Bursary Application 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. 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)Aboriginal Education Support Worker Year 1Aboriginal Education Support Worker Year 2Adventure Tourism Business Operations Year 1Adventure Tourism Business Operations Year 2Associate of Arts Year 1Associate of Arts Year 2Associate of Science Year 1Associate of Science Year 2Automotive Service Technician FoundationBachelor of Business Administration Year 1Bachelor of Business Administration Year 2Bachelor of Business Administration Year 3Bachelor of Business Administration Year 4Bachelor of Science in Nursing Year 1Bachelor of Science in Nursing Year 2Bachelor of Science in Nursing Year 3Business Management CertificateBusiness Management Year 1Business Management Year 2Carpentry FoundationCertified Dental AssistantChild, Youth and Family Early Childhood EducationChild, Youth and Family Human Service WorkerChild, Youth and Family Education Assistant ProgramCriminal and Social Justice Year 1Criminal and Social Justice Year 2Economics and Commerce Pre MajorElectrical FoundationEngineering CertificateEnvironmental Studies CertificateFine Arts CertificateFire TrainingHairstylistHealth Care Assistant (Cranbrook)Health Care Assistant (Regional Campus Rotation Fernie)Health Care Assistant (Regional Campus Rotation Invermere)Heavy Mechanical FoundationIndustrial Mechanic Foundation (Millright)Kinesiology Year 1Kinesiology Year 2Licensed Practical Nurse Diploma Year 1Licensed Practical Nurse Diploma Year 2Mountain Adventure Skills TrainingOffice Administration & TechnologyProfessional Cook 1 (Culinary Arts)Recreation Management Certificate Yr 1Recreation Management Diploma Yr 2Tourism Management Certificate Yr 1Tourism Management Diploma Yr 2University Studies General StudiesUniversity Studies Liberal Arts CertificateUniversity Studies Sciences CertificateUniversity Transfer Pre Biology Major (Year 1)University Transfer Pre Biology Major (Year 2 )University Transfer Pre Education (Year 1)University Transfer Pre Social Work Major (Year 1 )University Transfer Pre Social Work Major (Year 2)Upgrading for Academic and Career Entry (UACE)Welding Level CWelding Level BWireless Systems Technician Year 1Wireless Systems Technician Year 2Start Date(Required) YYYY dash MM dash DD End Date(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 Valley resident? Yes No Who is a Columbia Basin Resident? 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.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? Do you have any unexpected or unforeseen circumstances that you specifically need extra one-time funding for?Please explain the expense and how much is needed. One-time Income SourcesSavings 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 (while attending COTR)If you report ‘0’ resources, you will be eligible for a bursary.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 (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 Incomemonthly income * number of months of programTotal IncomeTotal One Time ExpensesTotal Monthly Expensesmonthly expenses * number of months of programTotal ExpensesTotal Need(total expenses) minus (total income) Consent(Required) I certify that the information contained in this application is complete and correct. I authorize the Awards Committee to access my academic transcripts and contact my referees if necessary. I further authorize the Awards Committee, if necessary, to report my name, address, program, and award status to the donor(s) of this award and to use my name in various public relations publications, presentations, and announcements to promote the College of the Rockies and its awards programs.SignatureDate MM slash DD slash YYYY PhoneThis field is for validation purposes and should be left unchanged. Financial Aid – Bursary 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. 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)Aboriginal Education Support Worker Year 1Aboriginal Education Support Worker Year 2Adventure Tourism Business Operations Year 1Adventure Tourism Business Operations Year 2Associate of Arts Year 1Associate of Arts Year 2Associate of Science Year 1Associate of Science Year 2Automotive Service Technician FoundationBachelor of Business Administration Year 1Bachelor of Business Administration Year 2Bachelor of Business Administration Year 3Bachelor of Business Administration Year 4Bachelor of Science in Nursing Year 1Bachelor of Science in Nursing Year 2Bachelor of Science in Nursing Year 3Business Management CertificateBusiness Management Year 1Business Management Year 2Carpentry FoundationCertified Dental AssistantChild, Youth and Family Early Childhood EducationChild, Youth and Family Human Service WorkerChild, Youth and Family Education Assistant ProgramCriminal and Social Justice Year 1Criminal and Social Justice Year 2Economics and Commerce Pre MajorElectrical FoundationEngineering CertificateEnvironmental Studies CertificateFine Arts CertificateFire TrainingHairstylistHealth Care Assistant (Cranbrook)Health Care Assistant (Regional Campus Rotation Fernie)Health Care Assistant (Regional Campus Rotation Invermere)Heavy Mechanical FoundationIndustrial Mechanic Foundation (Millright)Kinesiology Year 1Kinesiology Year 2Licensed Practical Nurse Diploma Year 1Licensed Practical Nurse Diploma Year 2Mountain Adventure Skills TrainingOffice Administration & TechnologyProfessional Cook 1 (Culinary Arts)Recreation Management Certificate Yr 1Recreation Management Diploma Yr 2Tourism Management Certificate Yr 1Tourism Management Diploma Yr 2University Studies General StudiesUniversity Studies Liberal Arts CertificateUniversity Studies Sciences CertificateUniversity Transfer Pre Biology Major (Year 1)University Transfer Pre Biology Major (Year 2 )University Transfer Pre Education (Year 1)University Transfer Pre Social Work Major (Year 1 )University Transfer Pre Social Work Major (Year 2)Upgrading for Academic and Career Entry (UACE)Welding Level CWelding Level BWireless Systems Technician Year 1Wireless Systems Technician Year 2Start Date(Required) YYYY dash MM dash DD End Date(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 Valley resident? Yes No Who is a Columbia Basin Resident? 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.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? Do you have any unexpected or unforeseen circumstances that you specifically need extra one-time funding for?Please explain the expense and how much is needed. One-time Income SourcesSavings 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 (while attending COTR)If you report ‘0’ resources, you will be eligible for a bursary.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 (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 Incomemonthly income * number of months of programTotal IncomeTotal One Time ExpensesTotal Monthly Expensesmonthly expenses * number of months of programTotal ExpensesTotal Need(total expenses) minus (total income) Consent(Required) I certify that the information contained in this application is complete and correct. I authorize the Awards Committee to access my academic transcripts and contact my referees if necessary. I further authorize the Awards Committee, if necessary, to report my name, address, program, and award status to the donor(s) of this award and to use my name in various public relations publications, presentations, and announcements to promote the College of the Rockies and its awards programs.SignatureDate MM slash DD slash YYYY PhoneThis field is for validation purposes and should be left unchanged.