Sample documents for:

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
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Undergraduate
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Gallaudet
U N I V E R S I T Y
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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)
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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
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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.
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(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.
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English Language
Institute (ELI)
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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.
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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.
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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.
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Athletics Department
(202) 651- 5603 (tty/voice)
(202) 651- 5274 (fax)
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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.
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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
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Test: ______________ GPA: __________
oPres oProv oDean
oLead oDav oFos
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oNSP oOSWD
o Deaf
o Hard of Hearing
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ARC: ____ ____ ____ ____ ____ ____
JS/PLUS ___________ Plus __________
Full Legal Name: ____________________________________________________________________________________________
(Please indicate as printed on your
passport or Social Security card.) last name
__________________________________________________________
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address line 1
__________________________________________________________
address line 2 P
__________________________________________________________
state/province
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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
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College name: ______________________________
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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: _______________________________________________________________________________________
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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
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o Yes o No
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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
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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)___________________________________________________
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Do you have any relatives currently or previously associated with Gallaudet? o Yes o No
If yes, list name: ________________________________________
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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.
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Home study? o Yes o No
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High School/Secondary Program Information
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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
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state/province zip/postal code/country code
____________________________________________________
city
state/province zip/postal code/country code
____________________________________________________
____________________________________________________
country
country
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Telephone: _____________________________ o tty o voice o vp
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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)
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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:
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Address: _________________________________________________________________________________________
street
_________________________________________________________________________________________________
city
state/province zip/postal code/country code
_________________________________________________________________________________________________
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country
Telephone: _________________________ o tty o voice o vp
Fax: _____________________________________
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Dates Attended: From _____________________________________ To _______________________________________
month/year
month/year
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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
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middle name
o Superintendent/Principal o Employer/Teacher o Coach o School Counselor o Community Leader
Telephone: ________________________________ o tty o voice o vp
Fax: _____________________________________
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E-mail: _________________________________________________________________________________________________
Essay Questions
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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
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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)
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Name: ___________________________________________________________________________________________________
surname/family name/last name
given name/first name
middle/second name
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E-mail address: ___________________________________________________ Native Lanaguage: _______________________
Country of Birth: _______________________
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Country of Citizenship: _____________________________________________
Sex/Gender: o Male o Female
Date of Birth: ________/_______/_________
Month
Day
Year
Mailing Address:
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Address: _________________________________________________________________________________________________
________________________________________________________________________________________________________
city
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state/province
Country
zip/postal code/country code
Phone: _______________________________________________ Fax: ______________________________________________
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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 $3,000 for each child.
Student’s Sources of Funds/Required Documents
Please mark your source(s) of funding for the duration of your program at Gallaudet University. You MUST submit
documents for each source of funds that you mark. Documents must be in English and bear a signature, official seal
or be on a letterhead from an official agency. These documents must be less than 6 months old when presented to
Gallaudet University.
Sources
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Required Documents
o
Student Funds
o
Support Available From Family/Friends
o
Support Available From Sponsors
o
Your Government/ Embassy
o
Charitable Organizations
o
OSAP/Canada Students Loan/VR/Others
o
No other support is available
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1. Bank statement for checking, savings and/or other
accessible account
2. Certificates of deposit:; mutual, stock or bond fund
1. Complete the Sponsors Affidavit in this application
2. Official letter from sponsor’s employer showing annual
earnings.
Official Letter
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Applicant Certification
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1. Complete the Sponsor Affidavit in this application
2. Bank statement for checking and /or savings
3. Certificates of deposits, mutual, stock or bond funds
Official Letter
Pending after acceptance (Canadian Students Only)
Pending after acceptance
I hereby certify that the total amount of money that I have available for my first academic year at Gallaudet University
is US$________________________. 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.
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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.
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How to complete the enclosed Sponsor’s Affidavit of Annual Cash Support Form:
o Fill out the affidavit form in ENGLISH!
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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:
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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).
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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.
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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
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My relationship to the student is ______________________________________________________________________________.
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Father, Mother, Spouse, Brother, Sister, Friend
My address: ____________________________________________________________________________________________
____________________________________________________________________________________________
Phone: ____________________________________________ Fax: ___________________________________________
Email: ____________________________________________________________________________________________
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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
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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
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C
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D
M
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2011-2012
M
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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
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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.
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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
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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
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N
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A
S
P
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Page 43 of 178
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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
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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.
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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
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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)
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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.
$
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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
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(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
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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
(
)
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(22a) PROVINCE/STATE
(23) POSTAL/ZIP CODE
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(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

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PARENT/STEP-PARENT/SPONSOR/LEGAL GUARDIAN
(26) SIGNATURE (IN INK)
(27) DATE SIGNED
P
SIGN HERE
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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.
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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.
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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)
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= 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
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= 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.
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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
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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:
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(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)
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(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) $
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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
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(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) $
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(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
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(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
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SPOUSAL ASSET INFORMATION - ALL INFORMATION IS SUBJECT TO VERIFICATION AND AUDIT
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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
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(25) PROVINCE/STATE
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(28) AREA CODE
(
(29) SIGNATURE OF SPOUSE/COMMON-LAW PARTNER (IN INK)
PRINT NAME
TELEPHONE NUMBER
)
(30) DATE SIGNED
YEAR
PRINT HERE
SIGN HERE
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-
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.
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(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.
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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.
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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.
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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.
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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.
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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.
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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.
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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
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Enter the last day of classes or exams, whichever is later, for the program of study.
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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.
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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)
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(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
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(11) POSTAL/ZIP CODE
(12) PROVINCE/STATE
P
AREA CODE
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(18) DATE CLASSES END
DAY
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TO
YEAR
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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
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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
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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
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How to
complete your
StudentAid BC
Application
Instructions
instructions
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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
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Instructions for Completion of Application
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SECTION 1 - Personal Information.................................................................................................   3
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SECTION 2 - Before Classes Start ..................................................................................................... 10
SECTION 3 - After Classes Start (Study Period)............................................................................12
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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.
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To contact HRSDC Employment Insurance Information Centre call: 1-800-206-7218.
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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.
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Question 12 Social Insurance Number
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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.
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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
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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.
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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.
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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
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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
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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:
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• you were discharged from bankruptcy involving student loans; and
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• 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.
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2) If you did not have student loans at the time you declared bankruptcy, answer ‘NO’ to
Question 21.
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• 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.
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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.
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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.
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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.
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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.
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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.
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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
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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:
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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.
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• 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
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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.
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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.
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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
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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
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• 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.
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...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:
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• 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.
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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.
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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.
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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
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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?
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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.
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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.
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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.
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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).
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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).
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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.
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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.
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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.
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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.
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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.
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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
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Information Technology
Nursing
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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.
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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.
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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.
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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.
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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:
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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.
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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.
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• 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
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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:
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• 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.
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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
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= 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.
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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:
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• 12-26 weeks in length, you may be allowed one return trip.
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• 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.
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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.
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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.
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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:
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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.
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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.
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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
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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.
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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.
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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.
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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.
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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.
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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.
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D
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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)
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– 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.
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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
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PL
– Amount owing on investment loans
– Any fees that may be charged for withdrawing investments
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= 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
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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.)
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= Net worth of business
Do not include business vehicle(s).
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If you are part owner of a business, enter the value of your portion.
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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.
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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.
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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.
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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:
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TYPE
4dr Sedan
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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.
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If you have more than four eligible dependants, include a separate sheet listing all required
information about each additional dependant.
Note:
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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
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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.
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SECTION 9
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Release Of Information
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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.
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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.
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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.
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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.
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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.
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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
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• 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.
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• 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?
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Change your address online at: www.StudentAidBC.ca .
What’s Next?
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Application Status
Information is available on our website at: www.StudentAidBC.ca including application receipt
dates, funding amounts, etc. Application information is updated nightly.
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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)
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Fax:1-866-312-3322
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Visit:www.StudentAidBC.ca
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1-800-561-1818
(toll-free in Canada/USA)
Page 96 of 178
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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
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Student Guide
STUDENT GUIDE
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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.
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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.
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Seven Helpful Reminders:
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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.
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5. Repayment of your student loans will begin six months after you leave full-time studies.
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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
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• 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
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Information for students studying at a B.C. private school................................................................................... 10
Is your school accredited?.......................................................................................................................................................... 10
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Signing an enrolment contract.............................................................................................................................................. 10
Information for students studying outside Canada................................................................................................... 10
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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
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Loans for full-time students...................................................................................................................................................... 13
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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
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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
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How do I repay my student loans?....................................................................................................................................... 24
When does interest start accumulating?.......................................................................................................................... 24
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What interest rate will I pay?..................................................................................................................................................... 24
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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
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B.C. Principal Deferment............................................................................................................................................................. 26
Revision of Terms............................................................................................................................................................................. 26
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Permanent Disability Benefits.................................................................................................................................................. 26
B.C. Loan Forgiveness Program .............................................................................................................................................. 27
Pacific Leaders Loan Forgiveness Program .................................................................................................................... 28
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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
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Definitions................................................................................................34
StudentAid BC contact information.....................................................40
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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.
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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.
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Be sure to investigate all possible funding options before seeking assistance with the federal
and provincial governments.
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Please note that StudentAid BC program policies may be subject to change.
Visit www.StudentAidBC.ca for the most updated information.
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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.
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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.
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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.
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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.
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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.
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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
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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.
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StudentAid BC funding cannot be considered for a period of study prior to your school being
designated by StudentAid BC.
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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?
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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.
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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.
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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.
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You may not be eligible for student financial assistance if you are:
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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.
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Note: You can apply to only one province for funding.
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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.
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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.
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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.
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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
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loan reduction.
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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:
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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.
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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.
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Canada Student Grant for Persons with Dependants
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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
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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.
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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.
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The following grants are available for students with permanent disabilities. For more
information, turn to page 30.
• Assistance Program for Students with Permanent Disabilities
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B.C. Access Grant for Students with a Permanent Disability
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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
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How do I apply for full-time assistance?
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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.
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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.
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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
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Weekly maximum loan limits for the 2011/2012 program year:
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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.
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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.
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Note:
Not all students receive the maximum amount of funding.
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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
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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)
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B.C. Student Loan (doctoral)
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Once you’ve been approved for funding
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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
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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.
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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?
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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.
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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
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•
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
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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.
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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.
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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.
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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.
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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
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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
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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.
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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.
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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.
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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.
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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.
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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.
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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
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119
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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.
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What if I transfer schools?
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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.
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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.
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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
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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.
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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).
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If StudentAid BC finds that you have received an overaward, you will be notified in writing.
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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.
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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.
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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
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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.
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»» 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.
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»» 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.
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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.
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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).
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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.
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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.
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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
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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.
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More information about the RAP can be found on CanLearn.ca or by calling the NSLSC at
1-888-815-4514.
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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.
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More information about the RAP-PD can be found on CanLearn.ca or by calling the NSLSC at
1-888-815-4514.
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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
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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
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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.
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Note:
Professionals who receive B.C. loan forgiveness may be full-time, part-time, casual or on-call workers.
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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.
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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.
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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:
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•
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.
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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.
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Pacific Leaders Loan Forgiveness Program
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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.
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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.
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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.
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Visit CanLearn.ca for more information on Canada Student Loans for part-time students.
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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
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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.
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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.
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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.
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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.
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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.
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Canada Student Grant for Services and Equipment for Persons with
Permanent Disabilities
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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.
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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.
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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.
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For more information on this program, visit www.StudentAidBC.ca.
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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.
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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.
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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.
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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.
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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.
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How to apply
You can apply to this program only if you are an adult attending a public post-secondary
institution in B.C.
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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.
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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
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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.
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United World Colleges Scholarship for Seminar on Youth Leadership
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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
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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.
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There is no application process. Nominees are chosen by the institution they attend.
Students should contact their B.C. public school directly for details.
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For more information on grants, bursaries and scholarships, visit:
•
www.StudentAidBC.ca
•
CanLearn.ca
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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.).
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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).
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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.
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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
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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.
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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.
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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.
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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.
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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.
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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.
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Definitions
Disbursement date
The earliest date the NSLSC is allowed to release StudentAid BC funding to the student or their
school.
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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
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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.
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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.
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Group A (dependent) students
The classification given to students who, under program criteria, are financially dependent on
parents, step-parents, sponsors or legal guardians.
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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.
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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
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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.
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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
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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
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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.
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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.
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N
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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.
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PL
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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.
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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
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PL
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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
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»» 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?
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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.
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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
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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.
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Contact your Disability Coordinator or designated school official
for assistance in completing this application
Program
Required Documentation
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• 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
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• 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)
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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
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Date Classes End
P
Month Day
Year
Date of Birth
Year
C
O
D
              
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Personal Education Number
Apt / box / suite number
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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.
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Signature of Applicant (Must be signed in Ink)
C
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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
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Please attach recommendations and / or rationale for specific equipment and / or software or specify in the space provided below.
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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
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CHECK ALL SERVICES REQUIRED AND SUPPORTED
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
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
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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
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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
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(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
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(MSFAA) to a designated Canada Post outlet
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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.
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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
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will you
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receive
S
your
money?
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» 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
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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
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Changes in marital status
Changes to your program of study or study period dates
4
Change of school before cashing any StudentAid BC
funding
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Change in dependant information
8
Change in living situation
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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)
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(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
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(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
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(07) PROVINCE/STATE
(09) COUNTRY
(10) AREA CODE
(
)
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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
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(22) Have you ever cashed a Canada student loan? (if FULLY repaid, mark NO)................................................................... (22)
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(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)
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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)
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(27) Are you a single parent, separated, divorced or widowed?...................................................................................................(27)
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(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
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(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
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$
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$
.00
.00
(36) In the four months BEFORE classes start what is the total amount of:
(a)
(b)
(c)
(d)
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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
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N
DAY
(41) DATE CLASSES START
IMPORTANT
YEAR
MONTH
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Your study period cannot be more
than 52 weeks and must match
your school’s program dates.
DAY
(42) DATE CLASSES END
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(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)
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80%
60%
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(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
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(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)
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(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
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(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
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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
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A
S
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C
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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.
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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
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O
D
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street number and street name
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(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
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CONTACT INFORMATION
TO REACH StudentAid BC BY PHONE:
Call (250)-387-6100
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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
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2011/12 APPENDIX 7