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SPC Financial Need Statement 2011

Applicant Demographic
Last Name
First Name
Middle Initial
We cannot process your application without a valid Social Insurance Number.
Social Insurance Number (SIN)
Date of Birth

YYYY/MM/DD
Gender


Mailing Address (Most current)
Town/City
Postal Code
If your mailing address changes, notify SPC immediately.
Home Telephone
Cell Phone
Email Address
Applicant Category
Independent Status





Dependent Status


To be completed by all applicants for awards based wholly or partially on financial need. Please check the boxes that apply.
Dependents (please list all dependent children if applicable)


If more space is required, please attach a separate sheet.
Name
Birth Date

YYYY/MM/DD
Name
Birth Date

YYYY/MM/DD
Name
Birth Date

YYYY/MM/DD
Applicant Pre-Study Period / Study Period Information
Will you be receiving any other scholarships, awards or bursaries?


Your pre-study period is generally the four months prior to the start date of your upcoming program unless you were a full-time student during that period.


Having trouble? Contact us! (306) 682 7888 or spc@ stpeters.sk.ca
PRE-STUDY PERIOD is the time between the end of your last period of full-time studies (post-secondary, Basic Education or high school) and your first day of class for the upcoming academic year, to a maximum of 17 weeks.

Check the appropriate box to indicate what you will be doing during the majority of this period.







Indicate where you will be living during the majority of your pre-study period.


 
Will your place of employment (or residence, if unemployed) be located in the same city/town as your family home where your parents or spouse/children reside?


 
STUDY PERIOD is the time you will be enrolled as a Full-time/Part-time Student.

Indicate where you will be living during the majority of your study period.



 
Applicant Assets (as of the first day of your pre-study period)

Account balance should include total amount of all bank accounts as of the first day of your pre-study period less household expenses such as rent, food and utilities.


In listing all assets, include the assets of yourself and your spouse (if applicable).
Account balance as of the first day of your pre-study period:
REGISTERED RETIRED SAVING PLANS (RRSPs)
Name of RRSP
Purchase Date
Current Market Value
Name of RRSP
Purchase Date
Current Market Value
OTHER FINANCIAL INVESTMENTS
Name of Financial Investment
Purchase Date
Current Market Value
Name of Financial Investment
Purchase Date
Current Market Value
VEHICLES
Year, Make, and Model
Purchase Date
Current Market Value
Year, Make, and Model
Purchase Date
Current Market Value
Applicant Income
Have you or will you apply for a Canada Student Loan?


When listing income for your study period, claim the total gross amount for the entire study period, i.e. 8 months.


If your pre-study period is four months, you must list the total gross income that you receive before deductions for that four month period. If your pre-study period is two months, list your total gross income for the two month period only.
Do you plan to work during the 2010/2011 Academic Year?


Will you receive financial aid from parents or relatives?


Income from full-time or part-time employment during the pre-study term:


Scholarships, Bursaries, Fellowships (confirmed):


EI, Worker's Compensation, Pension, Band Funding, etc.


Savings available at the start of the Academic Year:
Other Income (please specify):
Total Resources: $  

$ If more space is required please attach a separate sheet.

$

$

$

$

$

$

$
Total Expenses: $
Applicant Declaration
  St. Peter's College recognizes and respects the importance of privacy. If you have any questions about the collection or use of this information, please call (306) 682 7888 or visit our website.
SECTION 2 – Parents, Guardians or Sponsor of Single Dependent Applicant
PARENT 1 - DEMOGRAPHIC  
Last Name
First Name
Middle Initial
Both parents (of a two-parent family) must complete this section. Separated or divorced, the custodial parent is the parent with whom the applicant normally resides and only the information of this parent is required.


All references to parents in this section also apply to the student’s legal guardians or official sponsors if the student is a sponsored permanent resident.
Relationship to Applicant. Check the appropriate box:




Number of other dependents
Number of other dependents in post-secondary education
Enter your total income from all sources in 2010
If you did not have any income in 2010 please tell us why
If you will have a substantially lower income for 2011, please tell us why
PARENT 2 - DEMOGRAPHIC  
Last Name
First Name
Middle Initial
 
Relationship to Applicant. Check the appropriate box:




Number of other dependents
Number of other dependents in post-secondary education
Enter your total income from all sources in 2010
If you did not have any income in 2010 please tell us why
If you will have a substantially lower income for 2011, please tell us why
Parent Declaration
I declare that I have answered the questions on this application according to the instructions and my answers and documents I have provided in support of this application, or will provide in the future, are to the best of my information and belief, true in every respect.
 
St. Peter's College recognizes and respects the importance of privacy. If you have any questions about the collection or use of this information, please call (306) 682 7888 or visit our website.
I declare that I have answered the questions on this application according to the instructions and my answers and documents I have provided in support of this application, or will provide in the future, are to the best of my information and belief, true in every respect.