Bursary and Awards Application Financial Aid – Bursary and Awards Application Opens September . Application Deadline: October 31. Bursary and Awards for Current Domestic students. 1234567 Your Residency Status I am a citizen or permanent resident of Canada You must be a citizen or permanent resident of Canada to be eligible for this bursary. Please note: Before completing this application you need to ensure that you have script activated and the latest browser version loaded on your computer to run this application. This is to ensure the budget calculations display correctly. Name(Required) First Last Address(Required) Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone(Required)Email(Required) Student Number(Required)Please enter your student number in this format: 01234567Social Insurance Number(Required) Please enter your 9-digit SINGender(Required) Female Male Other Program Enrolled in(Required)Please select a programAssociate of Arts – Year 1Associate of Arts – Year 2Social Work Pre-Major – YearAdult Basic EducationBusiness Management – Accounting Diploma – Year 1Business Management – Accounting Diploma – Year 2Arts, Humanities, Social Sciences CertificateBiology and Medicine Pre-Major – Year 1Biology and Medicine Pre-Major – Year 2Associate of Science – General Degree – Year 1Associate of Science – General Degree – Year 2Associate of Science – Environmental Sciences – Year 1Associate of Science – Environmental Sciences – Year 2Automotive Service Technician FoundationAdventure Tourism Business Operations CertificateAdventure Tourism Business Operations DiplomaBachelor of Business Administration – Year 1Bachelor of Business Administration – Year 2Bachelor of Business Administration – Year 3Bachelor of Business Administration – Year 4Carpenter FoundationComputer Information Systems Technology Diploma – Year 1Computer Information Systems Technology Diploma – Year 2Criminal and Social Justice CertificateCriminal and Social Justice DiplomaCertified Dental AssistantEducation AssistantEarly Childhood EducationPre-Education CertificateElectrician FoundationEngineering CertificateEnvironmental Studies CertificateFine Arts CertificateFire Training CertificateHealth Care AssistantHairstylist FoundationHeavy Mechanical Foundation ProgramHospitality Management Diploma – Year 1Hospitality Management Diploma – Year 2Human Service WorkerIndustrial Mechanic (Millwright) FoundationKinesiology CertificateKinesiology DiplomaMountain Adventure Skills TrainingBusiness Management – General Management DiplomaBusiness Management CertificateBusiness Management – Marketing Diploma – Year 1Business Management – Marketing Diploma – Year 2Bachelor of Science in Nursing – Year 1Bachelor of Science in Nursing – Year 2Bachelor of Science in Nursing – Year 3Office Administration CertificateOffice Administration – Admin. Assistant SpecialtyOffice Administration – Bookkeeping SpecialtyProfessional Cook 1Post-Degree Diploma in Sustainable BusinessPractical Nursing Diploma – Year 1Practical Nursing Diploma – Year 2Recreation Management CertificateRecreation Management DiplomaScience CertificateTourism Management CertificateTourism Management DiplomaUniversity General StudiesWelder Modular BWelder Foundation ProgramProgram Duration in months (autofill)Program start date in current academic year(Required) YYYY dash MM dash DD Program end date in current academic year(Required) YYYY dash MM dash DD Which province/territory have you lived in for previous 12 months prior to starting at College of the Rockies?(Required)AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonAre you a former youth in care in BC? Yes No Do you identify yourself as an Indigenous person? Yes No Are you a Columbia Basin resident? Yes No A Columbia Basin Resident must have a minimum of three years of continuous residency in CBT’s mandate area immediately prior to their application. Students who might have resided temporarily outside CBT’s mandate area for education but retained their permanent address in the Basin will be deemed as having lived in the Basin. You can view a map of the region to see if you qualify.How much would you like to request for the Columbia Basin Trust Bursary? (Maximum $1500)Are you a Columbia Valley resident? Yes No If so, have you lived there for more than 3 years? Yes No Are you…(Required) single? a single parent? married or in a common law relationship? married with children? Do you have children? Yes How many children do you have?(Required)What are your children's ages?(Required) Do you…(Required) live at home with parents or relatives? with your spouse and/or children? on your own? in student housing? with roommates? What is your education plan and how will bursaries/awards help you achieve that goal? (Explain anything about your financial situation that may help the committee understand how bursaries/awards may get you toward your goals, ie: barriers, life circumstances, etc)(Required)Do you have any unexpected or unforeseen circumstances that you specifically need extra one-time funding for? If so, please explain the expense and how much is needed? One-time Income Sources for the current academic yearSavings at Beginning of Educational PeriodStudent Loan/GrantScholarship/BursariesIncluding Passport to EducationSponsorshipsEI/Band Funding, WCB, School District, etc. One Time Expenses (current academic year) while at College of the RockiesTuition FeesBooks/SuppliesOne-time Exceptional Expenses Monthly Income/Resources for the current year (while attending COTR)Part-time Income Including Student Positions/monthSpouses Income After Deductions/monthParent / Guardian Contribution/monthCanada Child Benefits / BC Child Opportunity Benefit/monthDaycare Subsidy/monthIncome Assistance/monthChild Support/monthSponsorship (EI, Band, WCB, etc)/monthIncome from Assets/monthOther Monthly Income/monthOther Monthly Income Details Monthly Expenses for the current year (while attending COTR)Rent or mortgage (including taxes)/monthFood/monthUtilities (hydro, gas, phone, cable)/monthInsurance (vehicle, life, house)/monthLoan payments (vehicle, credit cards, etc.)/monthTransportation/monthChild Care/monthMiscellaneous (entertainment, haircuts, etc.)/monthMedical / Dental (prescriptions, glasses, etc.)/monthOther Monthly Expenses/monthOther Monthly Income DetailsPlease explain any additional information that you would like to add to your application in regards to any extraordinary or unexpected expenses or situations you are experiencing that are affecting your finances for school? Budget Information – ReviewTotal One-time IncomeTotal Monthly Income for the current academic yearmonthly income * number of months of programTotal IncomeTotal One Time ExpensesTotal Monthly Expenses for the current academic yearmonthly expenses * number of months of programTotal ExpensesTotal Need(total expenses) minus (total income) Confirmation of Information Accuracy(Required) I certify that the information contained in this application is complete and correct.Privacy Policy Agreement(Required) Your personal information is collected, used, and disclosed by your academic institution under the Freedom of Information and Protection of Privacy Act (FIPPA) sections 26(c), 26(e), 27(1)(b), 27(1)(c)(i), 32(a), 32(b) and 33(2)(d). This information will be used by your institution to manage, administer, and report on program enrolments, completions, and evaluate applications for scholarships, bursaries, and awards.By signing this form, you are: • Providing your consent to have your personal information, including your Social Insurance Number, disclosed to, and used by, BC provincial ministries and CRA. • Authorizing the Academic Awards Committee, if necessary, to report your name, address, program, and award status to the donor(s) of any awards you may receive, and to use your name in various public relations publications, presentations, and announcements to promote the College of the Rockies and its awards programs. Questions about the collection of this information may be directed to awards@cotr.bc.caSignature(Required)Date(Required) MM slash DD slash YYYY NameThis field is for validation purposes and should be left unchanged.