0 0 6 $1 6 5 0 0 $3 8 0 • If you and someone else are both leasing a motor vehicle (per ICBC), the motor vehicle lease payments may be divided in half. You may be asked to submit your ICBC lease’s certificate of insurance and vehicle licence documentation. • If you share a lease (per ICBC) of the motor vehicle with your spouse/common-law partner, the motor vehicle lease payments may be divided in half. Your spouse/common-law partner must declare half the lease payments on Appendix 2. You may be asked to submit your ICBC lease’s certificate of insurance and vehicle licence documentation. Page 91 of 178 Page 21 SECTION 5 Dependants Question 74 a & b Eligible Dependants This section applies to ‘Group B’ students only. If you are a ‘Group A’ student answer ‘NO’. Read definition of “group status” in Question 31 on page 7. For StudentAid BC purposes, eligible dependants are any dependants for whom you receive the Canada Child Tax Benefit or for whom you claim a benefit on your 2010 income tax return. To be eligible, a dependant must meet one or more of the following criteria: • Be your child(ren) and/or your spouse/common-law partner’s child(ren) under 19 years of age as of the start of your classes, for whom you have custody, or provide care (they live with you), at least two full days per week during your entire study period; or • Be your child(ren) and/or your spouse/common-law partner’s child(ren) age 19 or over who are full-time ‘Group A’ students (read definition of “Group A” status in Question 31 on page 7); or • Be your permanently disabled child(ren) and/or your spouse/common-law partner’s permanently disabled child(ren) age 19 or over, who you fully support and declared on your income tax return; or • Be your permanently disabled spouse/common-law partner who you fully support and declared on your income tax return; or • Be your foster child(ren), if foster parent income is claimed on Question 35E and Question 68 of this application; or • Be your elderly relatives and/or your spouse/common-law partner’s elderly relatives who you fully support and have declared on your income tax return. T N E E PL M U C O D If you have more than four eligible dependants, include a separate sheet listing all required information about each additional dependant. Note: M A S If you are expecting, please submit a Request for Reassessment Appendix 7 after the birth of the child and attach a copy of the birth certificate. SECTION 6 StudentAid BC Declaration The StudentAid BC Declaration is a legal document. By signing it, you agree with what the declaration says, and that the information you have given is correct. The declaration also tells you from whom we can get information about you and with whom StudentAid BC may share your application information. Read the Declaration carefully. Make sure you understand it fully. If you do not understand it, do not sign it. Call the financial aid office at your school, or call StudentAid BC for an explanation. The StudentAid BC phone numbers are listed on the back cover of this booklet. When you understand the declaration, sign and date it in ink. Your signature indicates that you have read and agree with everything the declaration says. Your application will not be processed unless this declaration is signed and dated. Page 92 of 178 Page 22 SECTION 7 Canada Revenue Agency Consent This section is a requirement of the Canada Revenue Agency. It is a legal document. By signing it, you accept the terms of the consent and authorize the release of your taxpayer information from the Canada Revenue Agency to StudentAid BC. Your application will not be processed unless this consent is signed and dated. SECTION 8 Alternate Address T N We require the name and address of someone living in Canada or the United States who we will be able to contact if we cannot contact you. We recommend that you choose a contact person whose address is different from the address you indicated on Section 1 of your application. This person will be contacted if mail sent to your address is returned or if we cannot contact you by phone. In most cases this person will be your parent. E SECTION 9 M U C O Release Of Information D E PL This section is optional and can be left blank. The Freedom of Information and Protection of Privacy Act prevents StudentAid BC, and financial aid staff from releasing any information pertaining to this application to anyone other than you unless you provide written permission. M A S Complete this section if you want to authorize another person to obtain information on your behalf about this application, related appendices, or assessment details. If you authorize someone to access information on your behalf by completing this section, they must provide your SIN and date of birth to access any information from StudentAid BC or financial aid staff. Note: Information can be shared with the persons/organizations identified in the StudentAid BC declaration (Section 6) based on your signature, regardless of whether or not Section 9 is completed. Page 93 of 178 Page 23 Appendices Three separate Appendices are enclosed in this package. These provide additional information that may be required to correctly determine the amount of assistance you need. Appendices 1, 2 and 3 Appendix 1: Parent(s)/Step-parent/Sponsor/Legal Guardian Information If you are a ‘Group A’ student, have your parent(s)/step-parent/sponsor/legal guardian complete Appendix 1. Appendix 1 asks for information about their personal finances. This information is used to determine how much they may be required to contribute towards your education. Appendix 2: Spouse/Common-Law Partner Information If you are married or in a common-law relationship, your spouse/common-law partner must complete Appendix 2. Appendix 2 asks for personal and financial information. This information is used to determine how much your spouse/common-law partner may be required to contribute towards your education. T N E M U C O Appendix 3: School and Program Information If you plan to attend a designated school outside of B.C., your school must complete Appendix 3. If you are attending a B.C. post-secondary school and your program code is not listed on our website, you may need Appendix 3 to be completed by your financial aid office. Check with your financial aid office for more information. D The program information provided by an official at your school collected in Section ‘B’ on Appendix 3 helps us to determine how much your program will cost. E PL The school you attend must be designated by StudentAid BC in order for you to be eligible for consideration of StudentAid BC funding. Visit our website for a list of designated schools worldwide at www.StudentAidBC.ca . If you wish to have your school designated, please complete the designation request form available on our website and forward it to StudentAid BC for review. The designation process may take several weeks to complete. Assistance through StudentAid BC cannot be considered before the school is designated as funding is not retroactive. M A S Page 94 of 178 Page 24 Remember • Use ink. Print clearly and answer all questions. • Do not alter any questions asked on the application or appendices. • Do not include information that is not requested. Your application form and appendices will be processed through an automated computer system. • Answer all questions. If questions are left blank, your application and any required appendices cannot be processed. Your application will be “pending.” • Submit only one application for each study period in which you are registered. Check with staff at your school’s financial aid office if you are unsure of your study period. • If you transfer to another school after submitting your StudentAid BC application, you must complete and submit to StudentAid BC either: • Appendix 5: Transfer of School if you have cashed any of your StudentAid BC funding for this period of study; or T N • Appendix 7: Request for Reassessment should be completed when certain circumstances changed and if you have not cashed any of your StudentAid BC funding for this period of study. E M U C O • Your correctly completed application and any reassessments, appeals, or transfers must be received at StudentAid BC no later than six weeks before the date your classes end. • Allow six weeks for your application to be processed. Moving? D Change your address online at: www.StudentAidBC.ca . What’s Next? E PL Application Status Information is available on our website at: www.StudentAidBC.ca including application receipt dates, funding amounts, etc. Application information is updated nightly. M A S Missing Information Request Letter If you have left questions blank on your application, you will be sent a missing information request letter. This letter will ask you to complete the question(s) that you missed and to return the completed information to StudentAid BC. Notification of Assessment After the assessment of your application is complete, a notification of assessment will be mailed to you. The notification of assessment advises you of the amount of funding you may receive. Telephone Information System You can call StudentAid BC and receive information about the status of your application, including application receipt dates, funding amounts, and more. You will need to know your social insurance number and your StudentAid BC application number. Both these numbers are needed when calling for information. The telephone information system is available 24 hours a day, 7 days a week. Application information is updated nightly. Page 95 of 178 Page 25 Mailing address: PO Box 9173 Stn Prov Govt Victoria BC V8W 9H7 Courier address: 835 Humboldt Street 1st Floor Victoria BC V8V 4W8 Phone: 250 387-6100 604 660-2610 (B.C. lower mainland) D Fax:1-866-312-3322 E PL Visit:www.StudentAidBC.ca M A S E M U C O 1-800-561-1818 (toll-free in Canada/USA) Page 96 of 178 T N TAB H SAMPLE DOCUMENT Student Guide (StudentAid BC) Page 97 of 178 NOTES: Page 98 of 178 2011/2012 u u u Programs & Eligibility for classes starting between August 1, 2011 and July 31, 2012 M A S E PL Student Guide STUDENT GUIDE T N E M U C O D Apply on-line www.StudentAidBC.ca Page 99 of 178 Eligibility - Planning - Apply Online - Loans - Grants - Application Status - Disbursements - Forms - Contact - Repayment Apply on-line: www.StudentAidBC.ca Quick. Convenient. Secure. Get your application processed fast! Just look at the benefits: • Online applications are available 24 hours a day, seven days a week. • You can get your application processed quickly, conveniently and securely. • It’s easy to use. • It’s good for the environment because it reduces paper applications, guides and booklets. Funding in B.C. for full-time study, part-time study and repayment assistance is based on financial need. It is meant to supplement, but not replace, funds you have from work, savings, assets, family resources and all other sources of income. T N Policies are subject to change without notice. For the latest StudentAid BC policy and Canada Student Loans Program policy, visit: www.StudentAidBC.ca and CanLearn.ca. E Seven Helpful Reminders: M U C O 1. When you apply, use your legal name as it appears on your SIN card and photo identification. 2. Apply early so you know how much money you’ll have – you’ll need to know so you can create a financial plan. 3. Have a plan, both academically and financially, for how you will achieve your educational goals. 4. Research other sources of income. D 5. Repayment of your student loans will begin six months after you leave full-time studies. E PL 6. It’s your responsibility to ensure your address is up to date with: • StudentAid BC; • the National Student Loan Service Centre (NSLSC) who is responsible for administering your Canada - BC integrated student loans; and M A S • your school. 7. Keep a file at home with all of your student loan information in it. Vous pouvez obtenir cette publication en français au www.StudentAidBC.ca This document is available on demand in alternate formats (large print, Braille, audio cassette, audio CD, e-text diskette, e-text CD, or DAISY), by contacting 1 800 O-Canada (1-800-622-6232). If you have a hearing or speech impairment and use a teletypewriter (TTY), call 1-800-926-9105. © Her Majesty the Queen in Right of Canada, 2011 Page 100 of 178 Page 2 2011/2012 Contents Intent of student financial assistance in B.C. ....................................... 7 Introduction........................................................................................................................................................................................... 8 Application deadlines...................................................................................................................................................................... 8 Do I have enough money to go to school?....................................................................................................................... 8 Budget....................................................................................................................................................................................................... 8 Moving?................................................................................................................................................................................................. 10 School designation........................................................................................................................................................................ 10 T N Information for students studying at a B.C. private school................................................................................... 10 Is your school accredited?.......................................................................................................................................................... 10 E Signing an enrolment contract.............................................................................................................................................. 10 Information for students studying outside Canada................................................................................................... 10 M U C O Verification and audit.................................................................................................................................................................... 11 Information and programs for full‑time students ............................12 Am I eligible to receive funding as a full-time student?......................................................................................... 12 Receiving income assistance................................................................................................................................................... 12 D Loans for full-time students...................................................................................................................................................... 13 E PL B.C. Loan Reduction Program.................................................................................................................................................. 13 Grants and bursaries for full-time students..................................................................................................................... 14 Canada Student Grant for Persons from Low-income Families.......................................................................... 14 Canada Student Grant for Persons from Middle-income Families................................................................... 14 M A S Canada Student Grant for Students with Dependants............................................................................................ 14 Nurses Education Bursary........................................................................................................................................................... 14 Youth Educational Assistance Fund..................................................................................................................................... 15 How do I apply for full-time assistance?........................................................................................................................... 15 Credit check........................................................................................................................................................................................ 16 Maximum funding limits............................................................................................................................................................ 16 Lifetime maximum limits............................................................................................................................................................ 17 Once you’ve been approved for funding......................................................................................................................... 17 How do I receive my financial assistance?....................................................................................................................... 18 What if I want to appeal my assessment?........................................................................................................................ 19 What can I do if my appeal is denied?................................................................................................................................ 20 Page 101 of 178 Page 3 2011/2012 Contents What are my obligations while in school?..........................................21 What if my circumstances change?..................................................................................................................................... 21 What kind of changes should I report?............................................................................................................................. 22 What if I transfer schools?........................................................................................................................................................... 22 Withdrawals and scholastic standing................................................................................................................................. 22 Overawards......................................................................................................................................................................................... 23 Repaying your student loans................................................................24 T N How do I repay my student loans?....................................................................................................................................... 24 When does interest start accumulating?.......................................................................................................................... 24 E What interest rate will I pay?..................................................................................................................................................... 24 M U C O What happens if I don’t repay my student loan?......................................................................................................... 25 Debt management programs...............................................................26 B.C. Interest Relief Program....................................................................................................................................................... 26 Repayment Assistance Plan ..................................................................................................................................................... 26 D B.C. Principal Deferment............................................................................................................................................................. 26 Revision of Terms............................................................................................................................................................................. 26 E PL Permanent Disability Benefits.................................................................................................................................................. 26 B.C. Loan Forgiveness Program .............................................................................................................................................. 27 Pacific Leaders Loan Forgiveness Program .................................................................................................................... 28 M A S Information and programs for part‑time students ..........................29 Canada Student Loans for Part-time Studies................................................................................................................. 29 Canada Student Grant for Part-time Students.............................................................................................................. 29 Canada Student Grant for Part-time Students with Dependants..................................................................... 29 B.C. Supplemental Bursary for Students with a Permanent Disability............................................................ 29 Information and programs for students with permanent disabilities ......................................................................30 What is a permanent disability?............................................................................................................................................. 30 Canada Student Grant for Persons with Permanent Disabilities........................................................................ 30 Canada Student Grant for Services and Equipment for Persons with Permanent Disabilities....... 30 Assistance Program for Students with Permanent Disabilities........................................................................... 30 B.C. Access Grant for Students with a Permanent Disability................................................................................. 30 Learning Disability Assessment Bursary............................................................................................................................ 31 Learning Disability Assessment Reimbursement ....................................................................................................... 31 B.C. Supplemental Bursary for Students with a Permanent Disability............................................................ 31 Page 102 of 178 Page 4 2011/2012 Contents Adult Basic Education Student Assistance Program.........................32 Scholarships administered by StudentAid BC...................................33 Pacific Leaders Scholarship for Children of Public Servants................................................................................. 33 United World Colleges Scholarship for Aboriginal Students................................................................................ 33 United World Colleges Scholarship for Seminar on Youth Leadership.......................................................... 33 Lieutenant Governor’s Silver Medal..................................................................................................................................... 33 T N Definitions................................................................................................34 StudentAid BC contact information.....................................................40 E M A S E PL M U C O D Page 103 of 178 Page 5 NOTES: Page 104 of 178 Intent of student financial assistance in B.C. Student financial assistance is needs-based and is not intended to fully fund your postsecondary education and living costs. Federal and provincial government student financial assistance programs exist to supplement, not replace, funds available to students through work, savings/assets and family resources/ income. The program considers income and resources against basic educational costs and a moderate standard of living. A basic principle of StudentAid BC and the Canada Student Loans Program is that the main responsibility for the funding of post-secondary education rests with the student and the student’s parent(s), step-parent(s), sponsor(s), legal guardian(s) or spouse. T N You are responsible for regularly reviewing your financial situation to ensure your obligation to repay the debt can be met once full-time post-secondary studies end. E Be sure to investigate all possible funding options before seeking assistance with the federal and provincial governments. M U C O Please note that StudentAid BC program policies may be subject to change. Visit www.StudentAidBC.ca for the most updated information. M A S E PL D Page 105 of 178 Page 7 General information for students Introduction The Government of British Columbia and the Government of Canada work closely together to provide student financial assistance in B.C. If you are a B.C. resident planning to attend a post-secondary institution, this guide is a source for information on applying for student financial assistance for the 2011/2012 academic year (August 1, 2011, to July 31, 2012). While support is available from both the provincial and federal governments, the loan process has been integrated for administrative purposes. A single application form is used to determine your eligibility for student financial assistance under both governments. T N Loans, grants, bursaries and scholarships help eligible full and part-time students with the cost of their post-secondary education. Other programs are available to help borrowers who are having difficulty repaying their loans. E Student financial assistance is meant to supplement, not replace, other resources to pay for post-secondary education. You may want to look at other options to keep your costs down. M U C O If you need more information, including details on assistance for full or part-time students, visit www.StudentAidBC.ca or CanLearn.ca. Application deadlines The latest you can apply for full-time assistance is six weeks before your study period ends, as long as you have provided all the required documentation. E PL D You do not have to be accepted into your program of study before applying for student assistance; however you will not receive any money until your school confirms you are enrolled in full-time studies and your study period has begun. M A S Do I have enough money to go to school? Completing the following budget worksheet will help you figure out how much money you will need to pay your study period costs. It’s important to be realistic when you estimate your costs and income. Budget Keep this budget worksheet for your records, along with all documents relating to costs and resources, in case you are audited. These documents include cancelled cheques, bank receipts and statements, residential tenancy agreements, income tax returns, income statements, child support and/or spousal support payments, and receipts. Note: Not all students receive the maximum funding. Pages 16 and 17 show maximum funding limits. Look for other resources to help pay for your school and living costs (some of these options may help reduce your debt load when you finish school): • family; • part-time employment; • bursaries and scholarships; and • jobs through your school (e.g. teaching Page assistant). 106 of 178 Page 8 General information for students T N E M A S E PL M U C O D STUDY MONTHS = THE NUMBER OF MONTHS BETWEEN YOUR CLASSES START AND END DATES COSTS - INCOME = THE AMOUNT YOUPage NEED TO GO TO 107 ofSCHOOL 178 Page 9 General information for students Moving? Important information is mailed to you. It is critical that you advise StudentAid BC, the National Student Loans Service Centre (see inside back cover for contact information) and your school of any changes to your mailing address. School designation To be eligible for full or part-time student financial assistance, you must attend a designated post-secondary institution. All public universities, colleges and institutes in B.C. are designated by StudentAid BC. However, not all private post-secondary schools or out-of-province schools have been designated by StudentAid BC. To check if your school is designated for the purposes of student loans, visit www.StudentAidBC.ca. T N E StudentAid BC funding cannot be considered for a period of study prior to your school being designated by StudentAid BC. M U C O Information for students studying at a B.C. private school Here are some important things to consider before beginning your studies at a private postsecondary school in British Columbia. Is your school accredited? E PL D The provincial accreditation process ensures that standards of integrity and educational competence are met by private institutions offering post-secondary education in B.C. Private schools that award degrees in B.C. must be approved through the Degree Quality Assessment Board. Students can receive student financial assistance only if their private degreegranting school is approved and has been designated by StudentAid BC. M A S The accreditation process is voluntary on the part of the school. However, students can receive student financial assistance only if their private training school is accredited by the Private Career Training Institutions Agency, by another accrediting body such as the Insurance Corporation of British Columbia or the Industry Training Authority of B.C., by the Degree Quality Assessment Board, by an act legislating authority for a school or by another accreditation body recognized by the Province of B.C. (such as Title IV for schools in the United States). Signing an enrolment contract Once you have been accepted by a B.C. private post-secondary school, you must sign an enrolment contract. Enrolment at an accredited school designated by StudentAid BC requires that you complete this contract. Information for students studying outside Canada If you are studying outside Canada and are not able to take your Master Student Financial Assistance Agreement (MSFAA) to a designated Canada Post outlet, you can mail your agreement directly to the National Student Loans Service Centre. You must also send clearly readable copies of your government-issued photo identification and social insurance number (SIN) card with your Master Student Financial Assistance Agreement. Page 108 of 178 Page 10 General information for students Verification and audit Your student loan file is subject to verification and audit at any time. Each year, a percentage of files are audited to verify the information provided by students, their spouses/common-law partners and/or their parents/step-parents/sponsors/legal guardians. If your file is audited, you will need to support your application with documentation. For this reason, please keep all receipts and other documents that may be needed, including: • residential tenancy agreements; • cancelled cheques and/or cash withdrawal receipts; • bank and other financial statements; • child support receipts; • spousal support and maintenance receipts; • utility bills; • day-care payment receipts/contracts; • child-care subsidy records; • income statements; • income tax returns and notices of assessments; • T4 and other information slips; • pay stubs; • Records of Employment; and • financial statements. M A S E PL T N M U C O E D By responding quickly to audit requests from StudentAid BC, you can avoid delays in processing your file and/or program application. Funding will be withheld until audits are completed. False or misleading statements, failure to fully disclose information, acts of document tampering or forgery may be considered fraud and may restrict you from further financial assistance including loans, grants and repayment assistance for up to five years. Audits that identify suspected fraud will be referred to the RCMP for formal investigation and may result in charges under the Criminal Code of Canada. Before you sign the declaration: You must read the declaration on your StudentAid BC application and any applicable appendices so you understand the details of the binding legal contract you are entering with the provincial and federal governments. Please note that StudentAid BC and Federal Program Policies may be subject to change. Visit www.StudentAidBC.ca for the most updated provincial information and CanLearn.ca for the most updated federal information. Page 109 of 178 Page 11 Information and programs for full‑time students Am I eligible to receive funding as a full-time student? To receive full-time student financial assistance you must: • be a Canadian citizen, a landed immigrant (permanent resident) or have protected-person status; • have a valid Canadian social insurance number; • be a resident of British Columbia; • be pursuing full-time studies as your primary occupation; • be enrolled full-time in an eligible program of study at a designated post-secondary institution; • be able to demonstrate financial need; • make academic progress and achieve satisfactory scholastic standing in each period of post-secondary study; and • have either completed Grade 12 (or equivalent), be 19 years of age or attend a program approved by the Industry Training Authority. T N E M U C O You may not be eligible for student financial assistance if you are: D • delinquent or in default of previous student loans; • under audit, or have an overaward (in this case, your funding may be withheld); or • incarcerated or have any outstanding warrants for your arrest. E PL Note: You can apply to only one province for funding. M A S Receiving income assistance Generally, students are not eligible for benefits from the B.C. Ministry of Social Development while they are taking post-secondary education. The exception is students with permanent disabilities who receive disability assistance. The Ministry of Social Development and the Ministry of Advanced Education have an agreement for students who are eligible for income assistance or disability assistance benefits while in studies. Under the agreement, the Ministry of Social Development continues to provide maintenance for shelter, food and other needs, while the Ministry of Advanced Education, through StudentAid BC, will consider paying the following additional costs: • tuition/fees; • books/supplies; • disability allowance (for miscellaneous educational costs); • transportation; and • unsubsidized day-care for children age 11 or under. Contact your employment-assistance worker to discuss your education plans and the financial Page 110 of 178 assistance available to you. Page 12 Information and programs for full‑time students Loans for full-time students To be eligible for assistance, all previous loans received through StudentAid BC and the Canada Student Loans Program must be in good standing. When you are approved for student loan funding, you will receive a Master Student Financial Assistance Agreement. Read the terms and conditions as soon as you receive it. The Master Student Financial Assistance Agreement is a formal legal contract with the provincial and federal governments. It explains what your responsibilities are from application to repayment. • Interest will be paid by the provincial and federal governments while you are attending school full time. • You must be enrolled in at least 60 percent (40 percent for students with permanent disabilities) of a full-time course load. • Repayment will begin six months after your studies end. Interest will accrue during this six month period. • You are responsible for repaying the total amount loaned to you. T N E M U C O B.C. Loan Reduction Program The B.C. loan reduction program helps students who must borrow most of the money they need to pursue their post-secondary education. Full-time students who successfully complete each year of their studies may have their B.C. student loan debt reduced by the provincial government. You will automatically be considered for loan reduction each year through information from your application for financial assistance. Loan reductions are usually applied to your loan account after each study period you successfully complete. The program is available to students with no dependants in their first four academic years of borrowing and to students with dependants in their first five academic years of borrowing. An academic year is normally 34 weeks. Students with dependent children in their fifth year of borrowing will have their entire B.C. student loan borrowed during that academic year reduced. M A S E PL D Note: Graduate students, students in professional programs (law, medicine or dentistry) and students in programs of less than two years are not eligible for the B.C. loan reduction program. Eligibility To qualify for the B.C. loan reduction program, you must meet all of the following conditions: • your student loans must be in good standing; • you must be enrolled in a full-time study program of at least two academic years at a designated Canadian post-secondary school; • you must have successfully completed at least 30 weeks of study and at least 60 percent of a full course load during the program year; • you must be in your first, second, third or fourth year of borrowing from StudentAid BC (or fifth year for students with dependants); and • you must have B.C. student loans over the loan reduction limit established each year. Note: S tudent loans must remain in good standing throughout the next 2 academic years following Page the year in which the student was found111 eligibleof for178 loan reduction. Page 13 Information and programs for full‑time students Grants and bursaries for full-time students With one application for full-time students in B.C., you will be automatically considered for student financial assistance, including loans, grants and bursaries from both the Government of British Columbia and the Government of Canada. A separate permanent disability program application is required only for accessing grants for students with permanent disabilities. Students who qualify for a student loan and meet the grant eligibility requirements may be eligible to receive one or more of the following student grants: T N Canada Student Grant for Persons from Low-income Families Under this grant, students from low-income families can receive $250 per month of full-time studies. This grant is available for all years of a university undergraduate, college or trade-school program that is at least two years (60 weeks) in duration. E M U C O Canada Student Grant for Persons from Middle-income Families Under this grant, students from middle-income families can receive $100 per month of full-time studies. This grant is available for all years of a university undergraduate, college or trade school program that is at least two years (60 weeks) in duration. D Canada Student Grant for Persons with Dependants E PL Students from low-income families who meet the eligibility requirements can receive $200 per month of full-time studies per child under 12 years of age at the beginning of the study period. Nurses Education Bursary M A S This provincial program was established to provide funding to qualified applicants in B.C. nursing programs. Students in eligible programs will automatically be assessed for a potential bursary award. The assessment will be based on the unmet need on the applicant’s full-time application for financial assistance. Eligibility 1. You must be enrolled in an eligible full-time nursing program of at least four months in length at a designated post-secondary institution in B.C. and the program must lead to a certificate, diploma or degree recognized for practice in B.C. 2. Applicants in default of a B.C. student loan or with bankruptcies including B.C. student loans are not eligible for a Nurses Education Bursary. Awards are disbursed based on a limited ministry budget and not all applicants demonstrating unmet financial need will be awarded. Applicants will be ranked against other applicants in the bursary period to determine who is eligible for the awards in the bursary period. You can receive only one Nurses Education Bursary in a twelve month period. Part-time students in nursing programs are not eligible for a Nurses Education Bursary. How to apply Applicants are not required to applyPage separately for the 112 of bursary. 178 Page 14 Information and programs for full‑time students Youth Educational Assistance Fund The Youth Educational Assistance Fund is for former B.C. youth-in-care between 19 and 23 years of age who are taking full-time, post-secondary level courses at a designated post-secondary institution or who are students with a permanent disability and are studying with a reduced course load. To qualify for this grant, you must have been a youth in continuing care, or in the custody of a director of child welfare in B.C. or meet the adoption criteria as defined on the Youth Educational Assistance Fund program page at www.StudentAidBC.ca. In 2011/2012, grants of up to $5,500 are available to eligible applicants. T N The following grants are available for students with permanent disabilities. For more information, turn to page 30. • Assistance Program for Students with Permanent Disabilities E • B.C. Access Grant for Students with a Permanent Disability • Canada Student Grant for Persons with Permanent Disabilities • Canada Student Grant for Services and Equipment for Persons with Permanent Disabilities • Learning Disability Assessment Bursary • B.C. Supplemental Bursary for Students with a Permanent Disability D How do I apply for full-time assistance? E PL M U C O To apply for full-time student financial assistance, you must follow these steps: 1. Choose the post-secondary school you plan to attend and determine the study period (registration period) for which you need funding. M A S 2. Figure out how much money you need to attend school: • Complete the budget worksheet offered in this guide on page 8 and 9. • Check your eligibility for the maximum funding limits on page 16 and 17 3. Look for other resources to help pay for your school and living costs (this will help reduce your debt load when you finish school) such as: • family; • part-time employment; • bursaries and scholarships; or • jobs through school (e.g. teaching assistantships). 4. Complete the correct application for student financial assistance. There are two ways you can do this: • apply online; or • apply using a paper application. (You can request a copy from StudentAid BC by mail, visit www.StudentAidBC.ca or your financial aid office.) After you have submitted your application, you can check its status online. StudentAid BC will process your application within six weeks and notify you of the outcome. Page 113 of 178 Page 15 Information and programs for full‑time students Credit check A credit check is done on all first-time, full-time applicants to StudentAid BC who are over 22 years of age on the first day of their classes. Funding will be denied if you have had at least three instances when installments on three or more loans or debts over $1,000 were more than 90 days overdue. We recognize that a poor credit history may be caused by such things as unexpected loss of income, illness or unusual increases in expenses. You can appeal if you can show that exceptional circumstances contributed to your credit history. Complete the appeal request form, available online at www.StudentAidBC.ca or by contacting StudentAid BC. For contact information please see the page 40 of this guide. Maximum funding limits E M U C O Weekly maximum loan limits for the 2011/2012 program year: T N hh If you have dependent children, you can receive up to $510 per week in combined loan and grant funding. hh If you do not have dependent children, you can receive up to $320 per week of full-time study. D hh The total amount you receive will be determined by the length of your study period. Canada Student Grants may add funding above the loan limits. E PL Note: Not all students receive the maximum amount of funding. M A S Program length (weeks) Students without eligible dependants Program length (weeks) Students with eligible dependants 13 $4,160 13 $6,630 17 $5,440 17 $8,670 22 $7,040 22 $11,220 26 $8,320 26 $13,260 30 $9,600 30 $15,300 34 $10,880 34 $17,340 39 $12,480 39 $19,890 43 $13,760 43 $21,930 47 $15,040 47 $23,970 52 $16,640 52 $26,520 Page 114 of 178 Page 16 Information and programs for full‑time students Lifetime maximum limits The following table shows the maximum amount and duration of loan funding a student can receive over their lifetime. Funding type $ limit Time limit Canada Student Loan (non-doctoral) – 340 weeks (80 months) Canada Student Loan (doctoral) – 400 weeks (94 months) Canada Student Loan (persons with permanent disabilities or received loans prior to August 1, 1995) – 520 weeks (120 months) $50,000 340 weeks (80 months) $50,000 400 weeks (94 months) $50,000 520 weeks (120 months) – 340 weeks (80 months) – 400 weeks (94 months) – 520 weeks (120 months) B.C. Student Loan (non-doctoral) B.C. Student Loan (persons with permanent disabilities) Canada and B.C. Interest-free Loan (non-doctoral) Canada and B.C. Interest-free Loan (doctoral) Canada and B.C. Interest-free Loan (persons with permanent disabilities or received loans prior to August 1, 1995) E PL E M U C O B.C. Student Loan (doctoral) D T N Once you’ve been approved for funding M A S 1. Notification of assessment As soon as StudentAid BC has processed your application for financial assistance, you will be sent a notification of assessment. The notification of assessment letter will tell you: • the type of funding you have been approved for (loan and/or grant); • the amount of money you will receive; • when you will receive your money; and • where your money will be sent. Page 115 of 178 Page 17 Information and programs for full‑time students 2. Master Student Financial Assistance Agreement If you are approved to receive funding through StudentAid BC after August 1, 2011, you will receive a legal document called the Master Student Financial Assistance Agreement. The Master Student Financial Assistance Agreement outlines the terms and conditions of your provincial and federal student loans. It is important that you review the agreement before signing as this is a legally binding contract requiring you to repay your student loans. In most cases, the Master Student Financial Assistance Agreement will remain active throughout your post-secondary studies; however, there may be some situations where you will be required to sign a new agreement, including the case of a two-year break in studies. If a new Master Student Financial Assistance Agreement is required, StudentAid BC will automatically send it to you for completion. When you sign and return a Master Student Financial Assistance Agreement to the NSLSC you are agreeing to receive all funding you are assessed to receive from that date forward. T N E M U C O The Master Student Financial Assistance Agreement does not state the amount of money you will receive. Instead, each time you are approved for funding by StudentAid BC, a notification of assessment with the loan and/or grant amount and disbursement details will be mailed to you. How do I receive my financial assistance? D 1. Confirm your identity at a Canada Post outlet or NSLSC on-campus kiosk As soon as you receive your Master Student Financial Assistance Agreement, take it to a designated Canada Post outlet or an on-campus NSLSC kiosk. Outlets and a list of on-campus kiosks can be found at CanLearn.ca. E PL Make sure to bring all the following personal documentation with you: • your social insurance card, or a copy of an official Government of Canada document that includes your social insurance number, such as your Canada Revenue Agency Notice of Tax Assessment; and M A S • official government-issued photo identification, such as a driver’s license, B.C. identification card or passport; and • a void, personal cheque with your bank account number. If you do not have a personal cheque, your bank or credit union can help you complete the electronic funds transfer section of your Master Student Financial Assistance Agreement. If you lose your agreement, contact StudentAid BC to have the document reprinted and sent to you. At the Canada Post outlet or NSLSC kiosk, staff will: • make sure your Master Student Financial Assistance Agreement is valid for processing; • confirm that you have provided proper identification; and • forward your Master Student Financial Assistance Agreement to the NSLSC. 2. Confirm your enrolment Before your student loan and/or grant money can be released, your school must confirm that you are enrolled in an eligible, full-time post-secondary program for the entire study period for which you have been awarded funding. Page 116 of 178 Page 18 Information and programs for full‑time students If you attend a B.C. public post-secondary institution or other school that offers electronic confirmation of enrolment, your school will automatically confirm your full-time enrolment electronically with StudentAid BC. Your school may ask that some of the funds be paid to them to cover your academic fees. Most schools in B.C. confirm student enrolment online directly to StudentAid BC. If you attend a school that does not access electronic confirmation of enrolment, a paper confirmation of enrolment form will be mailed to you or your school about a month before you are eligible to receive the student loan funds. The form will not be mailed until your completed Master Student Financial Assistance Agreement has been received at the NSLSC. If your school is in Canada, the form is mailed to the school; if outside of Canada, the form is mailed to you, and you must take it to your school for them to mail or fax to StudentAid BC. T N E M U C O Once your confirmation of enrolment form is processed, your student loan and/or grant funds can be released. If you lose your paper confirmation of enrolment form, you can print a copy by logging on to check your student loan application status on www.StudentAidBC.ca. D Note: The school may instruct the lender (NSLSC) to send all or part of your funding directly to the school to pay for your tuition and mandatory fees. E PL 3. Money released on or after the disbursement date After your Master Student Financial Assistance Agreement has been processed and your enrolment has been confirmed, your funds will be either deposited electronically into the bank account you have specified, or forwarded to your school. The deposit usually occurs within seven business days of the disbursement date on the notification of assessment. M A S Note: If you are receiving more than one student loan disbursement during your application period (check your notification of assessment), your school must confirm your enrolment each time before the money can go out to you. What if I want to appeal my assessment? Not everyone receives the full-time student financial assistance they may think they should be receiving. If you are not approved for funding or think the amount awarded to you is too low, you can ask for an appeal of your assessment. Please note that if you have been approved for a maximum award for your study period, this is not subject to appeal. An appeal will be considered only if special circumstances set you apart from other students who have not been approved. To appeal a StudentAid BC decision, the process starts with an appeal request form. Page 117 of 178 Page 19 Information and programs for full‑time students The appeal request form contains: • information about what will be considered in an appeal; and • the documentation you must provide for an appeal. The Appeal Unit of StudentAid BC will review your request to determine if your situation is exceptional and warrants a decision to set aside standard policy that applies to all other students. Submitting an appeal request does not guarantee that you will receive more StudentAid BC funding. Steps to appeal T N E 1. If you are attending a B.C. public university, college or institute, or Trinity Western University, talk to a financial aid officer at your school. They can help you with the appeal process. If you are attending a private school within B.C. or a school outside the province, you can contact StudentAid BC directly for help. M U C O 2. Read the detailed information on the appeal categories (the appeal categories can be found at www.StudentAidBC.ca) including the list of policies that cannot be appealed. You need to know which StudentAid BC policy you are appealing before you can proceed to the next step. E PL D 3. Complete the Appeal Request Form. In your appeal request, include a letter addressed to StudentAid BC that clearly explains: • which policy or decision you are appealing; • why you are asking for an appeal; • what makes your situation exceptional compared with other students; • why your circumstances prevent you from completing your studies without the financial assistance you applied for; and • any other funding options you have explored, such as part-time work, grants, scholarships, or personal lines of credit. M A S 4. Send your signed Appeal Request Form with your letter and all supporting documentation by mail to the Appeal Unit at StudentAid BC. Appeal requests sent by fax will not be accepted. What can I do if my appeal is denied? In some cases, an appeal request will be referred to the independent appeal committee for further consideration. The committee includes members of the public, students and financial aid officers from B.C. colleges, institutes and universities. The committee reviews each case individually and makes recommendations to the Deputy Minister of Advanced Education. Decisions by the Deputy Minister are final. Page 118 of 178 Page 20 What are my obligations while in school? After you have received your funds and are attending classes, there are certain things you must do to keep your loans in interest-free status and stay eligible for future funding. 1. Pay tuition and other required fees first. The financial assistance that you receive is for your education. Your first responsibility is to pay the tuition fees and other required fees to your school. That has priority over all other costs for which you may have received funding. 2. Continue in full-time studies. To stay eligible for full-time loans or grants, you must attend school full-time for the entire study period for which you have received funding. If you drop below the required course load during your first semester/term but plan to attend full-time in the second semester/term, you must submit a new application for student assistance. Your new application will be assessed once the withdrawal process at your school is complete. If you stop attending classes, drop below your required course load, or fail to maintain the minimum number of weekly instructional hours for your entire study period, but you do not formally withdraw from school, you may still be considered withdrawn for student-assistance purposes. If you miss 10 consecutive days of classes, or 20 percent of your study program, you will be considered withdrawn. If you withdraw from school twice while receiving financial assistance, you will be denied further funding by StudentAid BC. T N E M U C O 3. Maintain a satisfactory scholastic standing (successful completion). To continue receiving financial aid, the Canada Student Financial Assistance Act and StudentAid BC policy require you to maintain a satisfactory scholastic standing. If your school gives you enough credit to advance in your study program and/or issue you a formal credential (certificate, diploma or degree), you meet the “satisfactory scholastic standing” requirement for StudentAid BC. E PL D 4. Maintain interest-free status. You will not have to make payments on any outstanding student loans if you are enrolled in an approved full-time study program (at least 12 weeks long) that leads to a certificate, diploma or degree at a post-secondary school that is designated by the provincial government. Loans issued through StudentAid BC will be eligible for interest-free status. The period of interest-free status will start on the date the loans are issued, up to and including your study period end date on this application, unless you withdraw from full-time studies. If you return to full-time studies and do not receive a Canada or B.C. student loan, you must submit an application to ensure your loans keep their interest-free status. You can apply online at www.StudentAidBC.ca (if you are attending a public B.C. post-secondary school), or you can obtain a paper copy of the federal Confirmation of Enrolment form (Schedule 2) at www.StudentAidBC.ca or CanLearn.ca and submit it to the NSLSC. It is important to note that your maximum weeks of allowable student financial assistance includes weeks you are in interest-free status. A Schedule 2 form is also required by your bank if you received loans before August 2000. You can download a Schedule 2 form from CanLearn.ca. M A S What if my circumstances change? If there are any changes in your circumstances after you have applied for student assistance, you must notify StudentAid BC by completing an Appendix 7: Request for Reassessment form available online at www.StudentAidBC.ca. This form is also available at B.C. public and accredited private post-secondary schools, or Page 119 of 178 through the financial-aid office at your school. Complete it and submit it to StudentAid BC. Page 21 What are my obligations while in school? The completed Appendix 7: Request for Reassessment form and supporting documentation must be received by the StudentAid BC office no later than six weeks before your studies end. An Appendix 7: Request for Reassessment sent by fax will not be accepted. Funding cannot be issued after your studies end. What kind of changes should I report? You should report any changes that affect the accuracy of the financial need and eligibility information in your student assistance application. Changes include, but are not limited to: • your income, assets or investments, including any new sources of income not listed in your application; • financial estimates, assets or investments of your spouse/common-law partner or parents/ step-parents/sponsor/legal guardian; • your program of study or study period dates; • your marital status before the first day of classes; • your living situation before the first day of classes (such as whether you are living in a home owned or rented by your parents, or living away from your parents’ home); • purchase, sale, or lease of a motor vehicle; and • the birth or adoption of a child. All information is subject to audit and verification. T N E What if I transfer schools? M U C O D If you have applied for or if you are receiving financial assistance, you must notify StudentAid BC if you transfer from one school to another. E PL Note: You, your original school and your new school are all required to fill out separate sections of the Appendix 5: Transfer of School form, so you will need to contact the financial-aid offices or school officials at both the school you are transferring from and the school you are transferring to. M A S Transferring before you get funding If you have applied for, but have not yet received, any funding when you change schools, complete an Appendix 7: Request for Reassessment and submit it to StudentAid BC for processing. Transferring after you get funding If you have already received your funding when you change schools, you must complete an Appendix 5: Transfer of School form. After the form is completed, submit it to StudentAid BC for processing. Two-week time limit for transfers You may transfer if the length of time between leaving one school and starting at your new school is two weeks or less; otherwise you are considered withdrawn from your previous school and you will have to complete a new StudentAid BC application. Withdrawals and scholastic standing If you withdraw from full-time studies: • your school will automatically notify us that you no longer meet requirements for assistance; • your funding will be re-calculated based on the number of weeks you actually attended school; and • we will explain to you in writing how your withdrawal Page 120 of decision 178 affects your student loan or grant. Page 22 What are my obligations while in school? Any tuition refund for which you are eligible will be applied to your outstanding loan balance by your school if your school received tuition from your student loans. Withdrawing from school or failing to progress at school You may not be able to receive more student assistance if: • you withdraw from a full-time course load on two separate occasions while receiving student assistance or have interest-free loan status; or • you fail to achieve satisfactory marks in 68 weeks or more of full-time study while receiving student assistance or have interest-free loan status. Requalifying for student assistance depends on several things, including successfully completing full-time studies for two semesters or one academic year without StudentAid BC assistance. Appeals can be made to StudentAid BC. T N Overawards An overaward is student financial assistance you received for which you were not eligible. Among other reasons, the overaward may be due to: • a reassessment of your original StudentAid BC application; • an audit of your file conducted by StudentAid BC; or • your withdrawal from courses, putting you below 60 percent of a full course load (40 percent for approved students with permanent disabilities). E M U C O If StudentAid BC finds that you have received an overaward, you will be notified in writing. D Overaward amounts are deducted from future student financial assistance awarded under the provincial and federal programs. It is your responsibility to contact your school to ensure possible tuition refunds have been processed, which may reduce the amount of your outstanding overpayment. E PL Overawards on Canada Student Grants If you withdraw from studies or change from full- to part-time status within 30 calendar days of the first day of classes, all of the Canada Student Grant that has been disbursed for the respective period of studies will be converted into a loan in accordance with the conditions stated on your Master Student Financial Assistance Agreement. If a reassessment of your application determines that you provided inaccurate information that makes you ineligible for a full or part-time Canada Student Loan, all or part of a Canada Student Grant that has been issued will be converted into a loan. This is in accordance with the conditions stated on your Master Student Financial Assistance Agreement. Note: If you are able to provide documented evidence within a six-month timeframe that your withdrawal from studies or your change from full to part-time studies was as a result of unforeseen and unavoidable circumstances beyond your control, the decision to convert the Canada Student Grant into a loan may be reconsidered. M A S Repayment and adjustment of overawards An adjustment can be made to reduce or remove an overaward, as it may affect your future eligibility for student funding. If you have exceptional circumstances, you may submit an appeal to StudentAid BC to set aside your overawards. This appeal procedure follows the same steps outlined on page 19. If your appeal is successful, your student loan overawards will not be deducted from your future StudentAid BC funding and your B.C. grant overaward will be set aside to allow you further provincial funding. Overawards resulting from audit are not subject to appeal. To adjust an outstanding B.C. or Canada Student Loan overaward please direct your overaward payments to the National Student Loan Service Centre (NSLSC). Once you have confirmation Page 121notify of 178 that the payment has been applied to your loan, StudentAid BC. Page 23 Repaying your student loans How do I repay my student loans? You have six months from your period of study end date, the last day of the month you stop taking classes full-time, before you must start repaying your student loans, although you can make payments earlier if you want. Whether you have finished your program, transferred to part-time studies, are taking time off or have withdrawn from school completely, you must contact the lender(s) who hold your student loans to arrange repayment within six months of leaving your studies. Repaying your student loans You will repay your student loans through the NSLSC. »» Sign a consolidation agreement. T N »» Approximately 45 days before you enter repayment, the NSLSC will send you a consolidation agreement combining any/all your loans you received after August 1, 2000 so you can make one payment. E M U C O »» Make sure you understand the terms of the consolidation agreement and choose the repayment options that are best for you. For student loans received before August 1, 2000 Students who received a student loan before August 1, 2000, will have risk-shared and guaranteed loans. Contact the lending institution that holds these outstanding loans for information on repayment. E PL D For student loans received after August 1, 2011 If you are applying and receiving loans after August 1, 2011, your loans will become a joint federal-provincial student loan (Canada-British Columbia integrated student loan). If you do not receive any student loans after August 1, 2011, your loans will remain with their current service provider until further notice. Please see www.StudentAidBC.ca for further information. M A S When does interest start accumulating? Interest begins accumulating on your loan as soon as your study period ends. You are not required to begin making payments until the first day of the seventh month; however, you can make payments anytime during your study period and your six-month non-repayment (grace) period. It is your responsibility to make repayment arrangements with the NSLSC and/or your lending institution within six months of finishing your studies. For B.C. student loans issued before August 1, 2000, the provincial government will continue to pay the interest for up to six months after your study period ends. What interest rate will I pay? Interest rates are calculated at the time of consolidation. If you have a Canada – B.C. integrated student loan, the interest rate is either a floating interest rate (the prime rate plus 2.5 percent) or a fixed rate (the prime rate plus 5 percent). If you have a Canada Student Loan and a B.C. student loan that are not integrated: • For direct lend Canada student loans, the interest can be a floating interest rate (prime rate plus 2.5 percent) or fixed rate (prime rate plus 5 percent). • For B.C. student loans the interestPage is a floating rate (prime rate plus 2.5 percent). 122interest of 178 Page 24 Repaying your student loans What happens if I don’t repay my student loans? As a borrower, you are required to fulfill your obligations and responsibilities so it’s important to fully understand the terms and conditions of your loans. Missing payments could lead to: • added interest charges; • the loss of eligibility for future funding; • having to deal with a collection agency; • a bad credit rating and inability to get credit; • not being accepted for contracts for cellular phones, etc; • the loss of future income-tax refunds and HST rebates; • legal action; • garnishment of your wages; and/or • liens against your property. E T N M U C O All repayment activities are reported to the credit bureau. If you are having difficulty making your loan payments, contact the NSLSC. There are programs and services available to help you manage your payments and avoid defaulting on your loan. M A S E PL D Page 123 of 178 Page 25 Debt management programs B.C. Interest Relief Program This program helps people who have difficulty repaying their B.C. student loans because of low income and financial hardship. If you qualify, the B.C. government will pay the interest on your B.C. student loans for six-month periods up to a maximum of 30 months. During this time, you do not have to make any loan payments. If you continue to have financial problems, you may also qualify for extended interest relief of up to 54 months during the first five years of student loan repayment. The B.C. interest relief program becomes available to you once you have consolidated your student loans. You may apply at any time during your repayment period. Repayment Assistance Plan T N The Government of Canada offers the Repayment Assistance Plan (RAP) for Canada student loans. The RAP helps borrowers who are having financial difficulty repaying their student loans. The RAP makes it easier for student loan borrowers to manage their debt by allowing them to pay back what they can reasonably afford. You need to apply for the RAP as enrolment is not automatic. E More information about the RAP can be found on CanLearn.ca or by calling the NSLSC at 1-888-815-4514. M U C O Repayment Assistance Plan for Borrowers with a Permanent Disability (RAP-PD) The Government of Canada offers the Repayment Assistance Plan for Borrowers with a Permanent Disability (RAP-PD). The RAP-PD helps borrowers with a permanent disability who are having difficulty paying their student loans and makes it easier for student loan borrowers to manage their debt by paying back what they can reasonably afford. You need to apply for the RAP-PD as enrolment is not automatic. E PL D More information about the RAP-PD can be found on CanLearn.ca or by calling the NSLSC at 1-888-815-4514. M A S B.C. Principal Deferment If you are having difficulty repaying your B.C. student loans, you can ask to have the principal payment deferred for a period of time. If approved for principal deferment, you only need to make the monthly interest payments on your loan. The principal portion of the payment is deferred. This deferment will give you time to stabilize your financial position and avoid defaulting on the loan. Approval is usually given for six-month periods and is available for a maximum of 12 months. Revision of Terms You may ask the NSLSC about reducing your monthly payment amount or extending the length of time you take to repay your loan. This will result in lower monthly payments, however you will pay more interest over time. If you think you might need help repaying your loan, call the NSLSC as soon as possible for information on available assistance. Permanent Disability Benefits The Permanent Disability Benefit is available to borrowers with a severe permanent disability that prevents you from working and/or going to school, and you will never be able to repay your loans. If you have a severe permanent disability, you may be eligible to have your loans cancelled. To apply for this benefit, contact NSLSC. Pagethe 124 of 178 Page 26 Debt management programs B.C. Loan Forgiveness Program Recent graduates in some specific professions can have their B.C. student loans forgiven by agreeing to work at publicly funded facilities in underserved areas of British Columbia. If you qualify for the program, the provincial government will forgive your outstanding B.C. student loan debt at a rate of 33.33 percent per year. After three years, your B.C. student loans will be paid in full. While you are in the loan forgiveness program, the provincial government will also pay any outstanding interest that accumulates during each year you are registered in the program. Eligibility T N To qualify for the B.C. loan forgiveness program, you must: • have B.C. student loans in good standing; • be in student loan repayment; • not be enrolled in full-time post-secondary studies; • have graduated from an accredited post-secondary institution in the timeframe required by the program for different professions; and • be employed at a publicly funded facility in an underserved B.C. community. E M U C O D Note: Professionals who receive B.C. loan forgiveness may be full-time, part-time, casual or on-call workers. E PL Nursing, medical, midwifery and pharmacy graduates You are eligible for B.C. loan forgiveness if: • you graduated (or your study program ends) after August 1, 2000; and • you are employed at a publicly funded facility in an underserved B.C. community. M A S Speech language pathology, occupational therapy, audiology and physiotherapy graduates You are eligible for B.C. loan forgiveness if: • you graduated (or your study program ends) after December 1, 2004; and • you are working with children at a publicly funded facility in an underserved B.C. community. Teachers for the deaf and hard of hearing, teachers for the visually impaired, school psychologists and technical education teachers You are eligible for B.C. loan forgiveness if: • you graduated (or your study program ended) after April 1, 2007; and • you are employed at a publicly funded facility or school district within B.C. Page 125 of 178 Page 27 Debt management programs How to apply B.C. loan forgiveness applications can be downloaded from www.StudentAidBC.ca and are also available from StudentAid BC and from your school’s financial aid office. 1. Complete your application form. 2. Submit your application form to StudentAid BC along with the original, current within one month letter from the publicly funded facility or health authority you are working for, confirming your employment. Electronic versions of employment letters will not be accepted. Please note: T N • If you are in private practice, you must have a practitioner number and submit a letter from your health authority confirming that you serve in the community. • If you are a professional under contract to the Province of B.C., your employment letter must also include the contract number and ministry involved. • If you are a midwife, you must also submit a letter from the Association of Midwives confirming your registration. E M U C O 3. Submit an official sealed transcript from your post-secondary school proving that you have fulfilled graduation requirements. For more information on this program, visit www.StudentAidBC.ca. D Pacific Leaders Loan Forgiveness Program E PL The Pacific Leaders Loan Forgiveness Program promotes the B.C. Public Service as a potential employer to new post-secondary graduates and a progressive employer to current employees, by forgiving their outstanding B.C. student loan debt at a rate of one-third per year. If they continue to work for the B.C. Public Service for three years, their B.C. student loan will be paid off in full. M A S The Pacific Leaders B.C. loan forgiveness program is open to all new employees and any full or part-time regular employee of the provincial government who has a B.C. student loan in good standing. For more information, visit www.pacificleaders.gov.bc.ca. Page 126 of 178 Page 28 Information and programs for part‑time students Canada Student Loans for Part-time Studies The Government of Canada offers loans and grants for part-time studies to students taking between 20 and 59 percent of a full course load. As a part-time student, you may be eligible to borrow up to $10,000 in Canada Student Loans. You are not required to make monthly payments on your loan while studying, although interest will accumulate while you are in school. There is no maximum duration of assistance for part-time students. However, the maximum loan amount you can have outstanding at any time cannot exceed $10,000. Loan applications for part-time students are available from StudentAid BC or online at www.StudentAidBC.ca. T N Visit CanLearn.ca for more information on Canada Student Loans for part-time students. E M U C O Canada Student Grant for Part-time Students Under this grant, part-time students who qualify for a Canada Student Loan and meet the grant eligibility requirements may be eligible for a student grant of up to $1,200 per academic year. This grant is issued at the beginning and middle of the school year. Canada Student Grant for Part-time Students with Dependants D Under this grant, part-time students with up to two children under 12 years of age may be eligible for $40 per week of study. Part-time students with three or more children may be eligible for $60 per week of study. This grant is issued at the beginning and middle of the school year. E PL B.C. Supplemental Bursary for Students with a Permanent Disability This bursary is also available to part-time students. For more information, turn to page 31. M A S Page 127 of 178 Page 29 Information and programs for students with permanent disabilities What is a permanent disability? If you are a student with a permanent disability that restricts your physical or mental ability to perform daily activities necessary to participate fully in post-secondary studies, you may be eligible for additional student financial assistance. See Definitions, page 38. For students with a permanent disability, a full course load is defined as no less than 40 percent of a full course load. To be considered for the grants and programs listed below, you must supply appropriate medical documentation verifying your permanent disability and you must have a demonstrated financial need when you apply for full-time student loan assistance. T N For students who have not been approved as having a permanent disability by StudentAid BC, a permanent disability programs application must be used when applying for these programs. Download this form from www.StudentAidBC.ca. E M U C O Canada Student Grant for Persons with Permanent Disabilities Under this grant, qualifying students with permanent disabilities and at least $1 of demonstrated financial need will receive $2,000 per academic year to help cover the costs of accommodation, tuition and books. This funding is issued on your Master Student Financial Assistance Agreement. D Canada Student Grant for Services and Equipment for Persons with Permanent Disabilities E PL Under this grant, qualifying students with permanent disabilities who have exceptional education-related costs such as tutors, note-takers, interpreters, braillers or technical aids may receive up to $8,000 per academic year. Once your application is processed, you will receive written notification of your eligibility. To be considered for this grant, you must provide appropriate medical documentation verifying your permanent disability when you apply for full-time assistance. Students must submit a permanent disability programs application to be considered for this grant. Students who receive the grant will be required to submit receipts. M A S Assistance Program for Students with Permanent Disabilities If you have exhausted your Canada Student Grant for Services and Equipment for Persons with Permanent Disabilities funding for the year, you may be eligible for the Assistance Program for Students with Permanent Disabilities. This is a non-repayable grant of up to $10,000 ($12,000 if attendant care is required at school) per program year for the purchase of educational-related specialized services and/or adaptive equipment. Students in receipt of this grant will be required to submit receipts. Note: If you are enrolled in a non-post-secondary level program/course (e.g. academic upgrading, ESL, adult special education) at a designated B.C. post-secondary institution, do not complete the form for the assistance program for students with permanent disabilities. Please contact the Disability Coordinator at your school for additional information on the form applicable to you. B.C. Access Grant for Students with a Permanent Disability The B.C. Access grant will replace up to $1,000 in B.C. student loan funding with a non-repayable grant. This grant is available only to full-time students with permanent disabilities. Page 128 of 178 Page 30 Information and programs for students with permanent disabilities Eligibility Once you have applied and are eligible to receive full-time funding you automatically qualify for the B.C. Access Grant if you have previously submitted verification of your permanent disability to StudentAid BC. If you are a first-time student with a permanent disability, you do not qualify automatically. You must have a medical professional with expertise in your area of disability complete a permanent disability programs application to identify your daily educational barriers and submit the documentation to StudentAid BC for assessment. T N For more information on this program, visit www.StudentAidBC.ca. E Learning Disability Assessment Bursary The Learning Disability Assessment Bursary assists students with the up-front costs of the learning disabilities assessment. Students with a learning disability require a recent learning disability assessment to determine eligibility for both federal permanent disability grants. M U C O This grant program is available to part-time or full-time students attending B.C. public post‑secondary institutions taking post-secondary-level courses only. A bursary of up to $1,800 will be made available to eligible applicants. D For more information contact the disability services office at a B.C. public post-secondary institution. E PL Learning Disability Assessment Reimbursement The permanent disability programs application allows you to apply for reimbursement of up to 75 percent of the cost of one psycho-educational assessment for a learning disability (maximum of $1,200). See page 2 of the application for documentation requirements. M A S The assessment must clearly indicate that a learning disability has been identified as set out in section 4 of the permanent disability programs application. Any reimbursement is included in the total eligible amount of $8,000 through the Canada Student Grant for Services and Equipment for Persons with Permanent Disabilities. B.C. Supplemental Bursary for Students with a Permanent Disability The B.C. Supplemental Bursary for Students with a Permanent Disability is a provincial bursary program designed to assist students with disabilities with exceptional educational costs (e.g. additional transportation costs, specialized clothing, etc). This bursary program is available to part-time or full-time students with permanent disabilities attending designated post‑secondary institutions and taking a course or courses at the post-secondary level. Students do not need to apply separately for this additional funding. Students who have provided the necessary medical documentation to qualify for the existing financial aid programs for students with disabilities will automatically receive this bursary funding. For more information on this program visit www.StudentAidBC.ca. Page 129 of 178 Page 31 Adult Basic Education Student Assistance Program This provincial program helps adults enrolled in skills upgrading, education and training courses such as: • adult basic education; • English as a second language; and • adult special education. The program provides grants to help meet direct educational costs including tuition, fees, books, supplies and, if applicable, transportation and unsubsidized daycare for your child-care costs. The amount awarded to you is based on a standard need-assessment procedure. T N How to apply You can apply to this program only if you are an adult attending a public post-secondary institution in B.C. E M U C O You must complete an application form and return it to the financial aid office at your school. The financial aid officer at your school will determine if you are eligible. Visit www.StudentAidBC.ca to download this form. M A S E PL D Page 130 of 178 Page 32 Scholarships administered by StudentAid BC Pacific Leaders Scholarship for Children of Public Servants The B.C. government is offering up to 60 scholarships of $2,500 each to children of B.C. public servants who are studying full time at a designated post-secondary institution in B.C. Students may receive this scholarship once in their lifetime. More information about this scholarship can be found online at www.pacificleaders.gov.bc.ca. United World Colleges Scholarship for Aboriginal Students T N Three B.C. Aboriginal students will receive a $35,000 scholarship annually for two years ($70,000 in total) to attend Pearson College. More information about this scholarship can be found online at www.pearsoncollege.ca. E United World Colleges Scholarship for Seminar on Youth Leadership M U C O Twenty B.C. Grade 12 students will receive a $4,000 scholarship to attend the three week “Seminar on Youth Leadership” program at Pearson College in July and August of this year. More information about this scholarship can be found online at www.pearsoncollege.ca. Lieutenant Governor’s Silver Medal D These medals are awarded to students in vocational or career programs less than two years long who have excelled in their studies and who have contributed to the life of their post-secondary institution or their community. The medals are awarded by the Lieutenant-Governor of British Columbia. E PL There is no application process. Nominees are chosen by the institution they attend. Students should contact their B.C. public school directly for details. M A S For more information on grants, bursaries and scholarships, visit: • www.StudentAidBC.ca • CanLearn.ca Page 131 of 178 Page 33 Definitions A Academic year For the purpose of the needs assessment, the academic year is defined by the school and subject to a maximum length of 12 months (52 weeks). An academic year may be comprised of multiple terms or semesters, including spring and/or summer sessions. Amortization The repayment period for a student loan as arranged with the bank, credit union or other lender. Assessment of Need The process of determining the amount of assistance a student is eligible to receive. The eligible/ assessed need is the difference between allowable costs (including tuition, books, living expenses, transportation, etc) and total resources (includes savings, expected contributions, assets, study-period income, spouse or parental contributions, excess motor vehicle value, etc.). T N E Assets Includes investments demonstrating financial strength such as liquid assets (e.g. RRSPs, bonds, GICs, etc.) and fixed assets (e.g. real estate, revenue property, recreational property). M U C O Audits A process that requires students to provide documentation verifying information submitted to StudentAid BC by the student or the student’s spouse, common-law partner, parent, stepparent, sponsor or legal guardian. D Award The amount of money a student received through StudentAid BC. Awards may include student loans, grants, bursaries and scholarships and the pay-down of loans through various B.C. debt management programs. B AM S E PL Bankruptcy A term used to describe the financial situation of a person who is unable to pay debts, is judged to be legally insolvent and whose remaining property is administered for creditors or distributed among them. Bursaries Non-repayable awards based on financial need and given to students by governments, schools, businesses, societies or other agencies and organizations. C Child-care subsidy An amount of money from the Ministry of Children and Family Development given to students with dependent children aged 11 years or under to help with day-care costs. Common-law Students who have lived with a person in a marriage-like relationship for a period of at least one year (12 consecutive months) as of the first day of classes. If there is a child of the union and cohabitation has been less than one year (12 months), the student applies as a single parent. Page 132 of 178 Page 34 Definitions Course load To qualify for StudentAid BC, a student must be enrolled in a program of study leading to a recognized credential. Therefore, the student must complete 100 percent of the components of the program that leads to the conferring of the credential (less any portions where the student has received previous credit or previous learning assessment). Course load percentage refers to the rate at which a student is currently working in order to complete the entire program. Credential The certificate, diploma or degree conferred upon the student by the home institution in recognition of successful completion of the required educational training. D T N Day-care costs The costs paid to a caregiver to care for a student’s child(ren) aged 11 years or under, to enable the student and spouse or common-law partner to attend classes or to work during the pre-study or study period. If a spouse or common-law partner is at home caring for the student’s dependent child(ren) during the four months before classes start or during the study period, you cannot claim day-care costs. E M U C O Declaration The StudentAid BC declaration is a legal document. By signing it, you agree with what the declaration says and that the information you have given is correct. It also tells you from whom StudentAid BC can get information about you and with whom StudentAid BC may share your application information. E PL D Default A loan is considered to be in default when you are behind on your payments for nine or more months and collection activities are required. Defaulting on your loan can disqualify you from receiving future student financial assistance and applying for repayment assistance under the Repayment Assistance Plan and B.C. debt management measures. It also affects your credit rating. M A S Delinquent Your loan is considered to be delinquent when you are behind in your regularly scheduled monthly payments. Dependent students (Group A students) These are students who are considered by StudentAid BC to be financially dependent on their parents, step-parents, sponsors or legal guardians and do not qualify as independent students. Dependent students have never been married or do not have dependent children or have not been out of high school for 48 months or have not been in the labour force for two periods of 12 consecutive months. Designated schools A post-secondary school that has been authorized by the Province of British Columbia as eligible for the purposes of the Canada Student Loan and StudentAid BC loan programs with respect to some or all of the programs offered by the school. A school must be designated at the time a student’s application is received or the application will automatically be denied. Page 133 of 178 Page 35 Definitions Disbursement date The earliest date the NSLSC is allowed to release StudentAid BC funding to the student or their school. E Electronic confirmation of enrolment A process in which a school may confirm a student’s enrolment electronically. Exceptional medical expenses Sudden and unexpected costs such as capping a broken tooth, purchasing crutches or splints, or other emergency needs. These are usually one-time-only expenses and do not include normal ongoing medical, dental or optical costs. F T N Full time A student enrolled in at least 60 percent of a full course load (40 percent for students with permanent disabilities who have been approved by StudentAid BC to study at the reduced course load) for at least 12 weeks at a designated post-secondary school and leading to a certificate, diploma or degree. A student may take some or all courses by correspondence provided that the student’s primary occupation is the full-time pursuit of that program of study. E G M U C O Good standing Students who are not delinquent on their student loan payments (have not missed a payment) or who have brought their student loans back from default by meeting StudentAid BC’s requirements for rehabilitation after default. E PL D Group A (dependent) students The classification given to students who, under program criteria, are financially dependent on parents, step-parents, sponsors or legal guardians. M A S Group B (independent) students The classification given to students who, under program criteria, are financially independent of their parents, step-parents, sponsors or legal guardians. Independence is determined by such factors as marriage, number of years in the full-time labour force and number of years out of secondary school. Guaranteed loans Student loans that are received prior to August 1, 1995 and which are guaranteed by the federal government or a provincial government. If a student defaults on a guaranteed loan, the government pays the bank and the debt is then owed directly to the government. Guardian Used to identify a person who is charged with the legal right and duty of care for a ward due to the ward’s inability (due to age, or mental or physical inability) to care for himself or herself. Page 134 of 178 Page 36 Definitions I Independent students (or Group B students) Are considered to be financially independent of their parents, step-parents, sponsors or legal guardians. Independence is determined by such factors as marriage, number of years in the full-time labour force and number of years out of secondary school. Interest-free status Interest-free status provides students who are enrolled in full-time studies at a designated postsecondary school, a period during which they are not required to make student loan or interest payments as long as the authorized agent is notified. The federal and/or provincial governments will assume responsibility for providing interest payments for the duration of the grace period. L T N Landed immigrant/permanent resident A person who is not a Canadian citizen but who has permission to reside in Canada on a permanent basis. Permanent resident status can be demonstrated by presenting a valid IMM 1000 form (Record of Landing document) or valid immigration card that does not specify limited conditions of entry and a SIN that starts with 1, 2, 4, 5, 6 or 7. E M U C O Legal Guardian A legal guardian is a person who has legal authority and duty to care for another person. If your parents are deceased (passed away), or they are incapable of caring for you and you are under the age of 19, you will have a legal guardian. If you are a child in care of the province under a Continuing Custody Order, the Director of Child Welfare of the Ministry of Children and Family Development and the Public Guardian and Trustee are your legal guardians. M E PL D Master Student Financial Assistance Agreement This is a legal document that includes the student information and loan agreement detailing the terms and conditions of the Canada and B.C. student loans and grants. One Master Student Financial Assistance Agreement is required for every student for the lifetime of their student loans. After a two-year break in study, a new Master Student Financial Assistance Agreement will be required for further financial assistance. O M A S Overaward When a student receives more assistance than he or she is eligible to receive, an overaward is created. This may be caused by a reassessment of an application due to new information received, an audit being conducted by StudentAid BC, a withdrawal from full-time studies or other reasons. P Parent For the purpose of assessing need, parent includes natural parent, step-parent, sponsor or legal guardian. Part-time student Enrolled in 20 to 59 percent of a full-time course load at a public or private post-secondary institution. Loan eligibility depends on gross family income. Page 135 of 178 Page 37 Definitions Permanent disability A functional limitation caused by a physical or mental impairment that restricts the ability of a person to perform the daily activities necessary to participate in studies at a post-secondary level or in the labour force and is expected to remain for the person’s expected natural life. Post-secondary study Studies at a post-secondary school in which a student enrols after secondary school (Grade 12). It does not include adult basic education programs, college preparatory programs or English as a second language. Pre-study period The 18-week period immediately before the start of the study period for which assistance is being requested. Principal The amount of money a borrower still owes on a loan and must repay. T N M U C O E Prime Rate The variable rate of interest calculated based on the interest rates declared by the largest five Canadian financial institutions (the Bank of Montreal, the Canadian Imperial Bank of Commerce, the Bank of Nova Scotia, the Royal Bank of Canada and TD Canada Trust) as their prime rate. The prime rate will be calculated by ignoring both the highest and the lowest of those five rates and taking the average of the remaining three rates. Changes to the prime rate will take effect the following business day. R E PL D Reassessment A request to make changes to the information on a student’s application. Such changes could involve income, program of study, costs, marital status prior to the first day of classes, etc. M A S Rehabilitation A process required when a student’s file is either in default or after a bankruptcy filed while in repayment, to allow for consideration of additional student financial assistance through StudentAid BC. Resident A term used to describe a student’s eligibility for provincial residency under the StudentAid BC program. Eligibility differs between dependent and independent students. Risk-sharing loans Student loans cashed between August 1, 1995, and July 31, 2000, where the federal government and the provincial government pay a risk premium to the bank of the value of all loans entering repayment status. The bank is then responsible for collecting the debt and using the risk premium toward costs incurred due to defaulted student loans. S Scholastic standing Academic standing as determined by the school. Where the school gives sufficient credit for advancement in the program and/or issues a credential to a student, the student is considered to have met the “scholastic standing” Page 136requirement of 178 under StudentAid BC. Page 38 Definitions Single-parent student Students who have never married, or who are separated or divorced from a spouse, or who are widowed and who have legal and/or physical custody and responsibility for supporting and living with their own child(ren) at least two days per week during the entire study period. Sponsor Individual identified as the sponsor on Record of Landing immigration document (IMM 1000) issued by the federal government. Group sponsorship will not be used for student loan assessments. Study period (after classes start) The interval during which an eligible student is enrolled in courses administered by a designated post-secondary school. The minimum length of the study period is 12 weeks for full‑time studies. The maximum length is 52 weeks. The start date is the first day of classes. The end date is the date of the final class or exam, whichever is later. T N E M U C O Successful completion Used to identify a student who has fully completed a study period/semester/term and has also written and passed course exams for the same study period/semester/term. U Unmet need The amount by which the assessed need exceeds the total award. D Unsuccessful completion of term Used to identify a student who has not fully completed a study period/semester/term and has not written and/or passed course exams for the same study period/semester/term. V M A WS E PL Verification A process of confirming the accuracy of information supplied for purposes of student financial assistance. Withdrawal The action of a student who drops below full-time studies and formally withdraws from courses or misses more than 10 consecutive instructional days. This includes incomplete semesters/terms. If the student stops attending classes, that is also considered a withdrawal. If the student falls below 60 percent (40 percent for students with permanent disabilities) of a full-time course load, the school is expected to report the student as withdrawn. Y Youth in Continuing Care of the B.C. Director (Ward of the Court) A term used to describe a young person, who has, through a court order, been: • placed in continuing custody of a director under the B.C. Child, Family and Community Service Act (CFCSA); or • placed in the guardianship of a director under the B.C. Family Relations Act (FRA); or • taken into care of a Director pursuant to Sections 23, 24 and 75 of the B.C. Adoption Act and never placed for adoption. Page 137 of 178 Page 39 StudentAid contact information Mailing address StudentAid BC PO Box 9173, Stn. Prov. Govt. Victoria, BC V8W 9H7 Telephone Main: 250-387-6100 If you are calling from the B.C. Lower Mainland: 604-660-2610 Courier address c/o StudentAid BC 835 Humboldt Street, 1st floor Victoria, BC V8V 4W8 If you are calling from anywhere in Canada or the U.S.: 1-800-561-1818 toll-free Fax numbers 250-356-9455 1-866-312-3322 toll-free Internet Visit our website at www.StudentAidBC.ca On this site you can: • apply online for assistance; • check the status of your application; • print the forms you need; and T N • fi nd out more about student financial assistance. E M U C O National Student Loan Service Centre (NSLSC) contact information Mailing address National Student Loans Service Centre P.O. Box 4030 Mississauga, ON L5A 4M4 Telephone Internet 1-888-815-4514 (Within North America) CanLearn.ca D 800 2 225-2501 (Outside North America) E PL TTY: 1-888-815-4556 TTY Fax: 1-888 815-4657 M A S Visit: www.StudentAidBC.ca and CanLearn.ca Page 138 of 178 Page 40 Student Guide T N E M A S E PL M U C O D Visit: www.StudentAidBC.ca Vous pouvez obtenir cette publication en francais au www.StudentAidBC.ca E l i g i b i l i t y - P l a n n i n g - A p pPage l y O n139 l i n e of - L178 oans - Grants - Application Status - Disbursements - Forms - Contact - Repayment NOTES: Page 140 of 178 TAB I SAMPLE DOCUMENT Permanent Disability Programs Application (StudentAid BC) Page 141 of 178 NOTES: Page 142 of 178 Permanent Disability Programs Application • • • • Canada Student Grant for Persons with Permanent Disabilities (CSGP-PD) BC Supplemental Bursary for Students with a Permanent Disability (SBSD) BC Access Grant for Students with a Permanent Disability (BCAG) Canada Student Grant for Services and Equipment for Persons with Permanent Disabilities (CSGP-SEPD) – includes Learning Disability Assessment Reimbursement • Assistance Program for Students with Permanent Disabilities (APSD) (if your CSGP-SEPD funding is exhausted) Am I eligible? Applicants must: • Have a permanent disability; “Permanent disability” for the purposes of student financial aid, means “a functional limitation caused by a physical or mental impairment that restricts the ability of a person to perform the daily activities necessary to participate fully in studies at a post-secondary level or in the labour force and is expected to remain with the person for the person’s expected natural life.” Note: Not all medical conditions are considered permanent disabilities for the purpose of StudentAid BC permanent disability program funding. • Demonstrate financial need through the StudentAid BC application for full-time or part-time studies; • Not be in default of a Canada student loan to be eligible for CSGP-PD or CSGP-SEPD; • Not be in default of a BC student loan to be eligible for the SBSD, BCAG or APSD (if your CSGP-SEPD funding is exhausted); • Not be ineligible for a Canada or BC student loan due to previous declaration of bankruptcy (see bankruptcy question in the StudentAid BC application instructions); • Not have outstanding receipts or any unaccounted CSGP-SEPD or APSD funds; and • Be enrolled in a post-secondary level program / course at a designated post-secondary institution as a full-time or part-time student. E M U »» This application allows you to apply for any one or more of the Permanent Disability Programs outlined below. »» For more information on Permanent Disability Programs or designated schools, visit www.studentaidbc.ca What am I eligible for? C O D T N 1. Grants and Bursaries This application allows you to apply for the following programs. Once approved, you are automatically approved for successive years (financial need must be demonstrated each year). See next page for documentation requirements. • Canada Student Grant for Persons with Permanent Disabilities (CSGP-PD) – non-repayable grant of $2,000 per program year for full-time or part-time study. • BC Supplemental Bursary for Students with Disabilities (SBSD) – non-repayable grant of $800 per program year for full-time (40% course load or greater) or $400 for part-time (20 to 39% course load) study. • BC Access Grant for Students with a Permanent Disability (BCAG) – non-repayable grant of up to $1,000 to reduce BC student loan debt for full-time students. E L 2. Services and Equipment This application allows you to apply for the following programs. See next page for documentation requirements. • Canada Student Grant for Services and Equipment for Persons with Permanent Disabilities (CSGP-SEPD) – non-repayable grant of up to $8,000 per program year for the purchase of educational related specialized services and / or adaptive equipment. P M A S If you have exhausted your CSGP-SEPD funding for the year, you may be eligible for the following program: • Assistance Program for Students with Permanent Disabilities (APSD) – non-repayable grant of up to $10,000 ($12,000 if attendant care is required at school) per program year for purchase of educational related specialized services and / or adaptive equipment. Note: If you are enrolled in a non-post secondary level program / course (i.e., academic upgrading, ESL, adult special education) at a BC designated post-secondary institution, do not complete this form for APSD funding. Please contact the Disability Coordinator at your school for additional information on the APSD form applicable to you. 3. Learning Disability Assessment Reimbursement (CSGP-SEPD) This application allows you to apply for reimbursement of up to 75% of the cost of one psycho-educational assessment for a learning disability (Maximum of $1,200). See next page for documentation requirements. The assessment must clearly indicate that a learning disability has been identified as set out in Section 4 of this application. How do I document my disability? Verification of Permanent Disability (Section 4) In order to be eligible for these Permanent Disability Programs, you must document your permanent disability status. Section 4 of this application must be completed by a qualified medical assessor in Canada. Your physician or other qualified medical assessor must clearly indicate how your disability impacts you on a daily basis in an educational setting. Fees that you may be charged to have this section completed are your responsibility and will not be reimbursed by the Ministry of Advanced Education. If you have previously had your permanent disability status approved by StudentAid BC, you do not need to have this section completed. April 2011 Page 143 of 178 Permanent Disability Programs Application StudentAidBC How Do I Apply Section 1 – All students must complete. Section 2 – All students must read and sign the declaration. Section 3 – To be completed by the Disability Coordinator or designated school official, if applicable. Section 4 – Verification of Permanent Disability. Have this section completed by a qualified medical assessor in Canada. T N Contact your Disability Coordinator or designated school official for assistance in completing this application Program Required Documentation E M U • Verification of Permanent Disability section or equivalent medical documentation –– Completed by a qualified medical assessor (i.e., physician, psychologist, etc.) in Canada –– Current within 5 years –– Must indicate the daily impact on your ability to participate fully in your studies CSGP–PD SBSD BCAG CSGP-SEPD C O D • Learning Disability documentation –– a copy of a current psycho-educational assessment –– psycho-educational assessment must be less than five years old Note: Medical documentation is usually only required once to establish your permanent disability status. However, StudentAid BC reserves the right to request additional documentation at any time it is deemed necessary to confirm or re-establish disability status. • T wo estimates, from different service providers listing all their contact information, their qualifications for the services offered, an explanation of the services they will provide for you, for which course, the course dates, their hourly rate and how often per day / week. P M A S Learning Disability Assessment Reimbursement (CSGP-SEPD) E L copy of your registration form for your current course(s) applicable to the permanent disability • A program funding you are requesting. CSGP-SEPD (in addition to the above documentation) • An original receipt confirming payment. An invoice is not acceptable. • A copy of your current psycho-educational assessment must be attached. • Psycho-educational assessment must be less than six months old, and must clearly identify a learning disability as outlined in Section 4. Contact Information Mailing Address: Ministry of Advanced Education StudentAid BC – Directed Programs Unit PO Box 9173 Stn Prov Govt Victoria BC V8W 9H7 Courier Address: Ministry of Advanced Education StudentAid BC – Directed Programs Unit 1st Floor, 835 Humboldt Street Victoria BC V8V 4W8 Phone: 250 387-6100 (in Victoria), 604 660-2610 (in the BC Lower Mainland),1-800-561-1818 (toll-free in Canada / U.S.) If you are applying for: Equipment only through the CSGP-SEPD, contact: Assistive Technology – British Columbia 108 - 1750 West 75th Avenue Vancouver BC V6P 6G2 Phone: 604 264-8295 Fax: 604 263-2267 StudentAidBC Permanent Disability Programs Application Page 144 of 178 April 2011 Permanent Disability Programs Application • • • • Canada Student Grant for Persons with Permanent Disabilities (CSGP-PD) BC Supplemental Bursary for Students with a Permanent Disability (SBSD) BC Access Grant for Students with a Permanent Disability (BCAG) Canada Student Grant for Services and Equipment for Persons with Permanent Disabilities (CSGP-SEPD) – includes Learning Disability Assessment Reimbursement • Assistance Program for Students with Permanent Disabilities (APSD) (if your CSGP-SEPD funding is exhausted) SECTION 1: All Students MUST complete this section Student Last Name Social Insurance Number - - Student First Name Application Number Initial - City / Town Province / State Postal Code / Zip Code Area Code - - Email Address Date Classes Start Year Telephone Number E L Date Classes End P Month Day Year Date of Birth Year C O D E M U Personal Education Number Apt / box / suite number T N Student Number All mail will be sent to this address Mailing Address Month Day - - Gender Male Female Citizenship Status (Mark one box only) Canadian Citizen Protected Person Landed Immigrant / Permanent Resident Name of School Campus - - to - - M A S MonthDay Do you have a claim with either of the following?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No Automobile Insurance Claim (bodily injury claims only) WorkSafe BC Describe the status of your claim: Active – attach a letter stating why the agency above is not providing you with the requested services / equipment. Contact Number Contact Name of claim advisor Inactive – Closing Date Year In Appeals – as of Month Day - - ( ) Year Month Day - - MINISTRY USE ONLY Requirements Your permanent disability status must be approved by StudentAid BC at least 6 weeks before the DATE CLASSES END. No faxes or copies are accepted. Original signatures are required. April 2011 Page 145 of 178 Permanent Disability Programs Application StudentAidBC | 1 SECTION 2: Declaration — Important document; You MUST read, sign and date I am applying for assistance under any one or more of the Permanent Disability Programs outlined in this application for which I am eligible on the terms and conditions of StudentAid BC. I. I understand that: 1) It is against the law to make false or misleading statements on this application and any of the documents forming part of it; 2) It is my responsibility to make sure that the information on this application and all the documents related to it is accurate; 3) All information is subject to audit and verification; 4) If I do not provide complete, accurate information, or if I obtain or attempt to access financial assistance by fraudulent means, I may not receive assistance under any of the Permanent Disability Programs outlined in this application now or in the future; 5) If I receive funding and it is then discovered that my application or documents forming part of it are not accurate, I may be required to immediately repay all or part of the funds that I have received (plus interest). I may be required to do this if the mistake was made by me, my spouse or common-law partner, my school, StudentAid BC, or the federal government. I may also be required to repay any overpayment with interest due to a change in my academic status (e.g. course load, study period) or financial status (part-time earnings, cash gifts, etc.); 6) If I receive funding under any of the Permanent Disability Programs, the funding received may be taxable income; and 7) If I receive money for the purchase of educational related specialized services and / or adaptive equipment under the CSGP-SEPD or APSD programs, I will provide to the school or StudentAid BC, by the end of my study period, receipts showing that the funds were spent for their intended purpose and return any unused funds. II. I understand that by signing below it means: 1) I have read the StudentAid BC Guide posted on the StudentAid BC website (www.studentaidbc.ca) at the time of my signing this Declaration; 2) I have answered all questions on the application that pertain to me; 3) I certify that all the information is complete and accurate; 4) If I am applying for APSD (i.e., if my CSGP-SEPD funding is exhausted), I am a registered student at a designated public or private post-secondary institution (my school) within the Province of British Columbia; 5) If I am applying for CSGP-PD, SBSD, BCAG or CSGP-SEPD, I am a registered student and will be attending a designated public or private post‑secondary institution (“my school”) eligible for Canada student loan assistance; 6) I need financial assistance to access my education; 7) I am in good standing regarding any previous and / or current Canada or British Columbia student loans; 8) I will immediately notify my school, in writing, of any changes in my address, academic status (e.g. course load, study period), financial status (part-time earnings, cash gifts, etc.), marital status or in the financial status of my spouse or common-law partner; 9) I give my school permission to disclose personal information (as appropriate) to the Ministry of Advanced Education or Assistive Technology British Columbia regarding my disability, access requirements, academic standing, awards, living arrangements, and financial status for the purposes of verifying or investigating information pertaining to this application and related documents, determining my eligibility for the Permanent Disability Programs outlined in this application, determining whether I will be required to repay any grant I may receive and Permanent Disability Program evaluation; 10) I give permission to my physician or medical professional to disclose information (as appropriate) directly related to my disability to the Ministry of Advanced Education, Assistive Technology British Columbia or my school for the purposes of verifying or investigating information pertaining to this application, and related documents, determining my eligibility for the Permanent Disability Programs outlined in this application, and determining whether I will be required to repay any grant I may receive; and 11) For the purposes of verifying or investigating information pertaining to this application and related documents, determining my eligibility for the Permanent Disability Programs outlined in this application, determining whether I will be required to repay any grant I may receive, and Permanent Disability Program evaluation, I consent to the following: a) the exchange of information about me between the Ministry of Advanced Education (or a person designated by the Ministry) and the following entities: financial institutions, financial aid offices, educational institutions, credit reporting agencies, native bands, Crown corporations, federal, provincial, municipal ministries / departments / agencies, including but not limited to: my school, the BC Ministry of Housing and Social Development, the BC Ministry of Health Services (or a person designated by that Ministry), Assistive Technology British Columbia, the Office of the Superintendent of Motor Vehicles, BC Assessment Authority, Insurance Corporation of BC, BC Corporate and Personal Property Registry, Land Title and Survey Authority of BC, WorkSafe BC, Superintendent of Bankruptcy, the BC Ministry of Finance or its agent, BC Vital Statistics Agency, the BC Ministry of Children and Family Development, the BC Ministry of Attorney General, the BC Ministry of Education, BC Student Loan Service Bureau, Human Resources and Skills Development Canada, Citizenship and Immigration Canada, National Student Loan Service Centre, and Canada Revenue Agency; and b) use of the information about me collected by the Ministry of Advanced Education (or its agent) from me or the specified agencies under the StudentAid BC application(s) for full-time or part-time studies submitted by me (as applicable) for the purpose of demonstrating financial need under the Permanent Disability Programs outlined in this application. III. Authorization 1) If I am awarded a Canada Student Grant for Services and Equipment for Persons with Permanent Disabilities and / or a grant under the Assistance Program for Students with Permanent Disabilities, I authorize the institution I am attending or Assistive Technology British Columbia to cash the grant cheque(s) on my behalf and apply the funds to retain a service worker (interpreter, tutor, note taker etc) and / or buy equipment and / or software on my behalf and/or apply the funds to the learning disability assessment bursary fund. T N P M A S E L Signature of Applicant (Must be signed in Ink) C O D E M U Print Name Date Signed Year Month Day - - Collection and use of information. The information included in this form and authorized above is collected and managed in accordance with Section 26 of the Freedom of Information and Protection of Privacy Act, and under the authority of the Canada Student Financial Assistance Act, R.S.C. 1994, Chapter C-28 and StudentAid BC. The information provided will be used for the purpose of verifying or investigating information pertaining to this application and related documents, determining my eligibility for the Permanent Disability Programs outlined in this application, determining whether I will be required to repay any grant I may receive and Permanent Disability Program evaluation. If you have any questions about the collection and use of this information, contact the Executive Director, StudentAid BC, Ministry of Advanced Education, PO Box 9173, Stn Prov Govt, Victoria BC V8W 9H7, call 250-387-6100, 604‑660-2610 (in the BC Lower Mainland), or 1-800-561-1818 (toll-free in Canada / U.S.). 2 | StudentAidBC Permanent Disability Programs Application Page 146 of 178 April 2011 SECTION 3: CSGP-SEPD and APSD (if your CSGP-SEPD funding is exhausted) – Services and Equipment to be completed by Disability Coordinator or designated School official who has signing authority LEARNING DISABILITY REIMBURSEMENT: If you are submitting this application to apply for a Learning Disability Reimbursement please ensure that the following documentation is attached. • Psycho-educational report (less than six months old), and • Original paid receipt (invoice not acceptable) How was the assessment paid for? Please tick one: Learning Disability Assessment Fund (in province public schools only Student Paid Equipment: Submit this application for adaptive technology assessment and resourcing to Assistive Technology British Columbia (address on page 2). StudentAid BC reserves the right, through our designated agent, to determine appropriate equipment to mitigate disabilityrelated barriers that restrict the ability of a person to perform the daily activities necessary to participate fully in studies at a post-secondary level. Is the student currently in possession of the equipment and / or software being requested? Yes No If yes, attach rationale for request of duplicate equipment and / or software T N Please attach recommendations and / or rationale for specific equipment and / or software or specify in the space provided below. E M U Note: Disability Coordinator must submit a detailed Service Request by e-mail to StudentAid BC Services: SCHOOL SUPPORT CANADA STUDENT GRANT Note taker / scribe. Reader (if not available through school). Tutor (specialized tutor for disability-related educational access barriers only). Interpreter / captioning (only if not available through school). C O D CHECK ALL SERVICES REQUIRED AND SUPPORTED E L Taped lectures. Accommodated exams. P Access to computer resources or adapted or alternate workstation or classroom. M A S Attendant care (while at school only). Specialized transportation to / from school only (must be ministry approved). Alternate formats – i.e., large or Braille print, taped lectures (only if not available through school). Other – i.e., Academic strategist / coach. Public Post-Secondary Institutions: The Disability Coordinator must submit a detailed Service Request to StudentAid BC by e-mail. Retain all documentation at school. Private and Out-of-Province Post-Secondary Institutions: Two estimates from different service providers must be attached. The estimates must provide contact information, qualifications for services offered, an explanation of the services they will provide (i.e., number of hours per week, etc.) and their hourly rate. The estimate must provide specific information related to each course (course name(s) and dates must be provided). Disability Co-ordinator / School Official: I certify the above named student is registered in the school indicated in Section 1 of this application and, based on the information provided by the student, this student requires all of the equipment and/or services listed above to reduce the barrier caused by the disability so the student can successfully complete current educational goals. Signature of Disability Co-ordinator / School Official: (in ink) Official School Stamp or Seal Date Signed Year Month Day - - Print Name April 2011 Telephone Number Page 147 of 178 Permanent Disability Programs Application StudentAidBC | 3 SECTION 4: Verification of Permanent Disability THIS SECTION MUST BE COMPLETED BY A QUALIFIED MEDICAL ASSESSOR IN CANADA Student Last Name Student First Name Initial Attention: Medical Assessor: StudentAid BC will use this information to determine your patient’s eligibility to receive grant funding, funding for services and adaptive equipment. Please ensure that this information thoroughly represents your patient’s permanent disability and lists the daily disability related educational barrier(s) AND the supports that can reduce the impact of the disability. Incomplete forms will result in denial and/or delays for your patient. PLEASE ANSWER ALL QUESTIONS YYYY MM DD 1. How long has the patient been in your care for these medical conditions? Since: - - Note: a case history of three to five years is required in most cases. (Provide explanation if less than three years) 2. Is this a permanent* disability? Yes No OR 3. Is this a chronic** disability? Yes No Date of onset: T N E M U YYYY MM DD - - 4. Does the disability result in a daily functional limitation, restricting the ability of the student to perform the daily activities necessary to participate fully in their studies? Yes No (Daily limitations must be present in order for a student to be eligible.) C O D NATURE OF DISABILITY – Check at least one box and complete Page 6 MOBILITY IMPAIRMENT (TO BE COMPLETED BY A PHYSICIAN) VISUAL IMPAIRMENT (TO BE COMPLETED BY AN OPHTHALMOLOGIST, OPTOMETRIST OR ORTHOPTIST) E L Note: You must provide a copy of your most recent visual acuity report I certify this client to be visually impaired according to the following criteria: (Indicate appropriate description) A visual acuity of 6 / 21 (20 / 70) or less in the better eye after correction P A visual field of 20 degrees or less in the better eye after correction Any progressive eye disease with a prognosis of becoming one of the above in the next two years M A S An uncorrectable vision problem or reduced visual stamina such that the applicant functions throughout the day as if his / her visual acuity is limited to 6 / 21 or less in the better eye after correction HEARING IMPAIRMENT (TO BE COMPLETED BY CERTIFIED AUDIOLOGIST) Note: You must provide a copy of your most recent audiology report Level of hearing loss (Indicate appropriate description[s]) Mild Uses aided hearing Moderate Hearing loss interferes with client’s learning Severe Would benefit from amplification devices in an educational / vocational setting Profound Attention Deficit Disorder / Attention Deficit Hyperactive Disorder Psychiatric or Psychological (to be completed by a clinical psychologist, psychiatrist or physician) Note: Provide DSM - IV diagnosis Pervasive developmental disorder (to be completed by a physician or psychologist) 4 | StudentAidBC Permanent Disability Programs Application Page 148 of 178 April 2011 SECTION 4: Verification of Permanent Disability (Continued) Chronic health impairment (specify) Learning disability – current psycho-education / learning disability assessment must be attached (within last 5 years) Qualifications of Assessor Yes No I am a registered psychologist with an expertise in diagnosing learning disabilities; or Yes No I am a certified school psychologist and (if in British Columbia) a member in good standing with the British Columbia Association of School Psychologists. (You must be or have been employed by a provincially funded school board / college / university at the time of the learning disability assessment.) T N Please Note: British Columbia certified school psychologists conducting learning disability assessments outside their employment role / situation (i.e., private practice) will not be recognized as having met ministry criteria for qualified assessors. Yes No E M U I am a psychological associate with limited register designation. Please Note: Psychologists or psychological associates practicing in a limited register designation must submit a copy of the restrictions of their practice from the College of Psychologists of BC. Documentation Yes No C O D The learning disabilities report is attached and was completed in the last five years. The learning disability report is complete, typed on official letterhead, includes the assessment date and the psychologist’s name, title, professional credentials, address and phone / facsimile number, and is signed and dated. Please Note: In some cases a current achievement assessment may be required for students in transition to post-secondary education in order to accurately reflect current academic ability. Yes No Diagnostic Features Yes No P M A S Yes No E L The diagnosis of the individual’s achievement on individually administered, standardized comprehensive tests in reading, mathematics or written expression are substantially below* that expected for age, schooling and level of intelligence; and The learning disability significantly interferes with academic achievement or activities of daily living that require reading, mathematical or writing skills. (*Substantially below is defined as a discrepancy of more than two standard deviations between achievement and IQ, or a smaller discrepancy between achievement and IQ [i.e., between one and two standard deviations] in cases where an individual’s performance may have been compromised by an associated disorder in cognitive processing, a co-morbid mental disorder or general medical condition, or the individual’s ethnic or cultural background.) Learning Disability Diagnosis Yes No The learning disability assessment report clearly states a diagnosis of a learning disability meeting DSM-IV diagnostic criteria which describes the level of severity and the manner in which the disability significantly interferes with academic functioning. Yes No The report contains recommendations for specific reasonable accommodations that are needed to address the current and substantial impact of the disability on the student’s academic functioning. Recommendations are supported by test scores and are included in the report. April 2011 Page 149 of 178 Permanent Disability Programs Application StudentAidBC | 5 SECTION 4: Verification of Permanent Disability (continued) This section must be completed in full Permanent Disability Diagnosis: (include diagnostic measures used to determine diagnosis. Include DSM IV diagnosis if applicable) Medication(s) and side effects: Which symptoms does the medication manage: Explain the daily functional impact of the disability to the student in an educational setting. If more space is required, please attach a sheet to this completed form. What supports can reduce the impact of the disability to the student, in an educational setting? List all services or equipment that are disability related. 1. Impact of the primary disability barrier(s). 1. 2. Impact of the secondary disability barrier(s). 2. 3. Other barrier(s). 3. T N C O D Explain the severity and prognosis of the student’s current permanent disability. Severity: Prognosis: P M A S Name of Certifying Medical Assessor E L E M U Registration / Certificate # Occupation of Medical Assessor Area Code Telephone Number Area Code Facsimile Number - Mailing Address - City / Town Province Signature of medical assessor (in ink) Date *Permanent Disability A person with “a functional limitation caused by a physical or mental impairment that restricts the ability of a person to perform the daily activities necessary to participate fully in studies at a post-secondary level or the labour force and is expected to remain with the person for the person’s expected natural life.” **Chronic illness / syndrome The illness / syndrome must have been persistent for a minimum of three years and is likely to last and become permanent. The illness / syndrome restricts the ability of a person to perform the daily activities necessary to participate fully in studies at a post-secondary level. 6 | StudentAidBC Permanent Disability Programs Application Postal Code Page 150 of 178 Medical Office Stamp Required April 2011 TAB J SAMPLE DOCUMENT Notification of Assessment (StudentAid BC) Page 151 of 178 NOTES: Page 152 of 178 T N M A S P E L C O D Page 153 of 178 E M U T N M A S P E L C O D Page 154 of 178 E M U TAB K SAMPLE DOCUMENT Master Student Financial Assistance Agreements & Information (StudentAid BC & National Student Loans Service Centre) Page 155 of 178 NOTES: Page 156 of 178 IMPORTANT - PLEASE READ BORROWER PAGES PROTECTED WHEN COMPLETED - B The Best Place on Earth Master Student Financial Assistance Agreement BC MSFAA # for Canada and British Columbia Part A YOUR INFORMATION Full Name of Student and Mailing Address Date of Birth (yyyy/mm/dd) Social Insurance Number For office use only Area Code and Telephone Number Part B MASTER STUDENT FINANCIAL ASSISTANCE AGREEMENT E 1. Agreement: This integrated Master Student Financial Assistance Agreement (“MSFAA”) is comprised of two separate loan contracts between you (“you” or “your”), as identified in Part A, and: (1) Her Majesty the Queen in Right of Canada, as represented by the Minister of Human Resources and Skills Development (“Canada”), made pursuant to the CSFAA and called the Master Student Financial Assistance Agreement for Canada (“MSFAA-Canada”); and (2) Her Majesty the Queen in Right of the Province of British Columbia as represented by the Minister of Advanced Education and the Minister of Finance (“BC”) and called the Master Student Financial Assistance Agreement for British Columbia (“MSFAA-BC”). In consideration of Canada and BC providing Financial Assistance under the MSFAA-Canada and the MSFAA-BC, and, by signing Part D below, you agree to the Terms and Conditions of each of these loan contracts. The MSFAA is comprised of: Part A: Your Information Part B: Master Student Financial Assistance Agreement Part C: Electronic Funds Transfer Part D: Your Acknowledgement and Signature P t E: E D fi iti Part Definitions Part F: Additional Terms and Conditions of your MSFAA-Canada and your MSFAA-BC The terms in this MSFAA will form part of each of your MSFAA-Canada and your MSFAA-BC, to the extent applicable. 2. Agreement to Repay: You promise to pay your total Outstanding Loan Balance in accordance with the Terms and Conditions of each of the MSFAA-Canada and the MSFAA-BC. PL 3. Certification: You certify that all information provided in your application(s) for Financial Assistance and on this MSFAA is true and complete to the best of your knowledge. M 5. Ratification of Terms and Conditions: At any time, Canada or BC may amend the Terms and conditions of the MSFAA-Canada or the MSFAA-BC, respectively. You should review the Terms and Conditions at: CanLearn.ca/MSFAA upon each application for Financial Assistance. You acknowledge that your acceptance of any disbursement made under this MSFAA will ratify your acceptance of any revised Terms and Conditions. PRINTED IN B.C. 7530986001 4. Authorization: You authorize each of Canada and BC to collect, use and disclose information related to any of your Canada or BC Student Loan(s) or Student Grant(s), as applicable, (i) by Canada, for the purposes of carrying out the administration and enforcement of the CSFAA or CSLA, or (ii) by Canada or BC, in accordance with sections F.10(c), F.10(d) and F.10(e) of this MSFAA. ELECTRONIC FUNDS TRANSFER SA Part C The approved amount of any Financial Assistance disbursed under the MSFAA-Canada and the MSFAA-BC will be electronically deposited into the bank account you enter below. Electronic withdrawals may also be made from this bank account when payment is triggered, as per section F.7(c)(iii), subject to your right of revocation, as per section F.7(e). If you fail to provide this bank account information, disbursement of your Financial Assistance will be delayed and may not proceed. Transit Number Bank ID Account Number (Refer to bottom of personal cheque): OR ATTACH A VOID CHEQUE Name and Address of Financial Institution: Part D YOUR ACKNOWLEDGEMENT AND SIGNATURE This MSFAA is a legal document that outlines your responsibility related to your MSFAA-Canada and MSFAA-BC. This MSFAA does not specify the actual amount(s) that will be disbursed to you or the amount(s) you will be required to repay. The amount(s) that will be disbursed to you under this MSFAA will be determined based on needs assessment(s) of your application(s) for Financial Assistance in accordance with federal and provincial legislation and policies. You will be responsible under this MSFAA for paying your Outstanding Loan Balance. By signing Part D, you freely provide your consent(s), certification(s) and ratification(s) set out in this MSFAA and you agree to all the Terms and Conditions set out in this MSFAA. You understand that if you fail to sign this MSFAA, you will not receive any Financial Assistance. Signature Date (yyyy/mm/dd) National Student Loans Service Centre P.O. Box 4030 Mississauga, ON L5A 4M4 1-888-815-4514 (within North America) 800-2-225-2501 (outside North America, dial your appropriate country code first) 1-888-815-4556 (for the hearing impaired – TTY) 1-888-815-4657 (fax within North America) Copy 1 - NSLSC copy Canada Post Stamp June 1, 2011-E Page 157 of 178 IMPORTANT - PLEASE READ BORROWER PAGES PROTECTED WHEN COMPLETED - B The Best Place on Earth Master Student Financial Assistance Agreement BC MSFAA # for Canada and British Columbia Part A YOUR INFORMATION Full Name of Student and Mailing Address Date of Birth (yyyy/mm/dd) Social Insurance Number For office use only Area Code and Telephone Number Part B MASTER STUDENT FINANCIAL ASSISTANCE AGREEMENT E 1. Agreement: This integrated Master Student Financial Assistance Agreement (“MSFAA”) is comprised of two separate loan contracts between you (“you” or “your”), as identified in Part A, and: (1) Her Majesty the Queen in Right of Canada, as represented by the Minister of Human Resources and Skills Development (“Canada”), made pursuant to the CSFAA and called the Master Student Financial Assistance Agreement for Canada (“MSFAA-Canada”); and (2) Her Majesty the Queen in Right of the Province of British Columbia as represented by the Minister of Advanced Education and the Minister of Finance (“BC”) and called the Master Student Financial Assistance Agreement for British Columbia (“MSFAA-BC”). In consideration of Canada and BC providing Financial Assistance under the MSFAA-Canada and the MSFAA-BC, and, by signing Part D below, you agree to the Terms and Conditions of each of these loan contracts. The MSFAA is comprised of: Part A: Your Information Part B: Master Student Financial Assistance Agreement Part C: Electronic Funds Transfer Part D: Your Acknowledgement and Signature P t E: E D fi iti Part Definitions Part F: Additional Terms and Conditions of your MSFAA-Canada and your MSFAA-BC The terms in this MSFAA will form part of each of your MSFAA-Canada and your MSFAA-BC, to the extent applicable. 2. Agreement to Repay: You promise to pay your total Outstanding Loan Balance in accordance with the Terms and Conditions of each of the MSFAA-Canada and the MSFAA-BC. PL 3. Certification: You certify that all information provided in your application(s) for Financial Assistance and on this MSFAA is true and complete to the best of your knowledge. M 5. Ratification of Terms and Conditions: At any time, Canada or BC may amend the Terms and conditions of the MSFAA-Canada or the MSFAA-BC, respectively. You should review the Terms and Conditions at: CanLearn.ca/MSFAA upon each application for Financial Assistance. You acknowledge that your acceptance of any disbursement made under this MSFAA will ratify your acceptance of any revised Terms and Conditions. PRINTED IN B.C. 7530986001 4. Authorization: You authorize each of Canada and BC to collect, use and disclose information related to any of your Canada or BC Student Loan(s) or Student Grant(s), as applicable, (i) by Canada, for the purposes of carrying out the administration and enforcement of the CSFAA or CSLA, or (ii) by Canada or BC, in accordance with sections F.10(c), F.10(d) and F.10(e) of this MSFAA. ELECTRONIC FUNDS TRANSFER SA Part C The approved amount of any Financial Assistance disbursed under the MSFAA-Canada and the MSFAA-BC will be electronically deposited into the bank account you enter below. Electronic withdrawals may also be made from this bank account when payment is triggered, as per section F.7(c)(iii), subject to your right of revocation, as per section F.7(e). If you fail to provide this bank account information, disbursement of your Financial Assistance will be delayed and may not proceed. Bank ID Account Number (Refer to bottom of personal cheque): Transit Number OR ATTACH A VOID CHEQUE Name and Address of Financial Institution: Part D YOUR ACKNOWLEDGEMENT AND SIGNATURE This MSFAA is a legal document that outlines your responsibility related to your MSFAA-Canada and MSFAA-BC. This MSFAA does not specify the actual amount(s) that will be disbursed to you or the amount(s) you will be required to repay. The amount(s) that will be disbursed to you under this MSFAA will be determined based on needs assessment(s) of your application(s) for Financial Assistance in accordance with federal and provincial legislation and policies. You will be responsible under this MSFAA for paying your Outstanding Loan Balance. By signing Part D, you freely provide your consent(s), certification(s) and ratification(s) set out in this MSFAA and you agree to all the Terms and Conditions set out in this MSFAA. You understand that if you fail to sign this MSFAA, you will not receive any Financial Assistance. Signature Date (yyyy/mm/dd) National Student Loans Service Centre P.O. Box 4030 Mississauga, ON L5A 4M4 1-888-815-4514 (within North America) 800-2-225-2501 (outside North America, dial your appropriate country code first) 1-888-815-4556 (for the hearing impaired – TTY) 1-888-815-4657 (fax within North America) Copy 2 - Your copy Canada Post Stamp June 1, 2011-E Page 158 of 178 Part E DEFINITIONS “BC Authorized Administrator” or “BCA” means Canada acting on behalf of BC in administering parts of the BCSAP. “BC Collection Agent” means any contracted party or its subcontractor(s) or agent(s) acting on behalf of BC in collecting BC Student Loans. “BC Student Grant” means any non-repayable assistance made under the BCSAP. “BC Student Loan” means a British Columbia student loan made to a Full-Time Student under the BCSAP on or after August 1, 2000. “BCSAP” means the British Columbia Student Assistance Program, as modified from time to time, the requirements of which are posted at: www.studentaidbc.ca. The BCSAP is administered by BC (acting on its own or through its contractors or agents) or on behalf of BC by the BCA (acting on its own or through the NSLSC). “Canada Student Grant” means a grant made under the CSFAA. “Canada Student Loan” means a Direct Loan made under the CSFAA or Student Loan made under the CSFAA or CSLA. “CSFAA” means the Canada Student Financial Assistance Act and the Canada Student Financial Assistance Regulations , as in effect at any given time. “CSLA” means the Canada Student Loans Act and the Canada Student Loans Regulations , as in effect at any given time. “Direct Loan” means any loan made by Canada under section 6.1 of the CSFAA on or after August 1, 2000. “Financial Assistance” (a) when used in the MSFAA-Canada, means Direct Loans, Canada Student Grants, repayment assistance, interest-free periods and any other form of financial assistance provided under the CSFAA, directly or indirectly to you; or (b) when used in the MSFAA-BC, means BC Student Loans, BC Student Grants, debt management programs, interestfree periods and any other form of financial assistance provided under the BCSAP, directly or indirectly to you. “Full-Time Student” status is maintained for a person, (a) who is enrolled in a minimum 60 percent full-time course load; or (b) who has a permanent disability, is enrolled in courses that constitute between 40 percent and 60 percent of a full course load and applies to be considered as a Full-Time Student; (c) whose primary occupation is the pursuit of studies in those courses; and (d) when used i) in the MSFAA-Canada, who otherwise complies with the requirements of the CSFAA, and ii) in the MSFAA-BC, who otherwise complies with the requirements of the BCSAP; PROVIDED THAT the definition of Full-Time Student when used in the MSFAA-BC will be applied and interpreted in a manner that is consistent with and that provides for equivalent effect as the definition of Full-Time Student when used in the MSFAA-Canada. “Lender” means a financial institution that is a party to an agreement with Canada, entered into under the CSFAA or the CSLA. “NSLSC” means the National Student Loans Service Centre which administers parts of the Financial Assistance programs on behalf of Canada. “Outstanding Loan Balance” means: (a) when used in the MSFAA-Canada, the principal amount of your full-time Direct Loans outstanding at any time, including any Canada Student Grant amount(s) converted to a Direct Loan, together with all interest on those amounts; or (b) when used in the MSFAA-BC, the principal amount of your BC Student Loans outstanding at any time and the principal amount forming part of any student loan amounts consolidated under section F.14(b)(i) or F.14(b)(iv), together with all interest on those amounts, and any unpaid non-sufficient funds (“NSF”) fees outstanding as of August 1, 2011 (excluding any BC Student Grant amount(s)). “Prime Rate” means the variable reference rate of interest as calculated by Canada, based on the average of the middle three of the largest five Canadian financial institutions’ prime rate. “Student Loan” when used in the MSFAA-Canada and in the definition of Canada Student Loan, means any loan made to you by a Lender under the CSFAA or the CSLA, prior to August 1, 2000. “Terms and Conditions” when used in the MSFAA-Canada means the applicable sections found in Parts A, B, C, D, E, and F of this MSFAA, and when used in the MSFAA-BC means the applicable sections found in Parts A, B, C, D, E, and F of this MSFAA, and as may be amended from time to time in accordance with these agreements. Note certain sections contained in this MSFAA will only form part of your MSFAA-Canada or only form part of your MSFAA-BC, respectively. Part F ADDITIONAL TERMS & CONDITIONS OF YOUR MSFAA-CANADA and MSFAA-BC SA M PL E 6. General Principles Subject to the Terms and Conditions of each of the MSFAA-Canada and the MSFAA-BC, and the requirements of the CSFAA and the BCSAP, as applicable, you may be eligible for Financial Assistance (with limits on amount and time), and you are not required to make payments nor will interest accrue on the principal amount of your Outstanding Time Student Loan Balance while you are a Full Full-Time Student. 7. Return of Money (a) Refund of Loan Proceeds: You authorize your educational institution to refund to Canada or BC, as applicable, any fees that have been paid with the proceeds of your Canada or BC Student Loan or Student Grant for credit against any Outstanding Loan Balance you may have. (b) Early Payment: You may pay all or any part of your Outstanding Loan Balance at any time without notice, penalty or bonus. (c) Payment Terms: Unless you enter into an agreement to alter payment terms, you agree to pay your Outstanding Loan Balance according to the standard payment terms, which are as follows: (i) Principal, Interest and Fees: your Outstanding Loan Balance; (ii) Interest Rate: simple interest will accrue on the principal amount of your Outstanding Loan Balance at a floating rate equal to the Prime Rate plus two and one-half (2½) percent, accruing daily and calculated monthly, unless you enter into an agreement with a fixed interest rate equal to the Prime Rate plus five (5) percent; (iii) Payment Trigger Date: is the first day of the seventh month following the month in which you cease to be a Full-Time Student; (iv) Loan Payment Due Date: is, at the latest, the last day of each month, starting on the seventh month following the month in which you cease to be a Full-Time Student; (v) Loan Payment Amount: is the monthly payment amount calculated using these payment terms, with a minimum monthly payment of $25 per month for combined MSFAA-Canada and MSFAA-BC loan payments; (vi) Amortization Period: nine and one-half (9½) years or such lesser period of time as is required to support a minimum combined monthly loan payment amount of $25; (vii) Payment Allocation: payment amounts under this MSFAA will be allocated proportionately to the Outstanding Loan Balance under each of the MSFAA-Canada and the MSFAABC. The payment amount allocated to the Outstanding Loan Balance under each of the MSFAA-Canada and the MSFAA-BC may be applied first to NSF fees, then to interest and then to principal; (viii) Final Lump Sum Payment: any amount of your Outstanding Loan Balance that remains at the end of your Amortization Period; and (ix) Prime Rate Variance: if the Prime Rate changes significantly it may result in: (1) your loan being paid in full early; (2) the lengthening of your Amortization Period (to a maximum of fourteen and one-half (14½) years); or (3) you being required to pay a Final Lump Sum Payment. (d) Interest up to Payment Trigger Date: Unless you pay the interest that accrues between the end of your Full-Time Student status and the Payment Trigger Date, that interest will be added to the principal amount of your Outstanding Loan Balance. (e) Personal Pre-Authorized Debit: Unless you otherwise agree in writing, upon the Payment Trigger Date, you authorize each of Canada and BC to debit the bank account you have identified in Part C of this MSFAA (or such other bank account as you have advised in writing) in order to collect your Outstanding Loan Balance as follows: You grant your revocable authority and direction to each of Canada and BC (including the BCA), and any financial institution which holds such a bank account, to: (i) exchange the financial information necessary to facilitate such Personal Pre-Authorized Debits according to the Canadian Payments Association Rule H1; and (ii) debit the bank account on each Loan Payment Due Date, for the Loan Payment Amount in accordance with the payment terms of each of the MSFAA-Canada and the MSFAA-BC, and to remit that as payment to Canada or BC, as applicable. You waive any requirement to receive written pre-notification of Personal Pre-Authorized Debits. You may revoke your authorization at any time, subject to providing 30 days notice. You have certain recourse and reimbursement rights if any debit does not comply with the terms of this section. To obtain a sample cancellation form, or for more information on your right to revoke this authorization and your recourse rights to dispute or receive reimbursement for any debit that is not authorized or is not consistent with the terms of this section, you may contact your financial institution or visit: www.cdnpay.ca. Revocation of your authorization does not terminate your responsibility to pay your Outstanding Loan Balance; it only terminates the method of payment. (f) Return of Money to You: Subject to any right of set-off, if it is determined that you have overpaid any amount greater than $10 after you have paid your Outstanding Loan Balance in full, under each of the MSFAA-Canada and the MSFAA-BC, respectively, you will be issued a refund on your written request. Refunds of less than $10 may not be issued. 8. Interest-Free Period Subject to sections F.8(c), F.8(d), F.8(e), F.11 and F.12, and the requirements of the CSFAA and the BCSAP, as applicable: (a) Interest-Free Period: Interest will not accrue while you are a Full-Time Student. (b) Interest-Free Period Ends: Interest will start to accrue on the principal amount of your Outstanding Loan Balance on the first day of the month following the month in which you cease to be a Full-Time Student. (c) Interest-Free Period Upon Return to Full-Time Studies: If you return to Full-Time Student status, and you confirm your enrolment as required by the CSFAA or the BCSAP: (i) you may be returned to interest-free status for the applicable period; (ii) any obligations you have in respect of your Outstanding Loan Balance up to your confirmation of enrolment may be suspended for the applicable period; and (iii) if you are returned to interest-free status, you will not be required to make payments nor will interest accrue on the principal amount of your Outstanding Loan Balance while you remain a Full-Time Student, all as specified under the CSFAA or the BCSAP, as applicable. (d) Maximum Number of Weeks of Interest-Free Status: You are entitled to no more than the maximum number of weeks of interest-free status, as prescribed by the CSFAA or specified under the BCSAP. If you return to Full-Time Student status after you have reached the maximum number of weeks, interest will accrue, but you will not be required to start making payments on your Outstanding Loan Balance until the Payment Trigger Date, and you will not be eligible for any further Financial Assistance. (e) Interest-Free Period Terminated or Denied: Interest will accrue while you are a Full-Time Student if your interest-free period is terminated or denied. Termination or denial of an interest-free period can result if you do not meet the requirements for interest-free status under the CSFAA or the BCSAP, as applicable. 9. Conversion of Canada Student Grant to Loan You acknowledge that all or a portion of your Canada Student Grant(s), may be converted into a Direct Loan if you withdraw from fulltime studies within 30 days after the first day of classes or you receive a Canada Student Grant disbursement that exceeds your eligibility for that grant, and will be added to your Outstanding Loan Balance which you agree to repay in accordance with all applicable Terms and Conditions of the MSFAA-Canada. Page 3 - Your Copy June 1, 2011-E Page 159 of 178 Part F (Continued) ADDITIONAL TERMS & CONDITIONS OF YOUR MSFAA-CANADA and MSFAA-BC 10. Information (a) Notification: You agree to promptly notify Canada and BC of any change to your family status, financial situation or Full-Time Student status, or to information you have provided in your application for Financial Assistance or in this MSFAA. (b) Complete Disclosure: You confirm that, to the best of your knowledge, all information that you have disclosed relating to any previous Canada or BC Student Loan(s) or Student Grant(s) is accurate and complete. (c) Authorization: You authorize Canada, and any of its contractors or agents, to collect, use, exchange and disclose all personal information provided by you on your application(s) and this MSFAA, as well as any personal information relevant to you and your Canada Student Loan(s) or your Canada Student Grant(s) provided to Canada or its contractors or agents including the NSLSC for the purpose of administering your Financial Assistance under the MSFAA-Canada and administering and enforcing the CSFAA or CSLA. This information may be exchanged and disclosed with financial institutions, lenders, educational institutions, employers, credit bureaus and BC Ministry of Advanced Education and Ministry of Finance and Canada Revenue Agency. The collection, use, exchange and disclosure will be undertaken as required and in compliance with the Privacy Act. (d) Authorization: For the purposes of assessing your ongoing eligibility for Financial Assistance, and administering Financial Assistance and enforcing your obligations under the MSFAABC, and administering the BCSAP, you authorize BC, the BCA, any BC Collection Agent, and any of their respective contractors or agents, to collect, use, exchange and disclose all particulars and information, including personal information, relevant to your BC Student Loan(s) or your BC Student Grant(s) with each other and with: financial institutions, lenders, educational institutions, employers, credit bureaus, credit reporting agencies, other financial aid offices, Native Bands, federal and provincial Crown corporations and federal, provincial and municipal ministries/departments/agencies, including the BC Ministry of Social Development, the BC Ministry of Children and Family Development, the BC Ministry of Health, the BC Ministry of Attorney General, the BC Ministry of Finance, the BC Ministry of Advanced Education, the BC Ministry of Education, BC Office of the Superintendent of Motor Vehicles, Insurance Corporation of British Columbia, BC Assessment Authority, Land Title and Survey Authority of BC, WorkSafe BC, BC Vital Statistics Agency, Office of the Superintendent of Bankruptcy Canada, Human Resources and Skills Development Canada, Canada Revenue Agency and Citizenship and Immigration Canada. SA M PL E (e) Authorization: You authorize any of your current, past or future employers to release to Canada or its contractors or agents, and to BC, the BCA, any BC Collection Agent or their respective contractors or agents, information to locate you including your name, SIN, date of birth, banking information, permanent and alternate address, telephone number, employer, and educational institution address for the purpose of enforcing your obligations pursuant to each of the MSFAA-Canada and MSFAA-BC. 11. Denial, Termination and Immediate Repayment Under Your MSFAA-Canada You agree that the following events may result in you being denied further Financial Assistance, interest-free status or you being required to immediately pay all or part of your Outstanding Loan Balance: (a) you fail to make a regularly scheduled loan payment by the Loan Payment Due Date in accordance with the payment terms of the MSFAA-Canada, and that failure continues for two consecutive months; (b) you fail to make any regularly scheduled loan payment(s) by the Loan Payment(s) Due Date in accordance with the payment terms of the MSFAA-Canada, and Canada demands that you make the payment(s) and you demonstrably and unequivocally refuse to do so; (c) you file for or have filed against you any bankruptcy-related proceeding; (d) you seek relief under a provincial law relating to the orderly payment of debts that includes a Canada Student Loan; (e) you are found guilty of an offence under any Act of Parliament by reason of your conduct in obtaining or repaying a Student Loan or Financial Assistance; or (f) you knowingly provided information or made representation related to your application(s) or other document upon which the Minister takes administrative measures under section 17.1(1) or (2) CSFAA, you agree to immediately repay the outstanding amount of your Canada Student Loan(s) and Canada Student Grant(s) obtained on false or misleading information. 12. Denial, Termination and Immediate Repayment Under Your MSFAA-BC (a) Your Outstanding Loan Balance will be delinquent if you fail to make a regularly scheduled loan payment by the Loan Payment Due Date in accordance with the payment terms of the MSFAA-BC, and that failure continues without you having made payment in full of the overdue loan payment for two (2) consecutive months. (b) At any time after your Outstanding Loan Balance becomes delinquent, as per section F.12(a), and if you have not made payment in full of your overdue loan payment referred to in that section, BC may demand immediate payment of your Outstanding Loan Balance in full. If a demand is made under this section, your Outstanding Loan Balance will become due and payable in full on the day after the demand is made. (c) At any time after your Outstanding Loan Balance becomes delinquent, as per section F.12(a), or at any time you do not meet the requirements for Financial Assistance under the BCSAP, you may no longer be eligible for Financial Assistance under the BCSAP, including further BC Student Loans or BC Student Grants, assistance under debt management programs or interest-free periods. Nothing in the MSFAA-BC limits the rights of BC to deny or terminate Financial Assistance at any time under the BCSAP. Note that if you become bankrupt or insolvent or take advantage of or are the subject of any bankruptcy or insolvency-related proceeding, you may no longer be eligible for Financial Assistance. (d) If you fail to make a regularly scheduled loan payment by the Loan Payment Due Date in accordance with the payment terms of the MSFAA-BC, and that failure continues without you having made payment in full of the overdue loan payment for NINE (9) consecutive months, and if a demand has not already been made under section F.12(b), your Outstanding Loan Balance will become immediately due and payable in full on the day thereafter. (e) Upon your Outstanding Loan Balance becoming due and payable in full under section F.12(b) or (d), BC may transfer collection of your Outstanding Loan Balance to any BC Collection Agent. (f) Nothing in sections F.12(b), (c) or (d) limits BC’s right to pursue any remedy or any other action available to BC at law or in equity. 13. Survival The MSFAA-Canada and the MSFAA-BC will remain in force notwithstanding your entry into or fulfillment of an agreement to alter payment terms or the full payment by you of your Outstanding Loan Balance, subject to the CSFAA. 14. Miscellaneous (a) Ratification: If you have entered into any Canada or BC Student Loan agreements while you were a minor, by signing this MSFAA, you ratify those agreements. (b) Previous Outstanding Student Loan Amounts: (i) You agree that all amounts you owe on previous Canada Direct Loans and BC Student Loans will be administered and paid under the Terms and Conditions of the MSFAA-Canada and the MSFAA-BC, respectively, and that all such amounts are consolidated into and form part of your Outstanding Loan Balance, as applicable. (ii) You acknowledge that none of the amounts you owe on any Student Loan will be administered or paid under the Terms and Conditions of the MSFAA-Canada, and that no such amounts form any part of your Outstanding Loan Balance. (iii) You acknowledge that, except as set out in section F.14(b)(iv), none of the amounts you owe on any guaranteed BC student loans (issued before August 1, 1995) or risk-shared BC student loans (issued between August 1, 1995 and July 31, 2000) will be administered or paid under the Terms and Conditions of the MSFAA-BC, and that no such amounts form any part of your Outstanding Loan Balance. (iv) You agree that all amounts that you owe on any guaranteed BC student loans or risk-shared BC student loans will be administered and paid under the Terms and Conditions of the MSFAA-BC, and that all such amounts will be consolidated into and form part of your Outstanding Loan Balance, if, at any time before or after entering into this MSFAA, you have defaulted on those loans, they have been assigned to BC and you meet the rehabilitation requirements of the BCSAP. (c) Further Funding: If you return to Full-Time Student status after the Payment Trigger Date, and you apply for Financial Assistance, funding may be disbursed to you under this MSFAA or you may be required to enter into a new MSFAA. (d) Death: All your rights and obligations under the MSFAA-Canada and the MSFAA-BC in respect of your Outstanding Loan Balance will terminate upon your death. (e) Governing Law: Subject to the CSFAA and the CSLA and any laws of Canada, the MSFAA-Canada and the MSFAA-BC will be governed by the laws of British Columbia. (f) Limitation Period: You acknowledge that the period for the limitation of actions shall be six years. (g) Use of Financial Assistance: You acknowledge that the Financial Assistance provided to you under this MSFAA is for the purpose of providing necessities for your education and maintenance. (h) Severability: Any provision that becomes void or unenforceable will be severed from this MSFAA, and the validity and enforceability of all other provisions will not be affected. (i) Interest and Costs: You agree to pay all legal fees and disbursements incurred by Canada or by BC to collect any amount of your Outstanding Loan Balance owing under this MSFAA, and you agree to pay interest, as per section F.7(c)(ii), before and after default and delinquency. You agree to pay interest before and after judgment. "Information about you under the control of Canada or BC will be administered in accordance with the Privacy Act, or the Freedom of information and Protection of Privacy Act (FOIPPA), as applicable. The personal information on the MSFAA-Canada, or subsequently collected from you, by or on behalf of Canada, relevant to the MSFFA-Canada, is collected under the authority of the CSFAA, the CSLA, the Privacy Act, and the Department of Human Resources and Skills Development Act for the purposes of administering the CSFAA, CSLA, and administering Financial Assistance and enforcing your obligations under the MSFAA-Canada. This information held by Canada will be stored in Personal Information Bank No. HRSDC PPU 030. The Social Insurance Number (SIN) is being collected by the Minister of Human Resources and Skills Development under the express authority of the CSFAA and in accordance with the Treasury Board Secretariat Directive on the SIN. The SIN will be used for the administration of the Canada Student Loan Program under the CSFAA. You have the right to the protection of, and access to, your personal information. How you may obtain access to your personal information are available in the publication InfoSource, available at Service Canada Centres, by calling 1-800-O-Canada (1-800-622-6232) or at http://infosource.gc.ca. The personal information on the MSFAA-BC, or subsequently collected from you, by or on behalf of BC, relevant to the MSFAA-BC, is collected under the authority of section 26(c) of the FOIPPA for the purposes of assessing your ongoing eligibility for Financial Assistance, administering Financial Assistance and enforcing your obligations under the MSFAA-BC, and administering the BCSAP. Questions about the collection and use of the personal information on the MSFAA-BC, or subsequently collected from you, can be directed to the Executive Director, StudentAid BC, Ministry of Advanced Education, PO Box 9173, Stn Prov Govt, Victoria, BC V8W 9H7 (call 250-387-6100 (Victoria), 604-660-2610 (in the BC Lower Mainland) or 1-800-561-1818 (toll-free in Canada/USA)." Page 4 - Your Copy June 1, 2011-E Page 160 of 178 Canada & B.C. have integrated their student loan programs as of August 1st 2011 There is just one step to receive your Canada – British Columbia integrated student financial assistance! T Take the Master Student Financial Assistance Agreement N E (MSFAA) to a designated Canada Post outlet M U C O D E L P M A S 1 With: Your social insurance number card or a copy of your Canada Revenue Agency notice of tax assessment. And: Official government-issued photo identification. And: A personal void cheque. If you do not have a cheque, your bank or credit union can help you complete the electronic funds transfer section of the agreement. This agreement must be taken to Canada Post, who will confirm your identity and forward the MSFAA to the National Student Loans Service Centre (NSLSC) for processing. This agreement must be received at the NSLSC at least 2 weeks before your study period ends. If you delay submitting it, you may not receive your funding. That’s it! 1 For a list of designated Canada Post outlets, go to CanLearn.ca, or call 1-888-815-4514. To find out more about how and when you will receive your money, read the other side of this page. Vous pouvez obtenir cet encart en français au www.StudentAidBC.ca Page 161 of 178 Once your loan agreement is processed, StudentAid BC will need to: » Confirm your enrolment: hh If your school can confirm your enrolment electronically, they will automatically be asked to confirm your enrolment. Your school may ask that some of the funds be paid directly to them to cover your academic fees. What happens next? hh If your school does not confirm enrolment electronically and it is located within B.C. or Canada, StudentAid BC will mail the confirmation of enrolment form to your school and they will return it to StudentAid BC. Your school may ask that some of the funds be paid directly to them to cover your academic fees. T N E hh If your school is outside of Canada, the confirmation of enrolment form will be sent to your mailing address and you must take it to the registrar’s office at your school. Your school will then return the confirmation of enrolment to StudentAid BC. Your school may ask that some of the funds be paid directly to them to cover your academic fees. How and when E L P will you M A receive S your money? M U C O » Initiate the disbursement of funds: D hh Once your enrolment is confirmed, StudentAid BC will notify the National Student Loans Service Centre and request that your remaining funds be deposited electronically into your bank account that you provide on the MSFAA. Funds will be deposited on or after the first day of classes. Questions? About your confirmation of enrolment – contact StudentAid BC at: 250-387-6100 604 -660-2610 1-800-561-1818 Local Victoria Lower Mainland Toll-free within North America About disbursement of funds – contact the National Student Loans Service Centre at: 1-888-815-4514 800-2-225-2501 1-888-815-4556 Page 162 of 178 Toll-free within North America Toll-free outside North America TTY TAB L SAMPLE DOCUMENT Confirmation of Enrollment (StudentAid BC) Page 163 of 178 NOTES: Page 164 of 178 T N M A S P E L C O D Page 165 of 178 E M U T N M A S P E L C O D Page 166 of 178 E M U TAB M SAMPLE DOCUMENT Appendix 7 – Request for Reassessment Page 167 of 178 NOTES: Page 168 of 178 Appendix 7 StudentAidBC 2011/2 0 1 2 REQUEST FOR REASSESSMENT When information on your original StudentAid BC application changes, you must submit a reassessment. Provide an explanation for the change in the space provided. All information is subject to verification and audit. Changes include but are not limited to: 1 Any new source of income, or changes to your income E L M A S 6 Changes in marital status Changes to your program of study or study period dates 4 Change of school before cashing any StudentAid BC funding E M U 7 Change in dependant information 8 Change in living situation C O D 3 T N Note: changes to marital status after the first day of classes cannot be considered. If you marry before your first day of classes, you must provide a copy of your marriage certificate and an Appendix 2 completed by your spouse. If you separate from your spouse before your first day of classes, you must provide a copy of your legal separation agreement confirming your date of separation. If formal documentation is not available, a notarized statement from your ex-spouse/partner with their address and phone number or a letter on business letterhead from a credible third party (e.g., counsellor, religious advisor, doctor, social worker, lawyer) may be accepted. If the change is because of the birth or adoption of a child, you must provide a copy of the birth certificate with parent information, or a letter from your physician confirming the date of birth and the child’s name. If you are awarded custody of a dependant before your first day of classes, you must provide proof of custody or that you have care of the dependant at least two full days per week during your study period. You must provide a notarized statement from your dependant’s other parent with his/her name, address and telephone number and the dates the child lives with you. A statement from a credible third party, such as a social worker or religious adviser, is also acceptable, and you must provide the name, address, telephone number and the person’s relationship to you. Provide an explanation for the change and where possible provide any supporting documentation when reducing income (e.g., record of employment for loss of work). For changes in your parent(s)/stepparent/sponsor/legal guardian’s income, submit a revised Appendix 1 and supporting documentation (e.g., Notice of Assessment from the Canada Revenue Agency). For changes in your spouse/common-law partner’s income, submit a revised Appendix 2, including supporting documentation. If you are changing the amount of your or your spouse/common-law partner’s previous year’s income, Question 72a on the application and/or Question 16a on the Appendix 2, you must submit proof of this change in income by submitting a copy of your Income Tax Notice of Assessment from Canada Revenue Agency. P Change in previous post-secondary weeks If there is a change in your previous post-secondary weeks, provide copies of transcripts from all post-secondary schools (in B.C., Canada and outside of Canada) that you have attended. Changes in your assets (motor vehicle, GIC, RRSP) If you sold or cashed in any assets (motor vehicle, GIC, RRSP) in the four months before classes began, or during your study period, you must provide documentation showing proof of the sale and whether the proceeds were used to repay outstanding debt on that asset or if they were used to pay for something else. If the value of your motor vehicle has changed, state the revised estimated current value of your motor vehicle in Section 4, Question 73. (The estimated value of your vehicle is the amount it would sell for on the open market.) If you transferred ownership of your motor vehicle to someone else, include a copy of the transfer and registration documentation, including the ICBC owner’s certificate of insurance and vehicle licence (vehicle registration forms), along with your Appendix 7. For changes in your parent(s)/step-parent/sponsor/ legal guardian’s assets, provide documentation, and have your parent(s)/ step-parent/sponsor/legal guardian complete a revised Appendix 1. For changes in your spouse/common-law partner’s financial status/assets, provide documentation, and have your spouse/common-law partner complete a revised Appendix 2. Note: Your request for reassessment will not be considered if your motor vehicle was transferred to someone else for less than fair market value. Your estimate of the current value of your motor vehicle will be compared with the “Sanford Evans Gold Book” and the value of your motor vehicle in the Gold Book will be used in reassessing your eligibility for StudentAid BC funding. 2 5 Note: Changes to your living situation after the first day of classes will not be considered. Note: Mark yes to Question 48, if you are paying room and board to your parent(s)/step-parent/sponsor/legal guardian in the four months before classes start, or in your study period. You will be required to submit an Appeal Request Form for Room and Board. If you move from your parent’s home before the first day of classes, you must have your landlord/lady complete a Confirmation of Rent form, available at: www.StudentAidBC.ca confirming your tenancy. You must also provide one of the following options: A. If you are living in residence at your school, make sure your school places their official school stamp or seal on the form. OR B. If you are not living in residence at your school, you must provide copies of your cancelled cheques, or if unavailable, copies of your monthly bank statements with the cash withdrawal used to pay the rent circled on each statement confirming your payment for rent. If you are downloading statements from the internet these must have been issued by the bank or financial institution in PDF format; otherwise all other web statements must bear your financial institution’s bank/branch stamp. If you are changing your study period dates, make sure you change all income and costs to reflect the new study period. If applicable, attach an Appendix 2 with any changes to your spouse/common-law partner’s income and costs. An Appendix 3, to be completed by your school, may be required. Note: If you are completing your program early, you must have the financial aid office at your school complete an early completion form. Complete this form, and if necessary, have your school complete an Appendix 3. If you have cashed funding through StudentAid BC, submit an Appendix 5: Transfer of School form. INSTRUCTIONS DEADLINE Section 1: complete Questions (01) to (13) inclusive. Sections 2 to 8: complete only those questions where the information is now different from your original application. Section 6 – You must read, sign and date. Your complete and correct Request for Reassessment must be received by StudentAid BC at least 6 weeks before the DATE CLASSES END. No faxes or copies are accepted as original signatures are required. Page 169 of 178 Page 1 2011/2 0 1 2 Appendix 7 StudentAidBC What is your original 2011/2012 application number? REQUEST FOR REASSESSMENT 2011 (Questions must be answered in ink) This symbol means to refer to the 2011/12 INSTRUCTIONS booklet included in the application package and available online in PDF version at www.StudentAidBC.ca SECTION 1 of 8 – PERSONAL INFORMATION (01) LAST NAME NOTE: Your last name MUST match the name on your social insurance number card (12) SOCIAL INSURANCE NUMBER (02) FIRST NAME NOTE: Your first name MUST match the name on your social insurance number card (13) STUDENT NUMBER (IF KNOWN) E M U (14) DATE OF BIRTH (02a) MIDDLE NAME YEAR (03) MAILING ADDRESS All mail will be sent to this address STREET NUMBER AND STREET NAME Apt./box/suite number C O D (04) Use this line for any part of your address not indicated above (05) Use this line for any part of your address not indicated above (06) CITY/TOWN P M A S (07) PROVINCE/STATE (09) COUNTRY (10) AREA CODE ( ) T N E L MONTH DAY (15) GENDER MALE FEMALE (16) MARITAL STATUS (MARK ONE BOX ONLY) SINGLE A SINGLE PARENT SEPARATED/ COMMON- DIVORCED/ WIDOWED LAW MARRIED B D C E SCHOOL/PROGRAM CODES go to page 4 (08) POSTAL/ZIP CODE (17) SCHOOL CODE (18) PROGRAM CODE TELEPHONE NUMBER - DEADLINE (11) E-MAIL ADDRESS IMPORTANT! • Onlyanswerquestions(inink)wheretheinformationisnowdifferentfromyouroriginal application. • Whenyouseethissymbol refer to the Instructions book for help. Your complete and correct Appendix 7 and/ or other appendices, must be received by StudentAid BC at least six weeks before the DATE CLASSES END shown on Question 42. Funding cannot be issued after the date classes end. MINISTRY USE ONLY • all information is subject to audit and verification. • Nofaxesorcopiesareaccepted,originalsignaturesarerequired. • Fundingcannotbeissuedafterthedateclassesend. Page 170 of 178 Page 3 2011/12 APPENDIX 7 SECTION 2 of 8 – PERSONAL INFORMATION continued Note: Answer only those questions where the information is now different from your original application. (19) Are you a student with a permanent disability that affects your studies on a daily basis? You must meet the definition of a permanent disability to be eligible to apply for StudentAid BC permanent disability funding. Read page 4....................................................................................(19) (20) Are you or have you ever been a landed immigrant/permanent resident? (if born in Canada, mark NO) .........(20) (21) Have you ever declared bankruptcy? If YES, read page 5 before answering ...........................................................(21) NO YES NO YES NO T N (22) Have you ever cashed a Canada student loan? (if FULLY repaid, mark NO)................................................................... (22) E M U (23) Date you graduated from or left secondary (high) school............................................................................................(23) YES YES YYYY (24) How many months of full-time post-secondary studies have you taken to date in B.C., Canada and outside of Canada? Convert part-time studies as per page 6. Include co-op work terms ................................................. (24) C O D NO MM months YES NO YES NO YES NO (28) In the time since you left high school to your first day of classes, have you spent two periods of 12 continuous months each, in the full-time labour force as defined on page 7? .............................................................................(28) YES NO (29) Are you or were you, at the time of your 19th birthday, a youth in continuing care or custody of a director of child welfare in B.C. (ward of the court – this means the provincial government is/was your legal guardian)? .................................................................................................................................................................................... (29) YES NO YES NO (25) Will you have been out of high school for more than 48 months (4 years) when classes start? ............................. (25) (26) Are you married or common-law? If ‘YES’, Appendix 2 must be completed ................................................................. (26) E L (27) Are you a single parent, separated, divorced or widowed?...................................................................................................(27) P M A S (30) My parents are deceased and I do not have a legal guardian. If both conditions apply, read page 7 .........(30) (31) Did you answer ‘YES’ to any of Questions 25 to 30?..................................................................................................................(31) (32) Are you a resident of B.C. as defined on page 8? .............................................................................................................. (32) (33) Have your parents complete Appendix 1. Is your parent(s)/step-parent/sponsor/legal guardian a resident of B.C. as defined on page 9? .................... (33) Page 171 of 178 2011/12 APPENDIX 7 Page 4 [ ] YES [ ] NO (GO TO 32) (GO TO 33) YES NO YES NO SECTION 2 of 8 – BEFORE CLASSES START (Read page 9) (34) In the four months BEFORE classes start, were you or do you expect to be: (a) Living with your parent(s)/step-parent/sponsor/legal guardian or living in a home owned or rented by them for at least two months? Read page 9..................................................(34a) YES NO (b) Enrolled in full-time study for at least two months (including high school)? ...................................(34b) YES NO (c) At home caring for your eligible dependent child(ren) on a full-time basis for at least two months? (Only one parent may claim to be the full-time caregiver).................................... (34c) YES NO T N (35) In the four months BEFORE classes start, what is the total amount of: (a) Income assistance (welfare) and/or B.C. income assistance for persons with disabilities you receive? (Do not include amount entered on line 7A of Appendix 2) Enter ‘0’ if none ................................. (35a) (b) Employment insurance benefits (EI) you receive? Enter ‘0’ if none .......................................................(35b) (c) Gross earnings you receive from employment and net self-employment income? Read page 10. Enter ‘0’ if none .....................................................................................................................(35c) $ .00 (d) Child-care subsidy you receive? (Only one parent may claim child-care subsidy) Read page 10. Enter ‘0’ if none ....................................................................................................................(35d) $ .00 (e) Other sources of income you receive? (e.g. First Nation band funding, child support, pension, spousal support and maintenance, monetary gifts, etc.) Enter ‘0’ if none. .................................................................................................................................................... (35e) Specify: $ .00 Canada student loan and/or provincial student loan payments. Enter ‘0’ if none ...........................(36a) $ .00 Tuition and book costs (for post-secondary studies) that are not funded by a student loan or grant. Do not include tuition or deposits for the study period you are applying for now (Questions 41 and 42). Read page 11. ......................................................................................................(36b) $ .00 Total day-care costs for your child(ren) age 11 years or under. Include child-care subsidy from line 35d. (Only one parent may claim day-care costs) Read page 11. ......................... (36c) $ .00 Child support and/or spousal support payments. Read page 11 ..................................................(36d) $ .00 (37) What is the balance in all of your bank accounts (chequing and savings) both inside and outside of Canada, at the start of classes? Do not include RRSPs, term deposits, GICs, mutual funds, stocks or bonds. Read page 11. Enter ‘0’ if none, or if a negative amount ...................................................................... (37) $ .00 P E L C O D $ E M U $ .00 .00 (36) In the four months BEFORE classes start what is the total amount of: (a) (b) (c) (d) M A S Page 172 of 178 Page 5 2011/12 APPENDIX 7 SECTION 3 of 8 – AFTER CLASSES START/STUDY PERIOD (38) NAME OF SCHOOL (39) PROGRAM/FACULTY. Read page 12 (40) MAJOR/DEPARTMENT (IF APPLICABLE) STUDY PERIOD DATES FOR THIS APPLICATION YEAR MONTH T N DAY (41) DATE CLASSES START IMPORTANT YEAR MONTH E M U Your study period cannot be more than 52 weeks and must match your school’s program dates. DAY (42) DATE CLASSES END C O D (43) Between the date classes start (Question 41) and the date classes end (Question 42), will you be on a paid co-op work term? If YES, enter co-op earnings in Question 53 ................................................................. (43) 100% (44) COURSE LOAD (MARK ONE BOX ONLY) P M A S 80% 60% E L (45) PROGRAM TYPE (MARK ONE BOX ONLY) CERTIFICATE A YES NO 40% (for students with permanent disabilities) Read page 13 ASSOCIATE/ DIPLOMA UNIVERSITY TRANSFER B BACHELOR MASTER D E C DOCTORATE PROFESSIONAL F G UNCLASSIFIED/ QUALIFYING H (46) What year of this program will you be in? (e.g., 1st, 2nd, 3rd, 4th, etc.). Read page 14 ........................(46) YEAR (47) Will you have a full-time job during your study period? Read page 14 before answering ................... (47) YES NO (48) While you are in school, will you be living with your parent(s)/step-parent/sponsor/legal guardian or living in a home owned or rented by them? Read page 14 ........................................................................(48) YES NO (49) Do you need Appendix 3? Read page 24. If “YES”, have your school complete Appendix 3. The Appendix 3 must match Questions 41 and 42 above ........................................................................................(49) YES NO Page 173 of 178 2011/12 APPENDIX 7 Page 6 SECTION 3 of 8 – AFTER CLASSES START/STUDY PERIOD continued QUESTIONS 50 THROUGH 68 REFER TO STUDY PERIOD TOTALS, NOT MONTHLY AMOUNTS. SEE QUESTIONS 41 AND 42 FOR YOUR STUDY PERIOD DATES. ALLOwABLE ExTRA COSTS: (50) Total day-care costs for your child(ren) age 11 years or under. Include child-care subsidy from Question 64. (Only one parent may claim day-care costs)........................................................(50) (51) Child support and/or spousal support and maintenance you pay. Read page 15 ....................................(51) (52) If you must relocate to a different city to attend school and you will return home at least once during your study period, what is the cost of your return trip home? ............................................ (52) $ .00 $ .00 $ .00 T N INCOME: Enter ‘0’ if none. .00 (53) Co-op earnings (declare earnings if you answered Yes to Question 43) ............................................................. (53) $ (54) Assistantships/stipends .........................................................................................................................................................(54) $ (55) Gross earnings you expect to have from employment and net self-employment income during your entire study period. Do not include income reported on lines 53 and 54 .............................. (55) $ (56) Child support and/or spousal support and maintenance you will receive........................................................(56) $ .00 $ .00 $ .00 $ .00 $ .00 $ .00 $ .00 $ .00 $ .00 (65) Sponsored tuition/books from Human Resources and Skills Development Canada (HRSDC), First Nation bands, Ministry of Social Development, other government agencies and employers ..........(65) $ .00 (66) Income assistance (welfare) and/or B.C. income assistance for persons with disabilities. (Do not include amount entered on Question 11A of Appendix 2) .......................................................................(66) $ .00 $ .00 $ .00 C O D E M U (57) Employment insurance benefits (EI). (Do not include sponsored tuition/books) ............................................ (57) (58) Bursaries or needs-based academic awards ..................................................................................................................(58) (59) WorkSafe BC/WCB benefits .................................................................................................................................................(59) E L (60) Pension income from Orphan’s Benefits, Canada Pension Plan (CPP), retirement pensions, disability pensions, or any other pension. Read page 16 .................................................................................. (60) P (61) Scholarship or merit-based awards, including Passport to Education and Provincial Government Scholarship ..................................................................................................................................................................................(61) M A S (62) First Nation band funding (do not include sponsored tuition/books). ................................................................(62) (63) All contributions from parent(s)/step-parent/sponsor/legal guardian including registered education savings plans (RESPs) and scholarship trust funds .................................................................................(63) (64) Child-care subsidy. (Only one parent may claim child-care subsidy)..............................................................(64) (67) Employment program for persons with disabilities income (EPPD) ..................................................................... (67) (68) All other sources of income including monetary gifts. Do not include HST rebates, child tax benefits, tax refunds or B.C. Family Bonus Specify: .................................................................................................................(68) Read page 18 .00 .00 Page 174 of 178 Page 7 2011/12 APPENDIX 7 SECTION 4 of 8 – ASSET AND INCOME INFORMATION ANSWER ALL QUESTIONS List ALL Canadian and foreign assets. (Include ‘locked-in’ assets.) $ .00 (70) What is the net worth of all your term deposits, GICs, mutual funds, stocks, bonds, etc.? $ Do not include RRSPs. Enter ‘0’ if none ........................................................................................................................(70) .00 (71) What is the net worth (your share) of any assets such as revenue/holding/recreational properties, boat, RV, etc.? Do not include principal residence and motor vehicle(s) listed in $ Questions 73 and 73a. Enter ‘0’ if none. .........................................................................................................................(71) .00 $ .00 (69) What is the net worth of your RRSPs? Enter ‘0’ if none ..........................................................................................(69) (72) What is the net worth (your share) of a business? Enter ‘0’ if none................................................................... (72) (72a) Enter your reported gross income from line 150 of your 2010 Income Tax Return. If you did not file a 2010 Income Tax Return, enter your total gross income from all sources both inside and outside of Canada. This income will be matched with Canada Revenue Agency records, which $ may affect your assessment of need. Read page 20.................................................................................... (72a) MOTOR VEHICLES Read page 20. You must answer BOTH Questions 73 and 73a. T N E M U (73) Do you own a car/truck/motorcycle/other motor vehicle of which you are the registered owner? Uninsured vehicles must be declared .......................................................................................................................(73) OwN: YEAR 2010 MAKE AND MODEL Acura CSX C O D PURCHASE DATE TYPE 4dr Sedan YEAR 2 0 1 0 MONTH 0 6 $ $ $ ANSwER BOTH QUESTIONS YEAR 2010 MAKE AND MODEL Acura CSX E L M A S P TYPE 4dr Sedan LEASE DATE YEAR 2 0 1 0 MONTH 0 6 $ $ $ YES (give details below and answer Question 73a) NO (you must answer Question 73a) PURCHASE PRICE RESALE VALUE 1 7 2 0 0 .00 $ 1 6 5 0 0 .00 .00 $ .00 .00 $ .00 YES (give details below) (73a) Do you lease a car/truck/motorcycle/other motor vehicle of which you are the registered lessee? Uninsured vehicles must be declared .................................................................................................... (73a) LEASE: .00 NO VEHICLE VALUE AT LEASE DATE 1 7 2 0 0 .00 $ .00 $ .00 $ MONTHLY LEASE PAYMENTS 3 8 0 .00 .00 .00 All information is subject to audit and verification SECTION 5 of 8 – DEPENDANTS (Read page 22) YES (give details below) (74a) Do you have any eligible dependants as defined on page 22 NO (go to Section 6) (74b) List eligible dependants below (only include spouse/common-law partner if they are permanently disabled) OTHER ELIGIBLE DEPENDANTS’ NAME(S) (Only include spouse/common-law partner if they are permanently disabled) DATE OF BIRTH YEAR MONTH Page 175 of 178 2011/12 APPENDIX 7 Page 8 DAY IS DEPENDANT ATTENDING POST-SECONDARY? WAS THIS DEPENDANT CLAIMED ON YOUR 2010 TAX RETURN? YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO Please provide an explanation for the changes made in this reassessment: T N P M A S E L C O D E M U Collection and use of information. The information included in this form and authorized above is collected and managed in accordance with Section 26 of the Freedom of Information and Protection of Privacy Act and under the authority of the Canada Student Financial Assistance Act, R.S.C. 1994, Chapter C-28 and StudentAid BC. The information provided will be used to determine eligibility for a benefit through StudentAid BC. If you have any questions about the collection and use of this information, contact the Executive Director, StudentAid BC, Ministry of Advanced Education, PO Box 9173, Stn Prov Govt, Victoria, BC V8W 9H7, call 250 387-6100, 604 660-2610 (in the BC lower mainland), or 1-800-561-1818 (toll-free in Canada/U.S.). Page 176 of 178 Page 9 2011/12 APPENDIX 7 SECTION 6 of 8 – StudentAid BC DECLARATION – IMPORTANT DOCUMENT – READ, SIGN AND DATE This Appendix forms part of the student's Application for student financial assistance. As such, the Student Declaration and Canada Revenue Agency Consent previously signed by the student have full legal force and effect in respect of this Appendix. (75) SIGNATURE OF STUDENT (IN INK) PRINT NAME (76) DATE SIGNED YEAR PRINT HERE SIGN HERE MONTH DAY SECTION 7 of 8 – ALTERNATE ADDRESS Give the name, address and telephone number of a contact person over 19 years of age living in Canada or the United States. T N DO NOT USE your spouse/common-law partner, a school staff member, or yourself. (79) LAST NAME (80) FIRST NAME (80a) MIDDLE NAME (81) MAILING ADDRESS apt./box/suite number C O D E M U street number and street name E L (82) Use this line for any part of your address not indicated above P (83) Use this line for any part of your address not indicated above M A S (84) CITY/TOWN (85) PROVINCE/STATE (87) AREA CODE ( (86) POSTAL/ZIP CODE ) - CANADA (89) Relationship to you (mark one box only) A (88) COUNTRY TELEPHONE NUMBER Parent/step-parent/ sponsor/ legal guardian B Other relative C Other Page 177 of 178 2011/12 APPENDIX 7 Page 10 U.S. SECTION 8 of 8 – RELEASE OF INFORMATION (Read page 23) (90) If you are unable to contact us to check your application status, you may authorize another person to obtain any information on your behalf by completing this section. DO NOT USE A SCHOOL STAFF MEMBER. LAST NAME FIRST NAME Relationship to you A Parent B Spouse/ Common-Law Partner Other relative C D Friend Note: No information will be released unless your social insurance number, and date of birth are provided by this person to StudentAid BC, the British Columbia Student Loan Service Bureau, or financial aid staff at the time of the inquiry. T N Collection and use of information. The information included in this form and authorized above is collected and managed in accordance with Section 26 of the Freedom of Information and Protection of Privacy Act, and under the authority of the Canada Student Financial Assistance Act, R.S.C. 1994, Chapter C-28 and StudentAid BC. The information provided will be used to determine eligibility for a benefit through StudentAid BC. If you have any questions about the collection and use of this information, contact the Executive Director, StudentAid BC, Ministry of Advanced Education, PO Box 9173, Stn Prov Govt, Victoria, BC V8W 9H7, telephone 250 387-6100, 604 660-2610 (in the BC lower mainland), or 1-800-561-1818 (toll-free in Canada/U.S.). C O D E M U CONTACT INFORMATION TO REACH StudentAid BC BY PHONE: Call (250)-387-6100 E L If you are on the B.C. Lower Mainland, call (604)-660-2610 If you are calling from anywhere else in Canada or the U.S., call toll-free 1-800-561-1818 M A S P TO REACH StudentAid BC BY MAIL: StudentAid BC Mailing address: P.O. Box 9173 Stn Prov Govt Victoria B.C. V8W 9H7 Courier address: c/o StudentAid BC 1st Floor, 835 Humboldt Street Victoria B.C. V8V 4W8 Visit us on-line at www.StudentAidBC.ca Page 178 of 178 Page 11 2011/12 APPENDIX 7
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