Emergency Funding Request Name* First Last Current mailing address* Line 1 Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Student number*SINIf you have a SIN, it is required for this request based on CRA requirements.Email address* Phone number*Are you a Canadian Citizen and/or Permanent Resident?*YesNoHave you lived in BC for the previous 12 consecutive months immediately prior to the start of your study period, excluding time spent as a full-time student at a post-secondary institution?*YesNoAre you an international student attending COTR at this time?*YesNoDo you have or have you applied for a student loan this year?*YesNoAre you currently working?*Full TimePart TimeNo longer able to work due to COVID-19NoAre you a Former Youth in Care?*YesNoDo you identify yourself as an Indigenous person?*YesNoReason for emergency funding* Housing/Relocating (eg. rent, deposit) Living Expenses (eg. groceries, utilities, clothing) Transportation and Vehicle Repairs Medical/Optical (eg. glasses/dental) School Equipment and/or Supplies Unexpected Personal Expenses Other: (please describe) Other*Please provide additional information in support of your request for emergency fundingAmount requested*Please enter a number from 0 to 200.Amount requested*Please enter a number from 0 to 900.EmailThis field is for validation purposes and should be left unchanged.