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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

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Page 1: Sample documents for - Family Network for Deaf Children · PDF fileSample documents for: B.C. Deaf Students who are planning . on attending . Gallaudet University or . National Technical

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]

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TABLE OF CONTENTS forSample 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

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TAB ASAMPLE DOCUMENT

Gallaudet UniversityUndergraduate Application

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NOTES:

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U N I V E R S I T Y

International/Permanent Resident

Gallaudet UndergraduateApplication

SAMPLE DOCUMENT

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Gallaudet university application for international & permanent resident admission II

Application ChecklistPlease 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 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)

o 7. High School/Secondary Education Record. (page 13)

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

(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.

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.

Gallaudet University Undergraduate Application

Transfer Students

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.

English Language Institute (ELI)

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 pre-college 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

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Gallaudet university application for international & permanent resident admission III

Contact Information 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]

Athletics Department(202) 651- 5603 (tty/voice)(202) 651- 5274 (fax)

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

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.

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.

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.

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.

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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Gallaudet university application for international & permanent resident admission 1

Full Legal Name: ____________________________________________________________________________________________ (Please indicate as printed on your last name first name middle name passport or Social Security card.)

Home Address:

__________________________________________________________ address line 1

__________________________________________________________ address line 2

__________________________________________________________ city state/province zip/postal code

__________________________________________________________ country

Phone: ___________________________________ o tty o voice o vp

Fax: ________________________________________________________

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: ___________________________________________________________________________________________

Undergraduate International/Permanent Resident Application

Applying for Year 20_____ o Fall/August o Spring/January

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.

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:o Deafo Hard of Hearing

Preferred Name: ____________________________

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

Personal Information

For Office Only:

PS ID# ___________________________

Application fee paid:

oCheck oCredit Card oMoney Order

Signature: ________________________

Date: ____________________________

oRE oFC oFR oPH oHO

Test: ______________ GPA: __________

oPres oProv oDean

oLead oDav oFos

oNSP oOSWD

ARC: ____ ____ ____ ____ ____ ____

JS/PLUS ___________ Plus __________

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Gallaudet university application for international & permanent resident admission 2

Application Information

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: _______________________________________________________________________________________

What is your current interest/major? ___________________________________________________________________________

How did you hear about Gallaudet? (check all that apply) o teacher o summer camps o Gallaudet link o counselor o Knowledge for college o internet o visiting faculty/staff o convention o mail o family member o recruiter visit o newspaper/magazine o student at Gallaudet university o alumnus/alumna o recruiter presentation dvd o friend o vr o other: __________________________

Have you ever visited Gallaudet? o yes o no if yes, through which program(s)? o admissions office visit o sign language classes o Homecoming o General visit o conference on campus/d.c. o visitors center o open House visit o Knowledge for college o summer camps o sports 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? o yes o noDo you plan to live on campus? o yes o noAre you a Gallaudet employee? o yes o no Are you a Gallaudet employee’s immediate family member? o yes o no

are you a u.s. citizen? o yes o no

if no, are you a permanent resident? o yes o no

o if yes, what is your permanent resident card number?

a#________________________________________ (eligible for scholarships)

o if no, please explain and submit verification of permanent residence application status from immigration.

How long have you lived in the united states?

__________________________________________

What date did you enter the u.s.?

__________________________________________

are you currently in f-1 or J-1 status and attending college/university?o yes o no

college name: ______________________________

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Gallaudet university application for international & permanent resident admission 3

Father/Legal Guardian

Name: _______________________________________________ surname/family name/last name given name/first name middle/second name

Address: _____________________________________________ street

____________________________________________________ city state/province zip/postal code/country code

____________________________________________________ country

Telephone: _________________________ o tty o voice o vp

Fax: _________________________________________________

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

Mother/Legal Guardian

Name: _______________________________________________ surname/family name/last name given name/first name middle/second name

Address: _____________________________________________ street

____________________________________________________ city state/province zip/postal code/country code

____________________________________________________ country

Telephone: _________________________ o tty o voice o vp

Fax: _________________________________________________

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

If yes, o Father o Mother o Brother(s) o Sister(s) o Other(s)___________________________________________________

Do you have any relatives currently or previously associated with Gallaudet? o Yes o No

If yes, list name: ________________________________________ Relationship: _____________________________________ Alumni; Employee; Student; Former student; Donor

Family Information

Financial Aid

Are you interested in applying for financial aid? o Yes o No

Vocational Rehabilitation Counselor Do you have a Vocational Rehabilitation Counselor? o Yes o No If yes, please complete:

Name: _____________________________________________________________________________________________________

Address: ___________________________________________________________________________________________________

___________________________________________________________________________________________________________ city state/province zip/postal code/country code

___________________________________________________________________________________________________________ country

Phone Number: ________________________________ o tty o voice o vp Fax Number: ______________________________

E-mail: ____________________________________________________________________________________________________

(Permanent resident only)

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Gallaudet university application for international & permanent resident admission 4

High School Educational Background

Do you have a high school or secondary school diploma/certificate or its equivalent? o Yes o No

If yes, what is your graduation date? _____ /_____ /_____

If no, what is your expected date of graduation/completion? _____ /_____ /_____

If no, please name a certificate that is equivalent to high school or secondary school diploma.

____________________________________________________________________________________________________

Home study? o Yes o No

High School/Secondary Program Information

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.

Educational Information

1. School Name:

Address: _____________________________________________ street

____________________________________________________ city state/province zip/postal code/country code

____________________________________________________ country

Telephone: _____________________________ o tty o voice o vp

Fax: _______________________________________________________

E-mail: _____________________________________________________

Date of Attendance:

From _________________________ To __________________________ month/year month/year

Year of Graduation __________________________________________

Type of Program:

School for the Deaf o Yes o No

Mainstream program at public school o Yes o No

Other __________________________ Yes o No

2. School Name:

Address: _____________________________________________ street

____________________________________________________ city state/province zip/postal code/country code

____________________________________________________ country

Telephone: _____________________________ o tty o voice o vp

Fax: _______________________________________________________

E-mail: _____________________________________________________

Date of Attendance:

From _________________________ To __________________________ month/year month/year

Year of Graduation __________________________________________

Type of Program:

School for the Deaf o Yes o No

Mainstream program at public school o Yes o No

Other __________________________ Yes o No

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Gallaudet university application for international & permanent resident admission 5

Standardized Test InformationIndicate 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

Gallaudet Entrance Requirements

Postsecondary Education Information (To be completed by transfer students only)

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:

Address: _________________________________________________________________________________________ street

_________________________________________________________________________________________________ city state/province zip/postal code/country code

_________________________________________________________________________________________________ country

Telephone: _________________________ o tty o voice o vp Fax: _____________________________________

Dates Attended: From _____________________________________ To _______________________________________ month/year month/year 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 _______________________________________ month/year month/year

Send transcript(s) to: Director of Admissions Office of Admissions Gallaudet University 800 Florida Avenue, NE Washington, DC 20002

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Gallaudet university application for international & permanent resident admission 6

Application PaymentThe 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 _________________________________________________________________________________

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 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: _________________________________________________________________________________________________

Essay QuestionsInstructions: 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 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_________________________________________ SAMPLE DOCUMENT

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Gallaudet university application for international & permanent resident admission 7

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)

Name: ___________________________________________________________________________________________________ surname/family name/last name given name/first name middle/second name

E-mail address: ___________________________________________________ Native Lanaguage: _______________________

Country of Birth: _______________________ Country of Citizenship: _____________________________________________

Date of Birth: ________/_______/_________ Sex/Gender: o Male o Female Month Day Year

Mailing Address:

Address: _________________________________________________________________________________________________

________________________________________________________________________________________________________ city state/province Country zip/postal code/country code

Phone: _______________________________________________ Fax: ______________________________________________

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

Certification of Finances Form

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Gallaudet university application for international & permanent resident admission 8

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 DocumentsPlease 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 Required Documents

o Student Funds 1. Bank statement for checking, savings and/or other accessible account 2. Certificates of deposit:; mutual, stock or bond fund

o Support Available From Family/Friends 1. Complete the Sponsor Affidavit in this application2. Bank statement for checking and /or savings3. Certificates of deposits, mutual, stock or bond funds

o Support Available From Sponsors 1. Complete the Sponsors Affidavit in this application2. Official letter from sponsor’s employer showing annual earnings.

o Your Government/ Embassy Official Letter

o Charitable Organizations Official Letter

o OSAP/Canada Students Loan/VR/Others Pending after acceptance (Canadian Students Only)

o No other support is available Pending after acceptance

Applicant CertificationI 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.

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Gallaudet university application for international & permanent resident admission 9

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.

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.

How to complete the enclosed Sponsor’s Affidavit of Annual Cash Support Form:

o Fill out the affidavit form in ENGLISH!

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:

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).

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.

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

Guide to Sponsor’s Affidavit of Annual Cash Support

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Gallaudet university application for international & permanent resident admission 10

My relationship to the student is ______________________________________________________________________________. Father, Mother, Spouse, Brother, Sister, Friend

My address: ____________________________________________________________________________________________

____________________________________________________________________________________________

Phone: ____________________________________________ Fax: ___________________________________________

Email: ____________________________________________________________________________________________

The following persons are fully or partially dependent upon me for their support. (Do not include the student named above)

______________________________________ _______________________________ ________________________Name Relationship to me 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

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

I swear that information I have provided above is true and correct.

____________________________________________________________________ Signature of Sponsor

Sworn and subscribed before me this day: _________________________________

____________________________________________________________________ Signature of Notary

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Gallaudet university application for international & permanent resident admission 11

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 Country zip/postal code/country code

Phone: _________________________o tty o voice o vp Fax (if any): ___________________________________________

E-mail Address (if any): ________________________________________________________________________________________

Date you have scheduled to administer the test (must be before March 15): _____________________________________________

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.

Your signature:____________________________________________________ Date: __________________________________

Test Authorization and Order Form

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 AdmissionsGallaudet University 800 Florida Avenue, NE Washington, DC 20002(202) 651-5744 (fax)

Number of Tests Needed

Stanford Achievement Test9th Edition, Advanced 2

English Language Writing Sample

Elementary/High School Mathematics Test

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GALLAUDET UNIVERSITY APPLICATION FOR INTERNATIONAL & PERMANENT RESIDENT ADMISSION 12

Confi dential 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: ________/_______/___________ Applying for term: Fall/August 20_____ Spring/January 20______ month day year

I authorize my high school teacher to release the recommendation form or letter and other information to Gallaudet University.

Applicant’s signature: ______________________________________________ Date: __________________________________

Please mail or fax completed form to:

Offi ce of AdmissionsGallaudet 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]

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: _________________________________________________________

Telephone: ________________________________________ tty voice vp

E-mail: _______________________________________________________________

Teacher’s signature: _______________________________ Date: ______________

Academic Rating Below Average Average Good Excellent-Top 10% Outstanding-Top 2 or 3%

Ability

Motivation

Creative Qualities

Self-Discipline

Achievement

Ability to Succeed

Character and Personality Rating Below Average Average Good Excellent-Top 10% Outstanding-Top 2 or 3%

Leadership Potential

Self-confi dence

Cocurricular Participation

Attitude about School

Maturity

Initiative

Reaction to Setbacks

Interpersonal Skills with Peers

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GALLAUDET UNIVERSITY APPLICATION FOR INTERNATIONAL & PERMANENT RESIDENT ADMISSION 12

Confi dential 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: ________/_______/___________ Applying for term: Fall/August 20_____ Spring/January 20______ month day year

I authorize my high school teacher to release the recommendation form or letter and other information to Gallaudet University.

Applicant’s signature: ______________________________________________ Date: __________________________________

Please mail or fax completed form to:

Offi ce of AdmissionsGallaudet 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]

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: _________________________________________________________

Telephone: ________________________________________ tty voice vp

E-mail: _______________________________________________________________

Teacher’s signature: _______________________________ Date: ______________

Academic Rating Below Average Average Good Excellent-Top 10% Outstanding-Top 2 or 3%

Ability

Motivation

Creative Qualities

Self-Discipline

Achievement

Ability to Succeed

Character and Personality Rating Below Average Average Good Excellent-Top 10% Outstanding-Top 2 or 3%

Leadership Potential

Self-confi dence

Cocurricular Participation

Attitude about School

Maturity

Initiative

Reaction to Setbacks

Interpersonal Skills with Peers

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Gallaudet university application for international & permanent resident admission 13

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: ________/_______/__________ Telephone: ________________________________________ o tty o voice o vp month day year

E-mail: ___________________________________________________________________________________________________

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.

School’s name: _______________________________________________________________________________________

Address: ____________________________________________________________________________________________ street

___________________________________________________________________________________________________ city state/province zip/postal code/country code

___________________________________________________________________________________________________ country

Telephone: _________________________ o tty o voice o vp Fax: _______________________________________

E-mail: _____________________________________________________________________________________________

All the information below is required for every applicant. Please return this completed form as soon as possible.

A. High School TranscriptPlease attach a copy of the applicant’s high school transcript.

B. Academic Achievement Record(s) 1. The following standardized test scores may be sent: o ACT o SAT o Advanced 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 Roomo Other (explain)________________________________

______________________________________________

______________________________________________

Signature of School Official: ____________________________________________________ Date: _________________

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Gallaudet university application for international & permanent resident admission 14

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: ________/_______/__________ Telephone: ________________________________________ o tty o voice o vp month day year

E-mail: ___________________________________________________________________________________________________

TO THE CERTIFIED AUDIOLOGIST: All the information below is required for every applicant. Please return this completed form as soon as possible.

1. Onset of hearing loss: o Birth o Other______________________________________________________ Month Year

2. Cause of hearing loss: ____________________________________________________________________________

3. Pure Tone:

Please mail or fax completed form to:

Office of AdmissionsGallaudet 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]

Signature: _______________________________________________________

Name: __________________________________________________________

Title/Position: ____________________________________________________

Agency/School: __________________________________________________

________________________________________________________________ street

________________________________________________________________city state/province zip/postal code/country code

Telephone: ____________________________________ o tty o voice o vp

Email: __________________________________________________________

Date Administered

Month Year

Right Ear

Frequency 125 250 500 750 1000 2000 3000 4000 6000 8000

AirHearing Level

Bone

Left Ear

Frequency 125 250 500 750 1000 2000 3000 4000 6000 8000

AirHearing Level

Bone

ISO-ANSI

1.

Indicated Standard Used:

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TAB BSAMPLE DOCUMENT

National Technical Institute for the DeafUndergraduate Application

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NOTES:

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2011-2012

UN

DE

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RA

DU

AT

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AP

PLIC

AT

ION

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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

Please refer to the application timetable below to determine when you should file your appli cation, based upon your applicant status and desired entry term. If you have any questions about the appli cation 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

Freshman– Fall Quarter Submit application, Early Decision Early Decision test scores and transcript notification mailed by 1/15. by 12/1 (postmarked).

Freshman– Fall Quarter Submit application, Regular Decision Regular Decision test scores and transcript notification mailed by 3/15. by 2/1* (postmarked).

Freshman– Fall Quarter After 2/1*: Notification 4–6Regular Decision Applications reviewed on weeks after all a space-available basis. documents received.

Freshman Winter, Spring, or Applications received Notification 4–6 Summer Quarters on a rolling basis. weeks after all documents received.

Transfer All Quarters Applications received Notification 4–6 on a rolling basis. 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.

Applicant Status Entry Term Application Deadlines Notification Date

Freshman Application Checklist

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 NTID Admissions Office ______________________hard-of-hearing students

Request that required admission College Counselor, College Entrance ______________________test scores be sent to RIT Examination Board (SAT), or ACT (SAT Code #2760, ACT Code #2870)

Art Portfolio (if required) Undergraduate Admissions Office ______________________

(Candidates applying for need-based Federal Processor ______________________financial aid must also file Federal FAFSA form. RIT federal code #002806.)

Item Mailed or Given to Date

**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.

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Applicant StatusYou should apply to RIT as a freshman if you are currently in secondary school or have graduated from secondary school but have not yet at tended college. You should apply to RIT as a transfer if you have attended any college after graduating from secondary school. Special information re garding admission as an Early Decision freshman, NTID or HEOP candidate is provided below.

Early Decision PlanIf 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 ap plication through our Early Decision Plan. Please note that this plan is not an option for transfer ap plicants.

To apply for Early Decision, you should check the appropri-ate box in the Applicant Status section of your application and return your completed form along with all supporting credentials (in cluding transcripts, SAT or ACT scores, and recommendation) by December 1 in order to have your Early Decision notification mailed by January 15.

Students who select RIT as their first-choice college after December 1 should contact the Undergraduate Admissions Office to discuss consideration options.

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/univer-sities at that time.

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.

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 PlanMost applications for admission to RIT are re viewed 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.

Under this plan, freshman applicants for fall quarter (September) entry who have provided all re quired appli-cation materials by February 1 will have their admission notification mailed by March 15. Fresh men 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 schol-arship programs (academic and extracurricular) and the RIT Honors program.

All applications for transfer admission, and all fresh man 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.

Deaf and Hard-of-Hearing ApplicantsDeaf 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 educa-tional access and support services (such as sign language interpreting services, real-time captioning services, note-takers, tutors), and to receive the federally supported tuition rate for deaf and hard-of-hearing students.

Higher Education Opportunity ProgramThe Higher Education Opportunity Program (HEOP) provides educationally and financially disadvantaged resi-dents 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 re quest this information once your application has been received. Please contact our HEOP Office at 585-475-2221 to discuss HEOP financial eligibility guide-lines 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 en couraged to request a waiver of the normally required $50 application fee if needed.

A

ApplicationInstructions

Apply Online: admissions.rit.edu

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International ApplicantsInternational students may apply online, use this applica-tion form, or use RIT’s International Student Ap pli ca tion. 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 ad mis sion materials on file by March 1. Appli-cations are reviewed on a “rolling” basis, with admissions notifi cation four to six weeks after all materials are re ceived 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 SelectionWhen you apply for admission to RIT, you are asked to select a specific academic program as part of our ad mission process. This is important be cause we off er a variety of academic programs, and admission requirements may differ from one program to an other. 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 “unde-clared option” programs offered by several RIT colleges, or choose the University Studies program if your interests span more than one RIT college.

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.

Academic TranscriptsThis 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 im mediate forwarding of official college transcripts from all colleges previously attended. If you have com pleted fewer than 30 semester hours or 45 quarter hours, you also must submit official secon d ary school transcripts. If you are currently en rolled 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.

Portfolio RequirementsAll 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 port-folio 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 submit-ting 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.

Transfer applicants to the School of Photographic Arts and Sciences seeking credit for previous pho tog raphy courses must submit a photography port folio for credit evaluation. Photo graphy portfolios are not required for freshman admission.

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.

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 AdmissionProspective 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] [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.

B

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Undergraduate Day Programs

Program Code

College of Applied Science and Technology School of Engineering Technology*ITFZ Undeclared Engineering Technology ITFC Civil Engineering Technology ITFP Computer Engineering Technology ITFE Electrical Engineering TechnologyITFL Electrical/Mechanical Engineering Technology (Transfers) ITFS Electrical/Mechanical Engineering Technology (Freshmen)ITFF Manufacturing Engineering TechnologyITFM Mechanical Engineering TechnologyITFT 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 SafetyIEME Environmental Sustainability, Health

and Safety School of International Hospitality and Service InnovationISMK International Hospitality & Service Management Packaging ScienceIPKT Packaging Science

College of BusinessBBUU Undeclared Business BBUA AccountingBBUF Finance BBUT International Business BBUG Management BBUI Management Information SystemsBBUM MarketingBREP New Media Marketing

College of Computing and Information SciencesVGCU ComputingExploration(Undeclared Computing) (Freshmen)VGIU Informatics Exploration (Undeclared Informatics) (Freshmen) Computer Science VCSG Computer Science School of Informatics VNSA Applied Networking & System

Administration

VNSF Information Security and ForensicsVKSF Information TechnologyVKSM Medical Informatics School of Interactive Games & Media VIGD Game Design and DevelopmentVIGN New Media Interactive Development Software Engineering VSEN Software Engineering

College of EngineeringEENG Engineering Exploration (Undeclared Engineering)EBME Biomedical Engineering ECME Chemical Engineering EECC Computer EngineeringEECS Computer Engineering– Software Engineering OptionEEEE Electrical EngineeringEEEM Electrical Engineering– Biomedical Engineering OptionEEEC Electrical Engineering– Computer Engineering OptionEEER Electrical Engineering–Robotics OptionEIEI Industrial Engineering EIEE Industrial Engineering– Ergonomics OptionEIEY Industrial Engineering– Information Systems OptionEIEL Industrial Engineering– Lean Six Sigma OptionEIEN Industrial Engineering– Manufacturing OptionEIEK Industrial Engineering–Six Sigma OptionEMEM Mechanical EngineeringEMEA Mechanical Engineering–Aerospace OptionEMEV Mechanical Engineering– Automotive OptionEMED Mechanical Engineering– Bioengineering OptionEMEE Mechanical Engineering– Energy & Environment OptionEMCR Microelectronic Engineering

College of Health Sciences and TechnologySSEG GeneralScienceExploration (UndeclaredScience)HSBS BiomedicalSciencesHCLS Diagnostic Medical Sonography (Ultrasound) (BS)HCLT Diagnostic Medical Sonography (Certificate)HSMD NutritionManagementHCLA Physician Assistant (BS/MS)

College of Imaging Arts and Sciences School of ArtJADA Undeclared Art & Design Optionu

JADF Fine Arts Studiou

JADL Illustrationu

JADM 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

School for American Crafts JSCU Undeclared Crafts Optionu

JSCC Ceramics & Ceramic Sculptureu

JSCG Glassu

JSCM Metalcrafts and Jewelryu

JSCW Woodworking & Furniture Designu

JSCA Woodworking (AOS)u

School of Film & AnimationJPHQ Film and AnimationJPHF Motion Picture Science (formerly Digital Cinema)

School of Photographic Arts & SciencesJPHB Biomedical Photographic CommunicationsgJPHT Imaging & Photographic Technologyg

JPHD Professional Photographic Illustration– Advertising Photography Option gJPHA Professional Photographic Illustration– Fine Art Photography Option gJPHR Professional Photographic Illustration– Photojournalism Option gJPHU Visual Media g

School of Print MediaJPRW Media Arts & Technology (formerly New Media Publishing)

College of Liberal ArtsGLAU Liberal Arts Exploration (Undeclared Liberal Arts) GPTA Advertising & Public RelationsGCJC Criminal JusticeGECN EconomicsGSSI International StudiesGPTJ JournalismGCRS Museum StudiesGPIL PhilosophyGPLS Political ScienceGPTC Professional & Technical CommunicationGPSY PsychologyGPPD Public Policy GUCS Urban & Community Studies

Center for Multidisciplinary StudiesWMDF Applied Arts & Science

National Technical Institute for the Deaf Interpreting ProgramNITF ASL-English Interpretation (BS) (See additional program listings on page D)

College of ScienceSSEG General Science Exploration (Undeclared Science) Center for Imaging ScienceSIMG Imaging Science School of Biological and Medical SciencesSBIC BioinformaticsSBIB BiologySBIV Environmental ScienceSBIT Molecular Bioscience & Biotechnology (formerly Biotechnology)SBIF Molecular Bioscience & Biotechnology– Bioinformatics Option School of Mathematical SciencesSMAM Applied MathematicsSMAS Applied StatisticsSMAC Computational Mathematics Department of ChemistrySCHB BiochemistrySCHC Chemistry Department of PhysicsSPSP PhysicsPremedical/Preoptometry/Preveterinary/ Predental Studies‡

uA portfolio is required for admission.

gTransfer applicants seeking credit for previous pho tog raphy courses must submit a photography port folio for credit evaluation. Photo graphy 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.

Undecided?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 StudiesJADA Undeclared Art and DesignBBUU Undeclared BusinessVGCU Computing Exploration (Undeclared Computing) (Freshmen)EENG Engineering Exploration (Undeclared Engineering)ITFZ Undeclared Engineering TechnologyVGIU 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.

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Career-Focused Associate Degree ProgramsNBNA Accounting TechnologyNOTA Administrative Support TechnologyNACA Applied Computer TechnologyNAIA Arts & Imaging Studies NBBO Business TechnologyNCDA Computer Aided Drafting

TechnologyNMTO Computer Integrated

Machining TechnologyNLSA Laboratory Science Technology

Associate+Bachelor’s DegreePrograms***NOTA Administrative Support Technology NACT Applied Computer TechnologyNALA Applied Liberal Arts

National Technical Institute for the Deaf (NTID)

These degree programs are primarily for part-time study. Please limit choice to one.

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 cert ificate application from the Office of Part-time Enrollment Services at 585-475-2229 or e-mail [email protected].

College of Applied Science and Technology School of Engineering TechnologyITPP Computer Engineering Technology–BS‡ITPE Electrical Engineering Technology–BS‡ITPF Manufacturing Engineering Technology–BS‡

ITPM Mechanical Engineering Technology–BS‡ITPD Mechanical Technology–AAS

College of BusinessBBEG Management–BS

College of Computing and Information SciencesVNSY Applied Networking and System Administration–BSVCSX Computer Science–BSVNSW Information Security and Forensics–BSVKSZ Information Technology–AAS, BS

Center for Multidisciplinary StudiesWMDD Applied Arts & Sciences–diplomaWMDB Applied Arts & Sciences–AAS, BS

D

Part-time and Evening Programs

Program Code

*** 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.

NAMA Applied Mechanical TechnologyNBSA BusinessNHMA Hospitality and Service ManagementNLSA Laboratory Science Technology

CareerExplorationStudiesNCXU Career Exploration/Undecided

Pre-baccalaureate ProgramsNAPE Engineering Technology

Pre-baccalaureateNAPF Visual Communication

Pre-baccalaureateNAPL Liberal Arts Pre-baccalaureateNAPS Science Pre-baccalaureate

Interpreting ProgramNITF American Sign Language-English

Interpretation—BS degree

Baccalaureate Programs 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.

† These AAS degree programs are fully transferableto RIT’s College of Business.

‡ Admission to these programs requires appropriate associate degree or equivalent.

Program Code

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Alternate Program Selection

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 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.

Month Day Year Male Female

U.S. Social Security Number (optional) Date of Birth Gender

Last/Family/Surname First/Given Middle (Complete) Suffix (Jr., etc.)

Number and Street Apt# City/Town State/Province Zip/Postal Code

County (if New York State) Country (if other than U.S.)

E-mail Address IM Address

( ) ( ) ( )Current Number TTY Number (if applicable) Mobile Number

Are you applying for admission as a Freshman? Transfer?Are you applying under RIT’s Early Decision Plan? (See instructions) Yes NoAre you applying for access/support services from RIT’s National Technical Institute for the Deaf? Yes NoAre you applying through RIT’s HEOP Program? (NY residents only—see instructions) Yes NoPlease indicate the calendar year/academic quarter you plan to enroll.

2011 2012 Fall Winter Spring Summer

(September) (December) (March) (June)

Do you wish to enroll as a full-time or part-time (fewer than 12 credits/quarter) student? Full-time Part-timeHave you applied to RIT before? Yes No If yes, when?

Number and Street City/Town State/Province Zip/Postal Code

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.

Application for Undergraduate Admission

Name

Permanent Address

Electronic Addresses

Telephone

Mailing Address(If different from above)

Applicant Status

College and Program Selection

Personal Data

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Test Type Test Date Taken OR Date to Be Taken (SAT, ACT, TOEFL, or IELTS) Scores

CEEB Code Name and Address of High School Starting Ending Date of (if known) Month/Year Month/Year Graduation

_ 1_ to

_ 2_ to

_ 3_ to

High School(s) Attended

Phi Theta Kappa(Transfer Students)

Indicate the date you plan on taking required admission tests. If you have already taken a test, indicate your score.

Please list any academic classes you are taking this year.

First Semester or Trimester Second Semester or Trimester Third Trimester (if applicable)

Senior Year Classes

Test Scores

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) Starting Ending Degrees (if known) Month/Year Month/Year Received

_ 1_ to

_ 2_ to

_ 3_ to

CitizenshipAre you a U.S. citizen? Yes No Permanent Resident Will you need a visa form (I-20 or DS2019) issued by RIT? Yes No (If you have a visa, indicate type: )

Citizenship (if not U.S.) Country of Birth

Educational DataPlease 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.

Are you a member of the Phi Theta Kappa honorary society at your college? Yes No Date of Induction: ____________________________

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School and Community ActivitiesPlease 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 Activity

Hours Weeks Positions Held, Participate 9 10 11 12 PG per Week per Year Honors Won at RIT?

Work ExperiencePlease list paid or volunteer work experience you have had, dates of employment and the number of hours per week you worked.

Employer Position Dates of Employment Hours/Week

HonorsBriefly list any academic honors you have received since the 9th grade or international equivalent (e.g., National Merit, Cum Laude Society).

Grade Level Honor

Level of Recognition9 10 11 12 PG (School, State/Regional, National, International)

Personal ConductHave 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

Personal StatementPlease 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).

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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:Ethnicity Hispanic or Latino Not Hispanic or LatinoRace (please select one or more): Asian American Indian Black or African American Native Hawaiian or White or Alaska Native Other Pacific Islander

Other surname used (on school transcripts, etc.):

Language spoken at home (if other than English):

Do you plan to apply for financial aid? Yes No

Are you interested in: Army ROTC? 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?

Optional Information

Signature DateMy 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.

Signatureand Date

Family Information

Relative Full Name Who Do You Occupation Education: Please List Degrees Live With? and Name Colleges Attended

Parent 1

Parent 2

Brother or Sister

Brother or Sister

Brother or Sister

Spouse

Parent 1 Home Address Number and Street City/Town State/Province Zip/Postal Code

Parent 1 E-mail Address Parent 1 Telephone

Parent 2 Home Address Number and Street City/Town State/Province Zip/Postal Code

Parent 2 E-mail Address Parent 2 Telephone

RIT Employment Are you an RIT employee or a dependent of an RIT employee? Yes No

RIT Alumni Did one or both of your parents, or any siblings, graduate from RIT? Yes No

RIT Students Please list names of family members currently attending RIT:

Deaf Family Members Please list family members who are deaf or hard of hearing:

(If different from yours)

(If different from yours)

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Name Applicant’s full legal name—last name first

Address

Social Security Number (optional) Date of Birth

School Name

Address Number and Street City/Town State/Province Zip/Postal Code

Are you applying under the Early Decision Plan? Yes No

CEEB CODE Entered Withdrew Will graduate month & year month & year month & year

Class Rank

The candidate ranks ___________ in a class numbering __________ during the period from __________ to __________.

The rank is weighted 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

The applicant’s cumulative GPA is __________ on a __________ scale, covering a period from __________ to __________.

This GPA is weighted 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/ English Math Reading Science Composite Writing to be taken

Date taken/ English Math Reading Science Composite Writing to be taken

SAT Reasoning Tests Date taken/ Critical Math Writing Date taken/ Critical Math Writing Date taken/ Critical Math Writing to be taken Reading to be taken Reading to be taken Reading

SAT Subject Tests Date taken/ Subject Score Date taken/ Subject Score Date taken/ Subject Score to be taken to be taken to be taken

TOEFL/IELTS Date taken/ Test Score Date taken/ Test Score Date taken/ Test Score to be taken to be taken to be taken

Counselor Section: (Please note that lack of rank and GPA will make this application more difficult to process)

Applicant Section:

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 TechnologyUndergraduate Admissions Office60 Lomb Memorial DriveRochester, NY 14623-5604

Due Dates (Postmark)Early Decision Plan December 1Regular Decision Plan February 1Applications completed after February 1 will be reviewed on a rolling basis.

Secondary School Transcript Request

(internationalapplicants)

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Counselor Signature: ________________________________________________ Date: ________________________________________

Name (please print): ________________________________________________ Title: ________________________________________

E-mail Address at School: ____________________________________________ Telephone Number at School: _____________________

Early Decision

Transcript

Profile

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 under-stands Early Decision is a first-choice plan.

_________________________________________________ ____________________ Signature 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).

Counselor Recommendation Please rank applicant in the following categories:

Excellent Outstanding Below Average Average Above Average (top 10%) (top 5%)Academic promise Character and personal promise Potential for success at RIT Overall

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 Tutor Notetaker Speech-to-text Services Resource Room 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.

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Part B (To be completed by certifi ed 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.

1. Onset of hearing loss ■■ At birth ■■ Other____________________ Month / Year

2. Cause of hearing loss ______________________________________________________________________

3. Hearing aid/cochlear implant information

a. The applicant uses a hearing aid:

b. The applicant uses a cochlear implant:

c. The applicant uses an FM System:

Make

Model

Style

Serial #

Age of aid/implant

Audiological Record

Applicant: I give permission for my audiological records to be released to RIT/NTID. (If under 18, parent/guardian signature required.)

Signature______________________________________________________________________________________

Parent/Guardian: I give permission for my son/daughter’s audiological records to be released to RIT/NTID.

Signature______________________________________________________________________________________

(Continued on reverse side)

Part A (To be completed by applicant)

Deaf and hard-of-hearing applicants may submit this form or use an offi cial audiogram from a certifi ed audiologist.

■■■ ■ ■■■ ■ ■■■ ■

Name

Address

Electronic Addresses

Telephone

Personal Data

ROCHESTER INSTITUTE OF TECHNOLOGYNTID

Optional: Please indicate your preferred method of communication. ■ ■ Sign Language ■ ■ Speech ■ ■ Combination of both

■■ All the time ■■ Only in classroom settings ■■ 1-4 hours/day ■■ 5-8 hours/day ■■ Never

■■ All the time ■■ Only in classroom settings ■■ 1-4 hours/day ■■ 5-8 hours/day ■■ Never

■■ All the time ■■ Only in classroom settings■■ 1-4 hours/day ■■ 5-8 hours/day ■■ Never

Month Day Year

Date of Birth

Last First Middle

Number and Street City Province Country/Postal Code

E-mail Address IM Screen Name

( ) ( ) ( )

VP/TTY Number (Circle One) Mobile Number

Right Ear Left Ear

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Applicant's Name

4. Audiometric Assessment (please list test results without amplifi cation) Date Administered

YearMonth

% Correct

Presentation Level

Test Materials

Recorded

Live Voice

Visual Cues Used

Right Ear

Frequency

Hearing LevelAir

125 250 500 750 1000 2000 3000 4000 6000 8000

Bone

Left Ear

Frequency

Hearing LevelAir

125 250 500 750 1000 2000 3000 4000 6000 8000

Bone

Right Left

5. Otologic history (surgery, middle ear infections, dizziness, tinnitus)

6. Speech Recognition

Please attach any additional supporting documents.

Signature

Name

Title/Position

Address

E-mail

Phone Fax

Audiologist

(Please print)

Number Street

City Province

Area Code Number

Country/Postal Code

Please mail or fax completed form to:

Rochester Institute of TechnologyNTID Offi ce of Admissions 52 Lomb Memorial DriveRochester, New York 14623-5604585-475-6700 (Voice/TTY)585-475-2696 (Fax)

250-779-6/10-KAW©2010 Rochester Institute of Technology

Area Code Number

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Name __________________________________________________________________ Date of Birth _______/_______/_______ Family Given Middle Month Day Year

Visa Requested: r F-1 (I-20) Other _____________________________

**Funds may be assured by several sources if necessary. However, each source of funding must provide the appropriate financial documents.

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 ____________________________

PDF-P1172-3/11-ASG

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.

We will accept only original or true certified copies of the above documents. Photocopies and faxes are not acceptable.

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.)

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) 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.

Sponsor’s Name: ______________________________________________

Address: _____________________________________________________

Relationship to applicant: ________________________________________

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: _____________________________________________________

FINANCIAL RESOURCES** Assured Support First Year

Projected Support

Second Year Third Year Fourth Year

Declaration of Financial Support

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StudentAid BCStudent Application Form

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Appendix 1(StudentAid BC)

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Page 1

PARENT(S)/STEP-PARENT/SPONSOR/LEGAL GUARDIAN INFORMATION

FEDERAL POLICY

Appendix 1

A ‘Group A’ student:

has not been out of high school for at least 48 months (4 years); and

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.

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.

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:

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.

When you are sure it is complete, separate Appendix 1 from this instructions page and staple it to the inside back of your application.

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.

(continued on next page)

“”

StudentAidBC

2 0 1 1 / 2 0 1 2

ARE YOU A ‘Group A’ STUDENT?WHO COMPLETES APPENDIX 1?

The applicant’s parent(s)/step-parent/sponsor/legal guardian.

If your parent(s)/step-parent/sponsor/legal guardian lives outside of Canada you will need to:

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.

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.

The applicant will have access to all information provided on Appendix 1.

NOTE

Instructions for your parent(s)/step-parent/sponsor/legal guardian are printed on the other side of this page. Do not separate these pages before Appendix 1 is complete.

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.

No faxes or copies are accepted as original signatures are required.

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Page 2

HELP FOR PARENT(S)/STEP-PARENT/SPONSOR/LEGAL GUARDIAN

*Note: The symbol means to refer to the INSTRUCTIONS booklet, which is included in the StudentAid BC application package.

Question 06 Marital StatusMark 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 IncomeEnter 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.

Question 08 Net Value of AssetsInclude 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 DeductionsRefer 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 DependantsFor 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 INFORMATIONTO REACH StudentAid BC BY PHONE:

Call (250)-387-6100

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

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

PARENT(S) MODERATESTANDARD 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

*Family size includes:the student, the parent(s)/step-parent/sponsor/legal guardian and eligible dependants. (see definitions on Question 14)

WEEKLY PARENTALCONTRIBUTION FORMULA

‘DI’ means discretionary income

‘PS’ means post-secondary studies

Discretionary income =$0 - $7,000

Formula:(DI x 15%) ÷ 52 ÷ # ofdependent children in PS

Discretionary income =$7,001 - $14,000

Formula:[(DI - 7000) x 20% + $1,050] ÷ 52 ÷ # of dependent children in PS

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.

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Page 3 2011/12 APPENDIX 1

STUDENT’S NAME

OTHER ELIGIBLE DEPENDANTS’ NAME(S)(Do not include spouse/common-law partner)

$

$

$ .00

$

$ .00

.00

.00

.00

.00

(07) 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.

(08) Enter the total net value of all Canadian and foreign assets (do not include RRSPs, principal residence or business). Enter ‘0’ if none.

(06) MARITAL STATUS OF PARENT(S)/STEP-PARENT SPONSOR/LEGAL GUARDIAN (MARK ONE BOX ONLY) A B C

YOU MUST COMPLETE THE REVERSE SIDE OF THIS APPENDIX

D E

(03) STUDENT’S SOCIAL INSURANCE NUMBER

MIDDLE INITIAL (04) STUDENT’S APPLICATION NUMBER(02) STUDENT’S FIRST NAME

(01) STUDENT’S LAST NAME

(05) RELATIONSHIP TO STUDENT

PARENT(S)/ LEGAL STEP-PARENT SPONSOR GUARDIAN

A B C

0 12 1

PARENTAL INFORMATION

INDICATE AMOUNTS PAYABLE ON YOUR 2010 INCOME TAX RETURNS

(09) Total income tax from line 435. Enter ‘0’ if none.

(10) Canada Pension Plan contributions (CPP) from line 308 (contributions through employment). Enter ‘0’ if none.

(11) Canada Pension Plan contributions (CPP) from line 310 (contributions payable on self-employment and other earnings). Enter ‘0’ if none.

(12) Employment insurance (EI) from line 312. Enter ‘0’ if none.

Parent #1PARENT/STEP-PARENT/

SPONSOR/LEGAL GUARDIAN

Parent #2PARENT/STEP-PARENT/

SPONSOR/LEGAL GUARDIAN

ENTER ‘0’ IF NO INCOME OR ASSETS

.00$

.00$

.00

.00

.00$

$

$

$ .00$

(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?

(14) List only the student and eligible dependants as per the attached instructions page. Do not include your spouse/common-law partner.

PARENT(S)/STEP-PARENT/SPONSOR/LEGAL GUARDIAN INFORMATION

$ .00

SINGLE SINGLEPARENT MARRIED

COMMON -LAW

SEPARATED/DIVORCED/WIDOWED

2 0 1 1 / 2 0 1 2

ALL QUESTIONS MUST BE ANSWERED IN INK

Appendix 1

IS DEPENDANT ATTENDING

POST-SECONDARY?

YES NO

YES NO

YES NO

YES NO

YES NO

WAS THIS DEPENDANT CLAIMED ON YOUR 2010 TAX RETURN?

YES NO

YES NO

YES NO

YES NO

YES NO

DATE OF BIRTH

YEAR MONTH DAY

DATE OF BIRTH

StudentAidBC

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Page 4

CANADA REVENUE AGENCY CONSENT - must be signed and dated for this application to be complete

Parent #1PARENT/STEP-PARENT/SPONSOR/LEGAL GUARDIAN

Parent #2PARENT/STEP-PARENT/SPONSOR/LEGAL GUARDIAN

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.

StudentAid BC DECLARATION - must be signed and dated for this application to be completeStudentAid 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.

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.).

when completed, return appendix 1 to the student

Parent #1PARENT/STEP-PARENT/SPONSOR/LEGAL GUARDIAN

(26) SIGNATURE (IN INK)

SIGN HERE(27) DATE SIGNED YEAR MONTH DAY

Parent #2PARENT/STEP-PARENT/SPONSOR/LEGAL GUARDIAN

(26) SIGNATURE (IN INK)

SIGN HERE(27) DATE SIGNED YEAR MONTH DAY

MALE FEMALE

you must complete all information

(15) LAST NAME

(16) FIRST NAME MIDDLE

(18) DATE OF BIRTH

(20) ADDRESSApt./suite number STREET NUMBER AND STREET NAME/PO BOX

YEAR MONTH DAY

(17) GENDERMALE FEMALE

(15a) LAST NAME

(16a)FIRST NAME MIDDLE

(18a) DATE OF BIRTH

(20a) ADDRESSApt./suite number STREET NUMBER AND STREET NAME/PO BOX

YEAR MONTH DAY

(17a) GENDER

(19) SOCIAL INSURANCE NUMBER (19a) SOCIAL INSURANCE NUMBER

Use these lines for any part of your address not indicated above Use these lines for any part of your address not indicated above

all information is subject to audit and verification Parent #2PARENT/STEP-PARENT/SPONSOR/LEGAL GUARDIAN

(28a) SIGNATURE (IN INK)

SIGN HERE(29a) DATE SIGNED YEAR MONTH DAY

Parent #1PARENT/STEP-PARENT/SPONSOR/LEGAL GUARDIAN

(28) SIGNATURE (IN INK)

SIGN HERE(29) DATE SIGNED YEAR MONTH DAY

(21) CITY/TOWN

(22) PROVINCE/STATE (23) POSTAL/ZIP CODE

(24) COUNTRY

(25) AREA CODE TELEPHONE NUMBER

( ) -

(21a) CITY/TOWN

(22a) PROVINCE/STATE (23a) POSTAL/ZIP CODE

(24a) COUNTRY

(25a) AREA CODE TELEPHONE NUMBER

( ) -

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Appendix 2(StudentAid BC)

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NOTES:

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SPOUSE/COMMON-LAW PARTNER INFORMATION

Page 1

2 0 1 1 / 2 0 1 2

Appendix 2 StudentAidBC

HELP FOR THE SPOUSE/COMMON-LAW PARTNERWHO 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.

PURPOSEThe 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’); orIf 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).

DECLARATION AND CONSENTRead, 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.

NEXT STEPWhen 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

*Note: The symbol means to refer to the INSTRUCTIONS booklet, which is included in the StudentAid BC application package.

Question 11a-f IncomeEnsure 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.

Question 12c Day-care costsSee 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.

Question 13 Net Worth of RRSPsThis 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)

= Net worth of RRSPDo 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 InvestmentsThis 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

= Net worth of investmentIf 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.

Question 16 Net Worth of BusinessThis 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 businessIf the business is jointly owned, use the net worth of the portion you own.

Question 16a Gross Income from 2010 Income Tax ReturnEnter 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 OwnedInclude 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 LeasedIf 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/common-law partner may declare half the lease payments on the application. You will be asked to submit your ICBC lease certificate of insurance and vehicle licence documentation.

Question 03 Marriage/Common-law DateThis 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 IncomeEnsure 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 AllowancesIf you must live separately from the applicant during the study period, separate living allowances will be assessed.

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SPOUSE/COMMON-LAW PARTNER INFORMATION

SPOUSAL ACTIVITIES AND INCOME - BEFORE CLASSES START

Page 2

Appendix 2ALL QUESTIONS MUST BE ANSWERED IN INK

2 0 1 1 / 2 0 1 2

(04) STUDENT’S SOCIAL INSURANCE NUMBER

(05) STUDENT’S APPLICATION NUMBER

2 0 1 1 YEAR MONTH

(01) STUDENT’S LAST NAME

(02) STUDENT’S FIRST NAME MIDDLE INITIAL

(03) Date of marriage or the date you began living together in a marriage-like relationship .....................

$ 00

$ 00

$ 00

$ 00

$ 00

$ 00

$ 00

$ 00

$ 00

$ 00

(06) In the four months BEFORE the applicant starts classes, were you or do you expect to be:

(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)

(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)

(b) Employment insurance benefits (EI) you receive? Enter ‘0’ if none ..................................................................................................................................................................................(07b)

(c) Gross earnings from employment and net self-employment income? Enter ‘0’ if none .................................................................................................................................................................................. (07c)

(d) Child care subsidy you receive? (Only one parent may claim child care subsidy) Read page 10............(07d)

(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 ...............................................................................................(07e)

(08) In the four months BEFORE the applicant starts classes, what is the total amount of:

(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)

(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)

(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)

YES NO

YES NO

CONTINUED ON NEXT PAGE

2011/12 APPENDIX 2

Specify:

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SPOUSAL ACTIVITIES AND INCOME - STUDY PERIOD (SEE LINES 41 AND 42 OF APPLICATION)

SPOUSAL ASSET INFORMATION - ALL INFORMATION IS SUBJECT TO VERIFICATION AND AUDIT

Page 3

2 0 1 1 / 2 0 1 2

Appendix 2ALL QUESTIONS MUST BE ANSWERED IN INK

YEAR MAKE AND MODEL TYPE2010 Acura CSX 4dr Sedan

LEASE DATEYEAR MONTH

2 0 1 0 0 6VEHICLE VALUE AT

LEASE DATE$ 1 7 2 0 0 .00$ .00$ .00

RESALE VALUE

$ 1 6 5 0 0 .00$ .00$ .00

MONTHLY LEASE PAYMENTS

$ 3 8 0 .00$ .00$ .00

$ 00

$ 00

$ 00

$ 00

$ 00

$ 00

$ 00

$ 00

$ 00

$ 00

$ 00

$ 00

$ 00

$ 00

$ 00

Specify:

(10) During the applicant’s study period, will you be:

(a) Employed full-time or part-time? ............................................................................................................................................... (10a)

(b) At home caring for eligible dependent child(ren) on a full-time basis for the entire study period? .................(10b)

(c) Living with the applicant during the study period? ............................................................................................................ (10c)

(d) A full-time post-secondary student for at least three months of the applicant’s study period? ........................(10d)

(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)

(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)

(e) Scholarships or merit-based awards, including Passport to Education, Provincial Government Scholarships, etc., you will receive? Enter ‘0’ if none ............................................................................................................. (11e)

(f) Other sources of income you will receive? (e.g. First Nation band funding, pension, child support, spousal support and maintenance, monetary gifts, etc.) Enter ‘0’ if none .................................................................................... (11f)

(12) During the applicant’s study period, how much will you pay for:

(a) Canada student loan and/or provincial student loan payments? ...................................................................................(12a)

(b) Tuition and book costs (for post-secondary studies) that are not funded by a student loan or grant? Read page 11 ............................................................................................................................................................................... (12b)

(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)

(d) Child support and/or spousal support and maintenance? .............................................................................................. (12d)

List all Canadian and foreign assets. Include ‘locked-in’ assets.(13) What is the net worth of your RRSPs? Enter ‘0’ if none ................................................................................................................. (13)

(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)

(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)

(16) What is the net worth (your share) of a business? Enter ‘0’ if none .......................................................................................... (16)(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)

(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)

(17a) Do you lease a car/truck/motorcycle/other motor vehicle of which you are the registered lessee? Uninsured vehicles must be declared ........................................................................................................................................(17a)

TURN OVER TO CONTINUE

YES NO

YES NO

YES NO

YES NO

NO (you must answer question 17a)

YES (give details below)and answer question 17a)

NOYES (give details below)

2011/12 APPENDIX 2

PURCHASE PRICE

$ 1 7 2 0 0 .00$ .00$ .00

PURCHASE DATEYEAR MONTH

2 0 1 0 0 6YEAR MAKE AND MODEL TYPE2010 Acura CSX 4dr Sedan

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CANADA REVENUE AGENCY CONSENT - 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

Page 4

(31) SIGNATURE OF SPOUSE/COMMON-LAW PARTNER (IN INK)

SIGN HERE PRINT NAME

PRINT HERE(32) DATE SIGNED YEAR MONTH DAY

(29) SIGNATURE OF SPOUSE/COMMON-LAW PARTNER (IN INK)

SIGN HERE PRINT NAME

PRINT HERE(30) DATE SIGNED YEAR MONTH DAY

CONTACT INFORMATIONTO REACH StudentAid BC BY PHONE:

Call (250)-387-6100

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

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

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.).

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.

(27) COUNTRY (28) AREA CODE TELEPHONE NUMBER

( )

(24) CITY/TOWN (25) PROVINCE/STATE (26) POSTAL/ZIP CODE

(23) MAILING ADDRESSApt./Suite STREET NUMBER AND STREET NAME/PO BOX

(20) FIRST NAME MIDDLE INITIAL (21) GENDER

(18) LAST NAME (19) SOCIAL INSURANCE NUMBER

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.

RETURN appENdIx 2 TO ThE sTUdENT whEN COmplETE

Use this line for any part of your address not indicated above

YEAR MONTH DAY(22) DATE OF BIRTH

MALE FEMALE

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.

-

2011/12 APPENDIX 2

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TAB FSAMPLE DOCUMENT

Appendix 3(StudentAid BC)

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NOTES:

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SCHOOL AND PROGRAM INFORMATION

Page 1

Appendix 32 0 1 1 / 2 0 1 2

2011/12 APPENDIX 3

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.

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.

All public universities, university colleges, colleges and institutions in B.C. 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.

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.

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.

DOES MY SCHOOL HAVE TO BE DESIGNATED?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.

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.

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.

SECTION AAll students who need Appendix 3 must complete Section A.

SECTION BThis 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 CIf 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.

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Page 2

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

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.

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.

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)

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 STARTEnter first day of classes for the program of study in which the student is or will be registered.

Note: The program of study must be at least 12 weeks long.

QUESTION 18 DATE CLASSES ENDEnter the last day of classes or exams, whichever is later, for the program of study.

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.

QUESTION 21 YEAR OF PROGRAMMost 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.

QUESTION 23 CORRESPONDENCE/DISTANCE EDUCATION PROGRAMStudents 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 TYPEIndicate type of credential the student will receive upon successful completion of this program.

QUESTION 25 TOTAL COSTS

IDENTIFIED EDUCATIONAL COSTSTUITION

Line 25 (a)MANdATOry FEES

Line 25 (b)PrOgrAM rELATEd COSTS

Line 25 (c)ExCEPTIONAL ExPENSES

Line 25 (d)

Tuition Registration Fee Actual Books Compulsory Trips– Archiving Fee Supplies Practicum Costs– Student License Instruments Clothing/Uniform– AMS/Student Society

FeesKit Safety Equipment Shoes/Boots

– Association Fees 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.).

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SECTION A - STUDENT: COMPLETE SECTION ‘A’ (FRONT PAGE) AND ‘C’ (BACK PAGE) ONLY

SECTION B - to be completed by an official of the financial aid office or registrar’s office only (school and program information)

Page 3

Appendix 32 0 1 1 / 2 0 1 2

2011/12 APPENDIX 3return appendix 3 to the student when complete

(14) TYPE OF SCHOOL - MARK ONEPUBLICACADEMIC

(21) What year will the student be in (e.g., 1st, 2nd, 3rd, 4th, etc.) ........................................................................................................................

(22) How long is the program when taken at 100% including program breaks? (If less than 60 weeks, mark ‘1’ in box) .................

(23) Is this a correspondence/distance education program? ..................................................................................................................................

(24) Program type (mark one box only)...

(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)

(26) Student awards: must be shown in Canadian dollars. (a) What is the amount of scholarship(s) the student will receive from your school?.................................................... (26a) (b) What is the amount of bursaries the student will receive from your school? .............................................................(26b) (c) What is the amount of teaching/research assistantship income the student will receive from your school? (26c) (d) What is the amount of institutional funded employment program income the student

will receive from your school? ......................................................................................................................................................(26d)

YEAR

YEAR(S)

YES NO

A PRIVATEACADEMICB PUBLIC

NON-ACADEMICC PRIVATENON-ACADEMICD

A B C D E F G H CERTIFICATE ASSOCIATE/DIPLOMA UNIVERSITY TRANSFER BACHELOR MASTER DOCTORATE PROFESSIONAL UNCLASSIFIED/QUALIFYING

(27) SIGNATURE OF SCHOOL OFFICIAL (IN INK)

SIGN HERE PRINT NAME

PRINT HERE(28) DATE SIGNED YEAR MONTH DAY

$ 00$ 00$ 00

$ 00

$ 00$ 00$ 00$ 00

(03) STUDENT’S SOCIAL INSURANCE NUMBER

(04) STUDENT APPLICATION NUMBER

2 0 1 1(05) STUDENT NUMBER (IF KNOWN)

OFFICIAL STAMP OR SEAL OF SCHOOL

SCHOOL CODE

PROGRAM CODE

(01) STUDENT’S LAST NAME ALL QUESTIONS MUST BE ANSWERED IN INK

(02) STUDENT’S FIRST NAME MIDDLE INITIAL

(06) SCHOOL NAME

EMAIL OF FINANCIAL AID OFFICE OR REGISTRAR’S OFFICE

(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 (11) POSTAL/ZIP CODE

(12) PROVINCE/STATE AREA CODE TELEPHONE NUMBER (Financial Aid Office) AREA CODE FAX NUMBER (Financial Aid Office)

( ) - ( ) -(13) COUNTRY

(15) PROGRAM/FACULTY (16) MAJOR/DEPARTMENT (if applicable)

(17) DATE CLASSES START (18) DATE CLASSES END (19) TOTAL (20) STUDENT’S INTENDED (20a) PRIOR LEARNINGYEAR MONTH DAY YEAR MONTH DAY

(NOT TO EXCEED 52 WEEKS FROM START DATE)

WEEKS COURSE LOAD ASSESSMENT (PLA)

TO % YES NO

SCHOOL AND PROGRAM INFORMATION

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SECTION C - STUDENT’S MAILING ADDRESS

Page 4 2011/12 APPENDIX 3

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

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

CONTACT INFORMATIONTO REACH StudentAid BC BY PHONE:

Call (250)-387-6100

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

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

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TAB GSAMPLE DOCUMENT

Instructions(StudentAid BC)

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NOTES:

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2011/2012

instructions u u u

How to complete your studentAid Bc Application

Apply on-line www.studentAidBc.ca

Instructions

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Page 2

instructions for completion of Application

SECTION 1 - Personal Information ................................................................................................ 3

SECTION 2 - Before Classes Start .................................................................................................... 10

SECTION 3 - After Classes Start (Study Period) ...........................................................................12

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

Contents

When you see this symbol, you should read this book for further instructionsThese 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.

DEADLinEYour 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

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Personal Information Questions 01 to 10 & 14 name and AddressThis 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.

To contact HRSDC Employment Insurance Information Centre call: 1-800-206-7218.

Questions 02a Middle nameIf 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 AddressIf you supply a valid e-mail address, StudentAid BC will contact you by automated e-mail concerning your application status.

Question 12 social insurance numberYou 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.

Question 13 student numberEnter 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 statusMarital 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:• youarecurrentlylivingtogetherinamarriage-likerelationship;and• youwillhavebeenlivingtogetherforatleast12consecutivemonthsbeforethefirstday

of classes....continued on next page

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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 codeIf 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.

If you are attending school outside of B.C., leave Question 17 blank.

Question 18 Program codeThe 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.

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 DisabilityA 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 PersonIf 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.

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Personal Information Question 20 Landed immigrant/Protected Person - continuedIf 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 Bankruptcy1) 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:

• youweredischargedfrombankruptcyinvolvingstudentloans;and

• youhaveappliedforreinstatementthroughtheCanadaStudentLoansProgram(CSLP);and

• youhavereceivedclearanceinwritingfromCSLPforreinstatementofyoureligibilitythrough StudentAid BC.

If all three of these conditions apply, you may answer ‘NO’ to Question 21. Keep documentation of your clearance through CSLP.

2) If you did not have student loans at the time you declared bankruptcy, answer ‘NO’ to Question 21.

• Ifyouoryourspousearecurrentlyinanundischargedbankruptcy,youmusthaveyourtrustee agree that any funds you may be eligible to receive are not seized to pay for debts involved in your bankruptcy.

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 loanYou may have received a Canada student loan from B.C. or another province.

• IfyouhavepreviouslyreceivedandcashedaCanadastudentloan,mark‘YES’.

• IfyouhaveneverreceivedandcashedaCanadastudentloan,mark‘NO’.

• IfyouareunsureifyouhavecashedaCanadastudentloan,contacttheNationalStudentLoan Service Centre, your bank/credit union, or the Canada Student Loans Program.

• Toll-free: 1-888-815-4514(withinNorthAmerica)

• Toll-freeoutsideNorthAmerica: internationalaccesscodeand800-2-225-2501

• OutsideNorthAmericawithoutinternationalaccesscode: CallCanadianoperatorat800-0800-096-0634, then call collect 905-306-2950

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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).

• Thisisthedateyougraduatedfromsecondary(high)school.

• Ifyouleftsecondary(high)schoolandlaterearnedyoursecondaryschoolcredential,enterthe date you received your credential (high school equivalency).

• Ifyouneverattendedsecondary(high)school,enterthedateyouleftthelastelementaryschool you attended.

Question 24 Previous Full-time Post-secondary studiesInclude 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.

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.

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.

Previous Part-time Post-secondary studiesIf you have completed post-secondary courses on a part-time basis, you will need to convert your part-time studies, to full-time studies.

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 challengeIf 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 completionDid 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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Personal Information Question 26 Married/common-lawSee 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 ForceFull-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. DirectorFor 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:• Ifyouindicated“Yes”toQuestion29,theMinistryofChildrenandFamilyDevelopmentmaybe

asked to verify your status as a former youth in continuing care or custody of a director of child welfare in B.C.

• Ifyouareafull-timestudentorastudentwithapermanentdisabilitystudyingatareducedcourseload,youmayqualifyforgrantsfromtheYouthEducationAssistanceFund.

Formoreinformationaboutthisprogram,followthelinktobursariesandgrantsatwww.StudentAidBC.ca .

Question 30 Parents or Legal Guardian DeceasedIf both your parents are deceased, and you do not have a legal guardian mark “YES”.

Question 31 Group status A or BA ‘Group A’ student is one:

• whohasnotbeenoutofhighschoolforatleast48 months(4 years);and

• whoisnotmarried,separated,divorced,widowedorasingleparent;and

• whoisnotinacommon-lawrelationship(readdefinitionof“Common-law”inQuestion 16 on page 3);and

• whohasnotworkedinthefull-timelabourforcefortwoperiodsof12 continuousmonthseach since leaving high school (read definition of “full-time labour force” in Question 28);and

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Personal Information Question 31 Group status A or B - continuedA ‘Group A’ student is one:• whoisnotayouthincontinuingcareorcustodyofadirectorofchildwelfareinB.C.(wardof

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.

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.

A ‘Group B’ student is one:• whohasbeenoutofhighschoolforatleast48 months(4 years);or

• whoismarried,asingleparent,separated,divorced,orwidowed;or

• whoispartofacommon-lawrelationshipforatleast12 consecutivemonthsbeforethestartofclasses;or

• whohasworkedinthefull-timelabourforcefortwoperiodsoftwelvecontinuousmonthseach since leaving high school (read definition of “labour force” in Question 28 (on the previouspage);or

• whois,orwasatthetimeoftheir19thbirthday,ayouthincontinuingcareorcustodyofa director of child welfare in B.C. (ward of the court – the government is/was their legal guardian);or

• whoseparent(s)aredeceasedANDwhohasnolegalguardian.

Question 32 ‘Group B’ students: residencyAs a ‘Group B’ student you are a resident of B.C. if:

• youhavelivedinB.C.allyourlife;or

• B.C.istheprovincewhereyoulastlivedfor12 continuousmonths,asofyourstudystartdate,notincludingmonthsoffull-timepost-secondarystudy;or

• youarrivedinB.C.asapermanentresidentorlandedimmigrant,orprotectedperson,andwill 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....continued on next page

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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:• IfyourclassstartdateisSeptember 6, 2011,thenthefourmonthsbeforeclassesstartis

May 2, 2011 to September 5, 2011.

• IfyourclassstartdateisJanuary4,2012,thenthefourmonthsbeforeclassesstartisSeptember 4, 2011toJanuary 3, 2012.

Question 33 ‘Group A’ students: residency of parent(s), step-parent, sponsor, or legal guardianAs 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.

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.

If you are a landed immigrant (permanent resident) under sponsorship, your sponsor must complete Appendix 1. Residency is based on where your sponsor lives.

Question 34 Before classes startA. 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.

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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?

Note: Caring for your dependent children prevented you from being employed outside of the family home. Readdefinitionof“eligibledependant”inQuestion74onpage22.Onlyoneparentmayclaimbeingthe full-time caregiver.

Question 35 sources of incomeA. 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: 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.

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.

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.

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Before Classes Start Question 36 Allowable costsA. 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).

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).

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.

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.

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 AccountsEnter 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 beclaimedinSection 4-AssetInformation;otherwise,yourassetswillbeassessedtwice.

If you paid your tuition and/or book costs before the start of classes, include that amount on Question 37.

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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 schoolEnter 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.

Question 39 Program/FacultyEnter the name of the program/faculty in which you are or will be registered.

Example: arts or science or cooking or electronics or nursing.

Question 40 Major/Department/optionPrograms may have more than one option. In such cases, list your chosen option. For example:

Program/Faculty Major/option

Arts History, English

Science Physics, Chemistry

Culinary Arts Core, Short Order, Banquet, etc.

Information Technology Computers, Telecommunications

Nursing

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 EndEnter 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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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 assistanceA 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.

Question 43 co-op Work termIf 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.

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 LoadTo be eligible for StudentAid BC funding, you must be a full time student. If you are in a credit-based (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.

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: 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 typeA 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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After Classes Start Note:“Unclassified/Qualifying”studiesreferstoastudyperiodwhereyouaretakingcoursesinpreparationforentryintoaspecificprogramorfaculty.Maximumfundingfor“Unclassified/Qualifying”studiesis52weeks.Forexample:Ifyouhavecompletedanundergraduatedegree,youmayneedtotakeadditional courses before being admitted into graduate studies.

Question 46 Year of ProgramMost 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.

ForExample:• Iftheprogramrequiresoneyearorlesstocomplete,markoneinthebox.

• Ifyouareenteringthethirdyearofafouryearprogram,markthreeinthebox.

• Ifyouareenteringyourfifthyearofstudy,workingtowardscompletionofafouryearprogram, 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.

Question 47 Full-time EmploymentFull-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:

• afull-timejobforlessthan32 hoursperweekduringyourstudyperiod

or

• afull-timejobfor32 hoursorlessperweekforlessthanhalfofyourentirestudyperiod,answer “NO” to this question

Question 48 Where You Expect to LiveWhile 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: Ifyouarelivingwithyourparentsandpayingroomandboardcosts,mark“Yes”.Youwillberequiredto submit an Appeal Request for Room and Board.

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After Classes Start Question 49 Do You need Appendix 3?See the information on Appendices on page 24.

Question 50 Day-care costsRead 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

= 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.

Question 51 child support and/or spousal support PaymentsEnter 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 transportationReturn 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:

• 12-26weeksinlength,youmaybeallowedonereturntrip.

• 27-52weeksinlength,youmaybeallowedtworeturntrips.

You are expected to travel as economically as possible. This travel allowance includes the price offuelforthosestudentstravellinghomeintheirownvehicle;however,thisallowancedoesnotcover 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 EarningsEnter gross study period earnings from approved co-op work placements.

Question 54 Assistantships/stipendsEnter gross income from teaching/research assistantships and stipends.

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After Classes Start Question 55 Gross Employment Earnings/net self-Employment incomeEnter 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.

Question 56 child support and/or spousal support and MaintenanceEnter the amount of child support and/or spousal support and maintenance you will receive during your study period.

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 AwardsA 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: 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.

Question 59 Worksafe Bc benefitsEnter the amount of WorkSafe B.C. benefits (formerly known as Workers Compensation Board) you will receive during your study period.

Question 60 Pension incomeInclude 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 AwardsA 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 FundingEnter 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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After Classes Start Question 63 contributions from ParentsInclude 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 subsidyEnter 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/BooksA 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.

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 post-secondary studies, unless you are a student with a permanent disability in receipt of disability assistance.

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.

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• disabilityallowance• transportationcosts• unsubsidizedday-carecosts,ifyouhavedependentchildren• specializedequipmentandservices.

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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After Classes Start Question 67 Employment Program for Persons with Disabilities incomeThe 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 incomeInclude 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.

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.

Donotincludechildtaxbenefits,taxrefunds,HSTrebatesortheB.C.FamilyBonus. If these are your only sources of ‘other income’, leave the ‘specify’ box blank and enter ‘0’ on Question 68.

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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 rrsPRRSP 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)

– Amount withheld by bank for tax purposes and/or penalties if cashed

= Net worth of RRSP

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.

Question 70 net Worth of other investmentsDeclare 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:

Amount of other investments

– Amount owing on investment loans

– Any fees that may be charged for withdrawing investments

= 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 AssetsDeclare 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

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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 BusinessThis 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.)

= Net worth of business

Do not include business vehicle(s).

If you are part owner of a business, enter the value of your portion.

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 returnEnter 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.

Question 73 Motor Vehicles ownedInclude 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.

PURCHASE DATE YEAR MONTH PURCHASE PRICE RESALE VALUEYEAR MAKE AND MODEL TYPE

2010 Acura CSX 4dr Sedan 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.

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Asset Information Note:• Ifyouandsomeoneelsearebothregisteredowners(perICBC),themotorvehiclevaluemay

be divided in half. You may be asked to submit your ICBC owner’s certificate of insurance and vehicle licence documentation.

• Ifyoushareregisteredownership(perICBC)ofthemotorvehiclewithyourspouse/ 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.

Question 73(a) Motor Vehicles LeasedLeased VehiclesAn 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.

If you are currently leasing a motor vehicle, enter the information required on Question 73(a), including your monthly lease payments.

LEASE DATE YEAR MONTH

VEHICLE VALUE AT LEASE DATE

MONTHLY LEASE PAYMENTSYEAR MAKE AND MODEL TYPE

2010 Acura CSX 4dr Sedan 2 0 1 0 0 6 $ 1 6 5 0 0 $ 3 8 0

Note: • Ifyouandsomeoneelsearebothleasingamotorvehicle(perICBC),themotorvehiclelease

payments may be divided in half. You may be asked to submit your ICBC lease’s certificate of insurance and vehicle licence documentation.

• Ifyousharealease(perICBC)ofthemotorvehiclewithyourspouse/common-lawpartner,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.

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Dependants Question 74 a & b Eligible DependantsThis 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:

• Beyourchild(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),atleasttwofulldaysperweekduringyourentirestudyperiod;or

• Beyourchild(ren)and/oryourspouse/common-lawpartner’schild(ren)age 19oroverwhoare full-time ‘Group A’ students (read definition of “Group A” status in Question 31onpage7);or

• Beyourpermanentlydisabledchild(ren)and/oryourspouse/common-lawpartner’spermanently disabled child(ren) age 19 or over, who you fully support and declared on your incometaxreturn;or

• Beyourpermanentlydisabledspouse/common-lawpartnerwhoyoufullysupportanddeclaredonyourincometaxreturn;or

• Beyourfosterchild(ren),iffosterparentincomeisclaimedonQuestion 35E and Question 68 ofthisapplication;or

• Beyourelderlyrelativesand/oryourspouse/common-lawpartner’selderlyrelativeswhoyoufully support and have declared on your income tax return.

If you have more than four eligible dependants, include a separate sheet listing all required information about each additional dependant.

Note: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 DeclarationThe 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.

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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 AddressWe 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.

SECTION 9

Release Of InformationThis section is optional and can be left blank. The FreedomofInformationandProtectionofPrivacy 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.

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.

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AppendicesThree 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 3Appendix 1: Parent(s)/step-parent/sponsor/Legal Guardian informationIf 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 informationIf 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.

Appendix 3: school and Program informationIf 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.

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.

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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remember• Useink.Printclearlyandanswerallquestions.

• Donotalteranyquestionsaskedontheapplicationorappendices.

• Donotincludeinformationthatisnotrequested.Yourapplicationformandappendiceswillbe processed through an automated computer system.

• Answerallquestions.Ifquestionsareleftblank,yourapplicationandanyrequiredappendices cannot be processed. Your application will be “pending.”

• Submitonlyoneapplicationforeachstudyperiodinwhichyouareregistered.Checkwithstaff at your school’s financial aid office if you are unsure of your study period.

• IfyoutransfertoanotherschoolaftersubmittingyourStudentAidBCapplication,youmustcomplete and submit to StudentAid BC either:

• Appendix5: TransferofSchoolifyouhave cashed any of your StudentAid BC funding for thisperiodofstudy;or

• Appendix7: RequestforReassessmentshouldbecompletedwhencertaincircumstances changed and if you have not cashed any of your StudentAid BC funding for this period of study.

• Yourcorrectlycompletedapplicationandanyreassessments,appeals,ortransfersmustbereceived at StudentAid BC no later than six weeks before the date your classes end.

• Allowsixweeksforyourapplicationtobeprocessed.

Moving?Change your address online at: www.StudentAidBC.ca .

What’s next?Application statusInformation is available on our website at: www.StudentAidBC.ca including application receipt dates, funding amounts, etc. Application information is updated nightly.

Missing information request LetterIf 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 AssessmentAfter 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 systemYou 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.

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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)

1-800-561-1818 (toll-free in Canada/USA)

Fax: 1-866-312-3322

Visit: www.StudentAidBC.ca

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Student Guide(StudentAid BC)

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Student Guide

2011/2012

Apply on-line www.StudentAidBC.ca

Eligibility - Planning - Apply Online - Loans - Grants - Application Status - Disbursements - Forms - Contact - Repayment

STUDENT GUIDE u u uPrograms & Eligibility for classes starting between August 1, 2011 and July 31, 2012

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Apply on-line: www.StudentAidBC.ca

Quick. Convenient. Secure. Get your application processed fast!

Just look at the benefits:

• Onlineapplicationsareavailable24hoursaday,sevendaysaweek.

• Youcangetyourapplicationprocessedquickly,convenientlyandsecurely.

• It’seasytouse.

• It’sgoodfortheenvironmentbecauseitreducespaperapplications,guidesandbooklets.

FundinginB.C.forfull-timestudy,part-timestudyandrepaymentassistanceisbasedonfinancialneed.Itismeanttosupplement,butnotreplace,fundsyouhavefromwork,savings,assets,familyresourcesandallothersourcesofincome.

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.

Seven Helpful Reminders:

1. Whenyouapply,useyourlegalnameasitappearsonyourSINcardandphotoidentification.

2. Applyearlysoyouknowhowmuchmoneyyou’llhave–you’llneedtoknowsoyoucancreateafinancialplan.

3. Haveaplan,bothacademicallyandfinancially,forhowyouwillachieveyoureducationalgoals.

4. Researchothersourcesofincome.

5. Repaymentofyourstudentloanswillbeginsixmonthsafteryouleavefull-timestudies.

6. It’syourresponsibilitytoensureyouraddressisuptodatewith:

• StudentAidBC;

• theNationalStudentLoanServiceCentre(NSLSC)whoisresponsibleforadministeringyourCanada-BCintegratedstudentloans;and

• yourschool.

7. Keepafileathomewithallofyourstudentloaninformationinit.

Vouspouvezobtenircettepublicationenfrançaisauwww.StudentAidBC.ca

Thisdocumentisavailableondemandinalternateformats(largeprint,Braille,audiocassette,audioCD,e-textdiskette,e-textCD,orDAISY),bycontacting1800O-Canada(1-800-622-6232).Ifyouhaveahearingorspeechimpairmentanduseateletypewriter(TTY),call1-800-926-9105.

©HerMajestytheQueeninRightofCanada,2011

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Contents2011/2012

Intent of student financial assistance in B.C. ...................................... 7Introduction .......................................................................................................................................................................................... 8

Application deadlines ..................................................................................................................................................................... 8

Do I have enough money to go to school? ...................................................................................................................... 8

Budget ...................................................................................................................................................................................................... 8

Moving? ................................................................................................................................................................................................ 10

School designation ....................................................................................................................................................................... 10

Information for students studying at a B.C. private school .................................................................................. 10

Is your school accredited? ......................................................................................................................................................... 10

Signing an enrolment contract ............................................................................................................................................. 10

Information for students studying outside Canada .................................................................................................. 10

Verification and audit ................................................................................................................................................................... 11

Information and programs for full‑time students ...........................12Am I eligible to receive funding as a full-time student?......................................................................................... 12

Receiving income assistance .................................................................................................................................................. 12

Loans for full-time students ..................................................................................................................................................... 13

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

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

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What are my obligations while in school? .........................................21What 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 ...............................................................24How do I repay my student loans? ...................................................................................................................................... 24

When does interest start accumulating? ......................................................................................................................... 24

What interest rate will I pay? .................................................................................................................................................... 24

What happens if I don’t repay my student loan? ........................................................................................................ 25

Debt management programs ..............................................................26B.C. Interest Relief Program ...................................................................................................................................................... 26

Repayment Assistance Plan .................................................................................................................................................... 26

B.C. Principal Deferment............................................................................................................................................................. 26

Revision of Terms ............................................................................................................................................................................ 26

Permanent Disability Benefits ................................................................................................................................................. 26

B.C. Loan Forgiveness Program ............................................................................................................................................. 27

Pacific Leaders Loan Forgiveness Program ................................................................................................................... 28

Information and programs for part‑time students .........................29Canada 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 .....................................................................30What 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

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Adult Basic Education Student Assistance Program ........................32

Scholarships administered by StudentAid BC ..................................33Pacific 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

Definitions ...............................................................................................34

StudentAid BC contact information ....................................................40

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Intent of student financial assistance in B.C. Studentfinancialassistanceisneeds-basedandisnotintendedtofullyfundyourpost-secondaryeducationandlivingcosts.

Federalandprovincialgovernmentstudentfinancialassistanceprogramsexisttosupplement,notreplace,fundsavailabletostudentsthroughwork,savings/assetsandfamilyresources/income.Theprogramconsidersincomeandresourcesagainstbasiceducationalcostsandamoderatestandardofliving.

AbasicprincipleofStudentAidBCandtheCanadaStudentLoansProgramisthatthemainresponsibilityforthefundingofpost-secondaryeducationrestswiththestudentandthestudent’sparent(s),step-parent(s),sponsor(s),legalguardian(s)orspouse.

Youareresponsibleforregularlyreviewingyourfinancialsituationtoensureyourobligationtorepaythedebtcanbemetoncefull-timepost-secondarystudiesend.

Besuretoinvestigateallpossiblefundingoptionsbeforeseekingassistancewiththefederaland provincialgovernments.

PleasenotethatStudentAidBCprogrampoliciesmaybesubjecttochange. Visit www.StudentAidBC.caforthemostupdatedinformation.

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General information for students IntroductionTheGovernmentofBritishColumbiaandtheGovernmentofCanadaworkcloselytogethertoprovidestudentfinancialassistanceinB.C.

IfyouareaB.C.residentplanningtoattendapost-secondaryinstitution,thisguideisasourceforinformationonapplyingforstudentfinancialassistanceforthe2011/2012academicyear(August 1,2011,toJuly31,2012).

Whilesupportisavailablefromboththeprovincialandfederalgovernments,theloanprocesshasbeenintegratedforadministrativepurposes.Asingleapplicationformisusedtodetermineyoureligibilityforstudentfinancialassistanceunderbothgovernments.

Loans,grants,bursariesandscholarshipshelpeligiblefullandpart-timestudentswiththecostoftheirpost-secondaryeducation.Otherprogramsareavailabletohelpborrowerswhoarehavingdifficultyrepayingtheirloans.

Studentfinancialassistanceismeanttosupplement,notreplace,otherresourcestopayforpost-secondaryeducation.Youmaywanttolookatotheroptionstokeepyourcostsdown.

Ifyouneedmoreinformation,includingdetailsonassistanceforfullorpart-timestudents,visit www.StudentAidBC.caorCanLearn.ca.

Application deadlinesThelatestyoucanapplyforfull-timeassistanceissixweeksbeforeyourstudyperiodends,as longasyouhaveprovidedalltherequireddocumentation.

Youdonothavetobeacceptedintoyourprogramofstudybeforeapplyingforstudentassistance;howeveryouwillnotreceiveanymoneyuntilyourschoolconfirmsyouareenrolledinfull-timestudiesandyourstudyperiodhasbegun.

Do I have enough money to go to school?Completingthefollowingbudgetworksheetwillhelpyoufigureouthowmuchmoneyyouwillneedtopayyourstudyperiodcosts.It’simportanttoberealisticwhenyouestimateyourcostsandincome.

BudgetKeepthisbudgetworksheetforyourrecords,alongwithalldocumentsrelatingtocostsandresources,incaseyouareaudited.Thesedocumentsincludecancelledcheques,bankreceiptsandstatements,residentialtenancyagreements,incometaxreturns,incomestatements,childsupportand/orspousalsupportpayments,andreceipts.

Note: Notallstudentsreceivethemaximumfunding.Pages16and17showmaximumfundinglimits.

Lookforotherresourcestohelppayforyourschoolandlivingcosts(someoftheseoptionsmayhelpreduceyourdebtloadwhenyoufinishschool):

• family;

• part-timeemployment;

• bursariesandscholarships;and

• jobsthroughyourschool(e.g.teachingassistant).

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General information for students

STUDYMONTHS=THENUMBEROFMONTHSBETWEENYOURCLASSESSTARTANDENDDATESCOSTS-INCOME=THEAMOUNTYOUNEEDTOGOTOSCHOOL

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General information for students Moving?Importantinformationismailedtoyou.ItiscriticalthatyouadviseStudentAidBC,theNationalStudentLoansServiceCentre(seeinsidebackcoverforcontactinformation)andyourschoolofanychangestoyourmailingaddress.

School designationTobeeligibleforfullorpart-timestudentfinancialassistance,youmustattendadesignatedpost-secondaryinstitution.

Allpublicuniversities,collegesandinstitutesinB.C.aredesignatedbyStudentAidBC.However,notallprivatepost-secondaryschoolsorout-of-provinceschoolshavebeendesignatedbyStudentAidBC.

Tocheckifyourschoolisdesignatedforthepurposesofstudentloans,visitwww.StudentAidBC.ca.

StudentAidBCfundingcannotbeconsideredforaperiodofstudypriortoyourschoolbeingdesignatedbyStudentAidBC.

Information for students studying at a B.C. private schoolHerearesomeimportantthingstoconsiderbeforebeginningyourstudiesataprivatepost-secondaryschoolinBritishColumbia.

Is your school accredited?Theprovincialaccreditationprocessensuresthatstandardsofintegrityandeducationalcompetencearemetbyprivateinstitutionsofferingpost-secondaryeducationinB.C.

PrivateschoolsthatawarddegreesinB.C.mustbeapprovedthroughtheDegreeQualityAssessmentBoard.Studentscanreceivestudentfinancialassistanceonlyiftheirprivatedegree-grantingschoolisapprovedandhasbeendesignatedbyStudentAidBC.

Theaccreditationprocessisvoluntaryonthepartoftheschool.However,studentscanreceivestudentfinancialassistanceonlyiftheirprivatetrainingschoolisaccreditedbythePrivateCareerTrainingInstitutionsAgency,byanotheraccreditingbodysuchastheInsuranceCorporationofBritishColumbiaortheIndustryTrainingAuthorityofB.C.,bytheDegreeQualityAssessmentBoard,byanactlegislatingauthorityforaschoolorbyanotheraccreditationbodyrecognizedbytheProvinceofB.C.(suchasTitleIVforschoolsintheUnitedStates).

Signing an enrolment contractOnceyouhavebeenacceptedbyaB.C.privatepost-secondaryschool,youmustsignanenrolmentcontract.EnrolmentatanaccreditedschooldesignatedbyStudentAidBCrequiresthatyoucompletethiscontract.

Information for students studying outside CanadaIfyouarestudyingoutsideCanadaandarenotabletotakeyourMasterStudentFinancialAssistanceAgreement(MSFAA)toadesignatedCanadaPostoutlet,youcanmailyouragreementdirectlytotheNationalStudentLoansServiceCentre.Youmustalsosendclearlyreadablecopiesofyourgovernment-issuedphotoidentificationandsocialinsurancenumber(SIN)cardwithyourMasterStudentFinancialAssistanceAgreement.

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General information for students Verification and auditYourstudentloanfileissubjecttoverificationandauditat any time.

Eachyear,apercentageoffilesareauditedtoverifytheinformationprovidedbystudents,theirspouses/common-lawpartnersand/ortheirparents/step-parents/sponsors/legalguardians.

Ifyourfileisaudited,youwillneedtosupportyourapplicationwithdocumentation.Forthisreason,pleasekeepallreceiptsandotherdocumentsthatmaybeneeded,including:

• residentialtenancyagreements;

• cancelledchequesand/orcashwithdrawalreceipts;

• bankandotherfinancialstatements;

• childsupportreceipts;

• spousalsupportandmaintenancereceipts;

• utilitybills;

• day-carepaymentreceipts/contracts;

• child-caresubsidyrecords;

• incomestatements;

• incometaxreturnsandnoticesofassessments;

• T4andotherinformationslips;

• paystubs;

• RecordsofEmployment;and

• financialstatements.

ByrespondingquicklytoauditrequestsfromStudentAidBC,youcanavoiddelaysinprocessingyourfileand/orprogramapplication.Fundingwillbewithhelduntilauditsarecompleted.

Falseormisleadingstatements,failuretofullydiscloseinformation,actsofdocumenttamperingorforgerymaybeconsideredfraudandmayrestrictyoufromfurtherfinancialassistanceincludingloans,grantsandrepaymentassistanceforuptofiveyears.

AuditsthatidentifysuspectedfraudwillbereferredtotheRCMPforformalinvestigationandmayresultinchargesundertheCriminal 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.

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Information and programs for full‑time students Am I eligible to receive funding as a full‑time student?Toreceivefull-timestudentfinancialassistanceyoumust:

• beaCanadiancitizen,alandedimmigrant(permanentresident)orhaveprotected-personstatus;

• haveavalidCanadiansocialinsurancenumber;

• bearesidentofBritishColumbia;

• bepursuingfull-timestudiesasyourprimaryoccupation;

• beenrolledfull-timeinaneligibleprogramofstudyatadesignatedpost-secondaryinstitution;

• beabletodemonstratefinancialneed;

• makeacademicprogressandachievesatisfactoryscholasticstandingineachperiodofpost-secondarystudy;and

• haveeithercompletedGrade12(orequivalent),be19yearsofageorattendaprogramapprovedbytheIndustryTrainingAuthority.

You may not be eligible for student financial assistance if you are:

• delinquentorindefaultofpreviousstudentloans;

• underaudit,orhaveanoveraward(inthiscase,yourfundingmaybewithheld);or

• incarceratedorhaveanyoutstandingwarrantsforyourarrest.

Note: You can apply to only one province for funding.

Receiving income assistanceGenerally,studentsarenoteligibleforbenefitsfromtheB.C.MinistryofSocialDevelopmentwhiletheyaretakingpost-secondaryeducation.Theexceptionisstudentswithpermanentdisabilitieswhoreceivedisabilityassistance.

TheMinistryofSocialDevelopmentandtheMinistryofAdvancedEducationhaveanagreementforstudentswhoareeligibleforincomeassistanceordisabilityassistancebenefitswhileinstudies.

Undertheagreement,theMinistryofSocialDevelopmentcontinuestoprovidemaintenanceforshelter,foodandotherneeds,whiletheMinistryofAdvancedEducation,throughStudentAid BC,willconsiderpayingthefollowingadditionalcosts:

• tuition/fees;

• books/supplies;

• disabilityallowance(formiscellaneouseducationalcosts);

• transportation;and

• unsubsidizedday-careforchildrenage11orunder.

Contactyouremployment-assistanceworkertodiscussyoureducationplansandthefinancialassistanceavailabletoyou.

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Information and programs for full‑time students Loans for full‑time studentsTobeeligibleforassistance,allpreviousloansreceivedthroughStudentAidBCandtheCanadaStudentLoansProgrammustbeingoodstanding.

Whenyouareapprovedforstudentloanfunding,youwillreceiveaMasterStudentFinancialAssistanceAgreement.Readthetermsandconditionsassoonasyoureceiveit.TheMasterStudentFinancialAssistanceAgreementisaformallegalcontractwiththeprovincialandfederalgovernments.Itexplainswhatyourresponsibilitiesarefromapplicationtorepayment.• Interestwillbepaidbytheprovincialandfederalgovernmentswhileyouareattending

schoolfulltime.• Youmustbeenrolledinatleast60 percent(40 percentforstudentswithpermanent

disabilities)ofafull-timecourseload.• Repaymentwillbeginsixmonthsafteryourstudiesend.Interestwillaccrueduringthissix

monthperiod.• Youareresponsibleforrepayingthetotalamountloanedtoyou.

B.C. Loan Reduction ProgramTheB.C.loanreductionprogramhelpsstudentswhomustborrowmostofthemoneytheyneedtopursuetheirpost-secondaryeducation.Full-timestudentswhosuccessfullycompleteeachyearoftheirstudiesmayhavetheirB.C.studentloandebtreducedbytheprovincialgovernment.Youwillautomaticallybeconsideredforloanreductioneachyearthroughinformationfromyourapplicationforfinancialassistance.Loanreductionsareusuallyappliedtoyourloanaccountaftereachstudyperiodyousuccessfullycomplete.Theprogramisavailabletostudentswithnodependantsintheirfirstfouracademicyearsofborrowingandtostudentswithdependantsintheirfirstfiveacademicyearsofborrowing.An academicyearisnormally34 weeks.StudentswithdependentchildrenintheirfifthyearofborrowingwillhavetheirentireB.C.studentloanborrowedduringthatacademicyearreduced.

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

ToqualifyfortheB.C.loanreductionprogram,youmustmeetallofthefollowingconditions:• yourstudentloansmustbeingoodstanding;• youmustbeenrolledinafull-timestudyprogramofatleasttwoacademicyearsata

designatedCanadianpost-secondaryschool;• youmusthavesuccessfullycompletedatleast30 weeksofstudyandatleast60percentof

a fullcourseloadduringtheprogramyear;• youmustbeinyourfirst,second,thirdorfourthyearofborrowingfromStudentAidBC

(or fifthyearforstudentswithdependants);and• youmusthaveB.C.studentloansovertheloanreductionlimitestablishedeachyear.

Note: Student loans must remain in good standing throughout the next 2 academic years following the year in which the student was found eligible for loan reduction.

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Information and programs for full‑time students Grants and bursaries for full‑time studentsWithoneapplicationforfull-timestudentsinB.C.,youwillbeautomaticallyconsideredforstudentfinancialassistance,includingloans,grantsandbursariesfromboththeGovernmentofBritishColumbiaandtheGovernmentofCanada.Aseparatepermanentdisabilityprogramapplicationisrequiredonlyforaccessinggrantsforstudentswithpermanentdisabilities.

Studentswhoqualifyforastudentloanandmeetthegranteligibilityrequirementsmaybeeligibletoreceiveoneormoreofthefollowingstudentgrants:

Canada Student Grant for Persons from Low‑income FamiliesUnderthisgrant,studentsfromlow-incomefamiliescanreceive$250 per monthoffull-timestudies.Thisgrantisavailableforallyearsofauniversityundergraduate,collegeortrade-schoolprogramthatisatleasttwoyears(60 weeks)induration.

Canada Student Grant for Persons from Middle‑income FamiliesUnderthisgrant,studentsfrommiddle-incomefamiliescanreceive$100 permonthoffull-timestudies.Thisgrantisavailableforallyearsofauniversityundergraduate,collegeortradeschoolprogramthatisatleasttwoyears(60weeks)induration.

Canada Student Grant for Persons with DependantsStudentsfromlow-incomefamilieswhomeettheeligibilityrequirementscanreceive$200permonthoffull-timestudiesperchildunder12 yearsofageatthebeginningofthestudyperiod.

Nurses Education BursaryThisprovincialprogramwasestablishedtoprovidefundingtoqualifiedapplicantsinB.C.nursingprograms.Studentsineligibleprogramswillautomaticallybeassessedforapotentialbursaryaward.Theassessmentwillbebasedontheunmetneedontheapplicant’sfull-timeapplicationforfinancialassistance.

Eligibility

1. Youmustbeenrolledinaneligiblefull-timenursingprogramofatleastfourmonthsinlengthatadesignatedpost-secondaryinstitutioninB.C.andtheprogrammustleadtoacertificate,diplomaordegreerecognizedforpracticeinB.C.

2. ApplicantsindefaultofaB.C.studentloanorwithbankruptciesincludingB.C.studentloansarenoteligibleforaNursesEducationBursary.

Awardsaredisbursedbasedonalimitedministrybudgetandnotallapplicantsdemonstratingunmetfinancialneedwillbeawarded.Applicantswillberankedagainstotherapplicantsinthebursaryperiodtodeterminewhoiseligiblefortheawardsinthebursaryperiod.YoucanreceiveonlyoneNursesEducationBursaryinatwelvemonthperiod.

Part-timestudentsinnursingprogramsarenoteligibleforaNursesEducationBursary.

How to apply

Applicantsarenotrequiredtoapplyseparatelyforthebursary.

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Information and programs for full‑time students Youth Educational Assistance FundTheYouthEducationalAssistanceFundisforformerB.C.youth-in-carebetween19and23 yearsofagewhoaretakingfull-time,post-secondarylevelcoursesatadesignatedpost-secondaryinstitutionorwhoarestudentswithapermanentdisabilityandarestudyingwithareducedcourseload.Toqualifyforthisgrant,youmusthavebeenayouthincontinuingcare,orinthecustodyofadirectorofchildwelfareinB.C.ormeettheadoptioncriteriaasdefinedontheYouthEducationalAssistanceFundprogrampageatwww.StudentAidBC.ca.In2011/2012,grantsofupto$5,500areavailabletoeligibleapplicants.

The following grants are available for students with permanent disabilities. For more information, turn to page 30.• AssistanceProgramforStudentswithPermanentDisabilities

• B.C.AccessGrantforStudentswithaPermanentDisability

• CanadaStudentGrantforPersonswithPermanentDisabilities

• CanadaStudentGrantforServicesandEquipmentforPersonswithPermanentDisabilities

• LearningDisabilityAssessmentBursary

• B.C.SupplementalBursaryforStudentswithaPermanentDisability

How do I apply for full‑time assistance?Toapplyforfull-timestudentfinancialassistance,youmustfollowthesesteps:

1. Choosethepost-secondaryschoolyouplantoattendanddeterminethestudyperiod(registrationperiod)forwhichyouneedfunding.

2. Figureouthowmuchmoneyyouneedtoattendschool:

• Completethebudgetworksheetofferedinthisguideonpage8and9.

• Checkyoureligibilityforthemaximumfundinglimitsonpage16and17

3. Lookforotherresourcestohelppayforyourschoolandlivingcosts(thiswillhelpreduceyourdebtloadwhenyoufinishschool)suchas:

• family;

• part-timeemployment;

• bursariesandscholarships;or

• jobsthroughschool(e.g.teachingassistantships).

4. Completethecorrectapplicationforstudentfinancialassistance.Therearetwowaysyoucandothis:

• applyonline;or

• applyusingapaperapplication.(YoucanrequestacopyfromStudentAidBCbymail,visitwww.StudentAidBC.caoryourfinancialaidoffice.)

Afteryouhavesubmittedyourapplication,youcancheckitsstatusonline.StudentAidBCwillprocessyourapplicationwithinsixweeksandnotifyyouoftheoutcome.

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Information and programs for full‑time students Credit checkAcreditcheckisdoneonallfirst-time,full-timeapplicantstoStudentAidBCwhoareover22 yearsofageonthefirstdayoftheirclasses.Fundingwillbedeniedifyouhavehadatleastthreeinstanceswheninstallmentsonthreeormoreloansordebtsover$1,000weremorethan90 daysoverdue.

Werecognizethatapoorcredithistorymaybecausedbysuchthingsasunexpectedlossofincome,illnessorunusualincreasesinexpenses.Youcanappealifyoucanshowthatexceptionalcircumstancescontributedtoyourcredithistory.Completetheappealrequestform,availableonlineatwww.StudentAidBC.caorbycontactingStudentAidBC.Forcontactinformationpleaseseethepage40ofthisguide.

Maximum funding limitsWeeklymaximumloanlimitsforthe2011/2012programyear:

h Ifyouhavedependentchildren,youcanreceiveupto$510 perweekincombinedloanandgrantfunding.

h Ifyoudonothavedependentchildren,youcanreceiveupto$320 perweekoffull-timestudy.

h Thetotalamountyoureceivewillbedeterminedbythelengthofyourstudyperiod.CanadaStudentGrantsmayaddfundingabovetheloanlimits.

Note: Not all students receive the maximum amount of funding.

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 limitsThefollowingtableshowsthemaximumamountanddurationofloanfundingastudentcanreceiveovertheirlifetime.

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)

B.C. Student Loan (non-doctoral) $50,000 340 weeks (80 months)

B.C. Student Loan (doctoral) $50,000 400 weeks (94 months)

B.C. Student Loan (persons with permanent disabilities) $50,000 520 weeks (120 months)

Canada and B.C. Interest-free Loan (non-doctoral) – 340 weeks (80 months)

Canada and B.C. Interest-free Loan (doctoral) – 400 weeks (94 months)

Canada and B.C. Interest-free Loan (persons with permanent disabilities or received loans prior to August 1, 1995)

– 520 weeks (120 months)

Once you’ve been approved for funding1. Notification of assessment

AssoonasStudentAidBChasprocessedyourapplicationforfinancialassistance,youwillbesentanotificationofassessment.

Thenotificationofassessmentletterwilltellyou:

• thetypeoffundingyouhavebeenapprovedfor(loanand/orgrant);

• theamountofmoneyyouwillreceive;

• whenyouwillreceiveyourmoney;and

• whereyourmoneywillbesent.

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Information and programs for full‑time students 2. Master Student Financial Assistance Agreement

IfyouareapprovedtoreceivefundingthroughStudentAidBCafterAugust 1, 2011,youwillreceivealegaldocumentcalledtheMasterStudentFinancialAssistanceAgreement.

TheMasterStudentFinancialAssistanceAgreementoutlinesthetermsandconditionsofyourprovincialandfederalstudentloans.Itisimportantthatyoureviewtheagreementbeforesigningasthisisalegallybindingcontractrequiringyoutorepayyourstudentloans.Inmostcases,theMasterStudentFinancialAssistanceAgreementwillremainactivethroughoutyourpost-secondarystudies;however,theremaybesomesituationswhereyouwillberequiredtosignanewagreement,includingthecaseofatwo-yearbreakinstudies.IfanewMasterStudentFinancialAssistanceAgreementisrequired,StudentAidBCwillautomaticallysendittoyouforcompletion.WhenyousignandreturnaMasterStudentFinancialAssistanceAgreementtotheNSLSCyouareagreeingtoreceiveallfundingyouareassessedtoreceivefromthatdateforward.

TheMasterStudentFinancialAssistanceAgreementdoesnotstatetheamountofmoneyyouwillreceive.Instead,eachtimeyouareapprovedforfundingbyStudentAidBC,anotificationofassessmentwiththeloanand/orgrantamountanddisbursementdetailswillbemailedtoyou.

How do I receive my financial assistance?

1. Confirm your identity at a Canada Post outlet or NSLSC on‑campus kioskAssoonasyoureceiveyourMasterStudentFinancialAssistanceAgreement,takeittoadesignatedCanadaPostoutletoranon-campusNSLSCkiosk.Outletsandalistofon-campuskioskscanbefoundatCanLearn.ca.

Makesuretobringallthefollowingpersonaldocumentationwithyou:• yoursocialinsurancecard,oracopyofanofficialGovernmentofCanadadocumentthat

includesyoursocialinsurancenumber,suchasyourCanadaRevenueAgencyNoticeofTaxAssessment;and

• officialgovernment-issuedphotoidentification,suchasadriver’slicense,B.C.identificationcardorpassport;and

• avoid,personalchequewithyourbankaccountnumber.Ifyoudonothaveapersonalcheque,yourbankorcreditunioncanhelpyoucompletetheelectronicfundstransfersectionofyourMasterStudentFinancialAssistanceAgreement.Ifyouloseyouragreement,contactStudentAidBCtohavethedocumentreprintedandsenttoyou.

AttheCanadaPostoutletorNSLSCkiosk,staffwill:• makesureyourMasterStudentFinancialAssistanceAgreementisvalidforprocessing;

• confirmthatyouhaveprovidedproperidentification;and

• forwardyourMasterStudentFinancialAssistanceAgreementtotheNSLSC.

2. Confirm your enrolmentBeforeyourstudentloanand/orgrantmoneycanbereleased,yourschoolmustconfirmthatyouareenrolledinaneligible,full-timepost-secondaryprogramfortheentirestudyperiodforwhichyouhavebeenawardedfunding.

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Information and programs for full‑time students IfyouattendaB.C.publicpost-secondaryinstitutionorotherschoolthatofferselectronicconfirmationofenrolment,yourschoolwillautomaticallyconfirmyourfull-timeenrolmentelectronicallywithStudentAidBC.Yourschoolmayaskthatsomeofthefundsbepaidtothemtocoveryouracademicfees.

Most schools in B.C. confirm student enrolment online directly to StudentAid BC.Ifyouattendaschoolthatdoesnotaccesselectronicconfirmationofenrolment,apaperconfirmationofenrolmentformwillbemailedtoyouoryourschoolaboutamonthbeforeyouareeligibletoreceivethestudentloanfunds.TheformwillnotbemaileduntilyourcompletedMasterStudentFinancialAssistanceAgreementhasbeenreceivedattheNSLSC.IfyourschoolisinCanada,theformismailedtotheschool;ifoutsideofCanada,theformismailedtoyou,andyoumusttakeittoyourschoolforthemtomailorfaxtoStudentAid BC.

Onceyourconfirmationofenrolmentformisprocessed,yourstudentloanand/orgrantfundscanbereleased.

Ifyouloseyourpaperconfirmationofenrolmentform,youcanprintacopybyloggingontocheckyourstudentloanapplicationstatusonwww.StudentAidBC.ca.

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.

3. Money released on or after the disbursement dateAfteryourMasterStudentFinancialAssistanceAgreementhasbeenprocessedandyourenrolmenthasbeenconfirmed,yourfundswillbeeitherdepositedelectronicallyintothebankaccountyouhavespecified,orforwardedtoyourschool.Thedepositusuallyoccurswithinsevenbusinessdaysofthedisbursement dateonthenotificationofassessment.

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?Noteveryonereceivesthefull-timestudentfinancialassistancetheymaythinktheyshouldbereceiving.Ifyouarenotapprovedforfundingorthinktheamountawardedtoyouistoolow,youcanaskforanappealofyourassessment.Pleasenotethatifyouhavebeenapprovedforamaximumawardforyourstudyperiod,thisisnotsubjecttoappeal.

Anappealwillbeconsideredonlyifspecialcircumstancessetyouapartfromotherstudentswhohavenotbeenapproved.

ToappealaStudentAidBCdecision,theprocessstartswithanappealrequestform.

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Information and programs for full‑time students Theappealrequestformcontains:

• informationaboutwhatwillbeconsideredinanappeal;and

• thedocumentationyoumustprovideforanappeal.

TheAppealUnitofStudentAidBCwillreviewyourrequesttodetermineifyoursituationisexceptionalandwarrantsadecisiontosetasidestandardpolicythatappliestoallotherstudents.

SubmittinganappealrequestdoesnotguaranteethatyouwillreceivemoreStudentAidBCfunding.

Steps to appeal

1. IfyouareattendingaB.C.publicuniversity,collegeorinstitute,orTrinityWesternUniversity,talktoafinancialaidofficeratyourschool.Theycanhelpyouwiththeappealprocess.IfyouareattendingaprivateschoolwithinB.C.oraschooloutsidetheprovince,youcancontactStudentAidBCdirectlyforhelp.

2. Readthedetailedinformationontheappealcategories(theappealcategoriescanbefoundatwww.StudentAidBC.ca)includingthelistofpoliciesthatcannotbeappealed.YouneedtoknowwhichStudentAidBCpolicyyouareappealingbeforeyoucanproceedtothenextstep.

3. CompletetheAppealRequestForm.Inyourappealrequest,includealetteraddressedtoStudentAidBCthatclearlyexplains:

• whichpolicyordecisionyouareappealing;

• whyyouareaskingforanappeal;

• whatmakesyoursituationexceptionalcomparedwithotherstudents;

• whyyourcircumstancespreventyoufromcompletingyourstudieswithoutthefinancialassistanceyouappliedfor;and

• anyotherfundingoptionsyouhaveexplored,suchaspart-timework,grants,scholarships,orpersonallinesofcredit.

4. SendyoursignedAppealRequestFormwithyourletterandallsupportingdocumentationbymailtotheAppealUnitatStudentAidBC.Appealrequestssentbyfaxwillnotbeaccepted.

What can I do if my appeal is denied?Insomecases,anappealrequestwillbereferredtotheindependentappealcommitteeforfurtherconsideration.Thecommitteeincludesmembersofthepublic,studentsandfinancialaidofficersfromB.C.colleges,institutesanduniversities.ThecommitteereviewseachcaseindividuallyandmakesrecommendationstotheDeputyMinisterofAdvancedEducation.DecisionsbytheDeputyMinisterarefinal.

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What are my obligations while in school? Afteryouhavereceivedyourfundsandareattendingclasses,therearecertainthingsyoumustdotokeepyourloansininterest-freestatusandstayeligibleforfuturefunding.

1. Pay tuition and other required fees first.Thefinancialassistancethatyoureceiveisforyoureducation.Yourfirstresponsibilityistopaythetuitionfeesandotherrequiredfeestoyourschool.Thathaspriorityoverallothercostsforwhichyoumayhavereceivedfunding.

2. Continue in full‑time studies.Tostayeligibleforfull-timeloansorgrants,youmustattendschoolfull-timefortheentirestudyperiodforwhichyouhavereceivedfunding.Ifyoudropbelowtherequiredcourseloadduringyourfirstsemester/termbutplantoattendfull-timeinthesecondsemester/term,youmustsubmitanewapplicationforstudentassistance.Yournewapplicationwillbeassessedoncethewithdrawalprocessatyourschooliscomplete.Ifyoustopattendingclasses,dropbelowyourrequiredcourseload,orfailtomaintaintheminimumnumberofweeklyinstructionalhoursforyourentirestudyperiod,butyoudonotformallywithdrawfromschool,youmaystillbeconsideredwithdrawnforstudent-assistancepurposes.Ifyoumiss10consecutivedaysofclasses,or20 percentofyourstudyprogram,youwillbeconsideredwithdrawn.Ifyouwithdrawfromschooltwicewhilereceivingfinancialassistance,youwillbedeniedfurtherfundingbyStudentAidBC.

3. Maintain a satisfactory scholastic standing (successful completion).Tocontinuereceivingfinancialaid,theCanadaStudentFinancialAssistanceActandStudentAidBCpolicyrequireyoutomaintainasatisfactoryscholasticstanding.Ifyourschoolgivesyouenoughcredittoadvanceinyourstudyprogramand/orissueyouaformalcredential(certificate,diplomaordegree),youmeetthe“satisfactoryscholasticstanding”requirementforStudentAidBC.

4. Maintain interest‑free status.Youwillnothavetomakepaymentsonanyoutstandingstudentloansifyouareenrolledinanapprovedfull-timestudyprogram(atleast12 weekslong)thatleadstoacertificate,diplomaordegreeatapost-secondaryschoolthatisdesignatedbytheprovincialgovernment.LoansissuedthroughStudentAid BCwillbeeligibleforinterest-freestatus.Theperiodofinterest-freestatuswillstartonthedatetheloansareissued,uptoandincludingyourstudyperiodenddateonthisapplication,unlessyouwithdrawfromfull-timestudies.Ifyoureturntofull-timestudiesanddonotreceiveaCanadaorB.C.studentloan,youmustsubmitanapplicationtoensureyourloanskeeptheirinterest-freestatus.Youcanapplyonlineatwww.StudentAidBC.ca(ifyouareattendingapublicB.C.post-secondaryschool),oryoucanobtainapapercopyofthefederalConfirmationofEnrolmentform(Schedule 2)atwww.StudentAidBC.caorCanLearn.caandsubmitittotheNSLSC.Itisimportanttonotethatyourmaximumweeksofallowablestudentfinancialassistanceincludesweeksyouareininterest-freestatus.ASchedule 2formisalsorequiredbyyourbankifyoureceivedloansbeforeAugust2000.You candownloadaSchedule 2formfromCanLearn.ca.

What if my circumstances change?Ifthereareanychangesinyourcircumstancesafteryouhaveappliedforstudentassistance,youmustnotifyStudentAidBCbycompletinganAppendix 7:RequestforReassessmentformavailableonlineatwww.StudentAidBC.ca.ThisformisalsoavailableatB.C.publicandaccreditedprivatepost-secondaryschools,orthroughthefinancial-aidofficeatyourschool.CompleteitandsubmitittoStudentAidBC.

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What are my obligations while in school? ThecompletedAppendix 7:RequestforReassessmentformandsupportingdocumentationmustbereceivedbytheStudentAidBCofficenolaterthansixweeksbeforeyourstudiesend.AnAppendix 7:RequestforReassessmentsentbyfaxwillnotbeaccepted.Fundingcannotbeissuedafteryourstudiesend.

What kind of changes should I report?Youshouldreportanychangesthataffecttheaccuracyofthefinancialneedandeligibilityinformationinyourstudentassistanceapplication.Changesinclude,butarenotlimitedto:• yourincome,assetsorinvestments,includinganynewsourcesofincomenotlistedinyour

application;• financialestimates,assetsorinvestmentsofyourspouse/common-lawpartnerorparents/

step-parents/sponsor/legalguardian;• yourprogramofstudyorstudyperioddates;• yourmaritalstatusbeforethefirstdayofclasses;• yourlivingsituationbeforethefirstdayofclasses(suchaswhetheryouarelivinginahome

ownedorrentedbyyourparents,orlivingawayfromyourparents’home);• purchase,sale,orleaseofamotorvehicle;and• thebirthoradoptionofachild.Allinformationissubjecttoauditandverification.

What if I transfer schools?Ifyouhaveappliedfororifyouarereceivingfinancialassistance,youmustnotifyStudentAidBCifyoutransferfromoneschooltoanother.

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.

Transferring before you get fundingIfyouhaveappliedfor,buthavenotyetreceived,anyfundingwhenyouchangeschools,completeanAppendix 7:RequestforReassessmentandsubmitittoStudentAidBCforprocessing.

Transferring after you get fundingIfyouhavealreadyreceivedyourfundingwhenyouchangeschools,youmustcompleteanAppendix 5:TransferofSchoolform.Aftertheformiscompleted,submitittoStudentAidBCforprocessing.

Two‑week time limit for transfersYoumaytransferifthelengthoftimebetweenleavingoneschoolandstartingatyournewschoolistwoweeksorless;otherwiseyouareconsideredwithdrawnfromyourpreviousschoolandyouwillhavetocompleteanewStudentAidBCapplication.

Withdrawals and scholastic standingIf you withdraw from full‑time studies:• yourschoolwillautomaticallynotifyusthatyounolongermeetrequirementsforassistance;• yourfundingwillbere-calculatedbasedonthenumberofweeksyouactuallyattended

school;and• wewillexplaintoyouinwritinghowyourwithdrawaldecisionaffectsyourstudentloanorgrant.

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What are my obligations while in school? Anytuitionrefundforwhichyouareeligiblewillbeappliedtoyouroutstandingloanbalancebyyour schoolifyourschoolreceivedtuitionfromyourstudentloans.

Withdrawing from school or failing to progress at schoolYoumaynotbeabletoreceivemorestudentassistanceif:• youwithdrawfromafull-timecourseloadontwoseparateoccasionswhilereceiving

studentassistanceorhaveinterest-freeloanstatus;or

• youfailtoachievesatisfactorymarksin68 weeksormoreoffull-timestudywhilereceivingstudentassistanceorhaveinterest-freeloanstatus.

Requalifyingforstudentassistancedependsonseveralthings,includingsuccessfullycompletingfull-timestudiesfortwosemestersoroneacademicyearwithoutStudentAidBCassistance.AppealscanbemadetoStudentAid BC.

OverawardsAnoverawardisstudentfinancialassistanceyoureceivedforwhichyouwerenoteligible.Amongotherreasons,theoverawardmaybedueto:• areassessmentofyouroriginalStudentAidBCapplication;• anauditofyourfileconductedbyStudentAidBC;or• yourwithdrawalfromcourses,puttingyoubelow60 percentofafullcourseload(40 percent

forapprovedstudentswithpermanentdisabilities).

IfStudentAidBCfindsthatyouhavereceivedanoveraward,youwillbenotifiedinwriting.

Overawardamountsaredeductedfromfuturestudentfinancialassistanceawardedundertheprovincialandfederalprograms.Itisyourresponsibilitytocontactyourschooltoensurepossibletuitionrefundshavebeenprocessed,whichmayreducetheamountofyouroutstandingoverpayment.

Overawards on Canada Student GrantsIfyouwithdrawfromstudiesorchangefromfull-topart-timestatuswithin30 calendardaysofthefirstdayofclasses,alloftheCanadaStudentGrantthathasbeendisbursedfortherespectiveperiodofstudieswillbeconvertedintoaloaninaccordancewiththeconditionsstatedonyourMasterStudentFinancialAssistanceAgreement.Ifareassessmentofyourapplicationdeterminesthatyouprovidedinaccurateinformationthatmakesyouineligibleforafullorpart-timeCanadaStudentLoan,allorpartofaCanadaStudentGrantthathasbeenissuedwillbeconvertedintoaloan.ThisisinaccordancewiththeconditionsstatedonyourMasterStudentFinancialAssistanceAgreement.Note: Ifyouareabletoprovidedocumentedevidencewithinasix-monthtimeframethatyourwithdrawalfromstudiesoryourchangefromfulltopart-timestudieswasasaresultofunforeseenandunavoidablecircumstancesbeyondyourcontrol,thedecisiontoconverttheCanadaStudentGrantintoaloanmaybereconsidered.

Repayment and adjustment of overawardsAnadjustmentcanbemadetoreduceorremoveanoveraward,asitmayaffectyourfutureeligibilityforstudentfunding.Ifyouhaveexceptionalcircumstances,youmaysubmitanappealtoStudentAidBCtosetasideyouroverawards.Thisappealprocedurefollowsthesamestepsoutlinedonpage 19.If yourappealissuccessful,yourstudentloanoverawardswillnotbedeductedfromyourfutureStudentAidBCfundingandyourB.C.grantoverawardwillbesetasidetoallowyoufurtherprovincialfunding.Overawardsresultingfromauditarenotsubjecttoappeal.ToadjustanoutstandingB.C.orCanadaStudentLoanoverawardpleasedirectyouroverawardpaymentstotheNationalStudentLoanServiceCentre(NSLSC).Onceyouhaveconfirmationthatthepaymenthasbeenappliedtoyourloan,notifyStudentAidBC.

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Repaying your student loans How do I repay my student loans?Youhavesixmonthsfromyourperiodofstudyenddate,thelastdayofthemonthyoustoptakingclassesfull-time,beforeyoumuststartrepayingyourstudentloans,althoughyoucanmakepaymentsearlierifyouwant.

Whetheryouhavefinishedyourprogram,transferredtopart-timestudies,aretakingtimeofforhavewithdrawnfromschoolcompletely,youmustcontactthelender(s)whoholdyourstudentloanstoarrangerepaymentwithinsixmonthsofleavingyourstudies.

Repaying your student loansYouwillrepayyourstudentloansthroughtheNSLSC.

» Signaconsolidationagreement.

» Approximately45daysbeforeyouenterrepayment,theNSLSCwillsendyouaconsolidationagreementcombiningany/allyourloansyoureceivedafterAugust1,2000soyoucanmakeonepayment.

» Makesureyouunderstandthetermsoftheconsolidationagreementandchoosetherepaymentoptionsthatarebestforyou.

For student loans received before August 1, 2000StudentswhoreceivedastudentloanbeforeAugust1,2000,willhaverisk-sharedandguaranteedloans.Contactthelendinginstitutionthatholdstheseoutstandingloansforinformationonrepayment.

For student loans received after August 1, 2011 IfyouareapplyingandreceivingloansafterAugust1,2011,yourloanswillbecomeajointfederal-provincialstudentloan(Canada-BritishColumbiaintegratedstudentloan).IfyoudonotreceiveanystudentloansafterAugust1,2011,yourloanswillremainwiththeircurrentserviceprovideruntilfurthernotice.Pleaseseewww.StudentAidBC.caforfurtherinformation.

When does interest start accumulating?Interestbeginsaccumulatingonyourloanassoonasyourstudyperiodends.Youarenotrequiredtobeginmakingpaymentsuntilthefirstdayoftheseventhmonth;however,youcanmakepaymentsanytimeduringyourstudyperiodandyoursix-monthnon-repayment(grace)period.ItisyourresponsibilitytomakerepaymentarrangementswiththeNSLSCand/oryourlendinginstitutionwithinsixmonthsoffinishingyourstudies.

ForB.C.studentloansissuedbeforeAugust1,2000,theprovincialgovernmentwillcontinuetopaytheinterestforuptosixmonthsafteryourstudyperiodends.

What interest rate will I pay?Interestratesarecalculatedatthetimeofconsolidation.

IfyouhaveaCanada–B.C.integratedstudentloan,theinterestrateiseitherafloatinginterestrate(theprimerateplus2.5percent)orafixedrate(theprimerateplus5percent).

IfyouhaveaCanadaStudentLoanandaB.C.studentloanthatarenotintegrated:• FordirectlendCanadastudentloans,theinterestcanbeafloatinginterestrate(primerate

plus2.5percent)orfixedrate(primerateplus5percent).

• ForB.C.studentloanstheinterestisafloatinginterestrate(primerateplus2.5percent).

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Repaying your student loans What happens if I don’t repay my student loans?Asaborrower,youarerequiredtofulfillyourobligationsandresponsibilitiessoit’simportanttofullyunderstandthetermsandconditionsofyourloans.Missingpaymentscouldleadto:

• addedinterestcharges;

• thelossofeligibilityforfuturefunding;

• havingtodealwithacollectionagency;

• abadcreditratingandinabilitytogetcredit;

• notbeingacceptedforcontractsforcellularphones,etc;

• thelossoffutureincome-taxrefundsandHSTrebates;

• legalaction;

• garnishmentofyourwages;and/or

• liensagainstyourproperty.

Allrepaymentactivitiesarereportedtothecreditbureau.Ifyouarehavingdifficultymakingyourloanpayments,contacttheNSLSC.Thereareprogramsandservicesavailabletohelpyoumanageyourpaymentsandavoiddefaultingonyourloan.

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Debt management programs B.C. Interest Relief ProgramThisprogramhelpspeoplewhohavedifficultyrepayingtheirB.C.studentloansbecauseoflowincomeandfinancialhardship.Ifyouqualify,theB.C.governmentwillpaytheinterestonyourB.C.studentloansforsix-monthperiodsuptoamaximumof30 months.Duringthistime,youdonothavetomakeanyloanpayments.Ifyoucontinuetohavefinancialproblems,youmayalsoqualifyforextendedinterestreliefofupto54monthsduringthefirstfiveyearsofstudentloanrepayment.TheB.C.interestreliefprogrambecomesavailabletoyouonceyouhaveconsolidatedyourstudentloans.Youmayapplyatanytimeduringyourrepaymentperiod.

Repayment Assistance Plan TheGovernmentofCanadaofferstheRepaymentAssistancePlan(RAP)forCanadastudentloans.TheRAPhelpsborrowerswhoarehavingfinancialdifficultyrepayingtheirstudentloans.TheRAPmakesiteasierforstudentloanborrowerstomanagetheirdebtbyallowingthemtopaybackwhattheycanreasonablyafford.YouneedtoapplyfortheRAPasenrolmentisnotautomatic.

MoreinformationabouttheRAPcanbefoundonCanLearn.caorbycallingtheNSLSCat1-888-815-4514.

Repayment Assistance Plan for Borrowers with a Permanent Disability (RAP‑PD)TheGovernmentofCanadaofferstheRepaymentAssistancePlanforBorrowerswithaPermanentDisability(RAP-PD).TheRAP-PDhelpsborrowerswithapermanentdisabilitywhoarehavingdifficultypayingtheirstudentloansandmakesiteasierforstudentloanborrowerstomanagetheirdebtbypayingbackwhattheycanreasonablyafford.YouneedtoapplyfortheRAP-PDasenrolmentisnotautomatic.

MoreinformationabouttheRAP-PDcanbefoundonCanLearn.caorbycallingtheNSLSCat1-888-815-4514.

B.C. Principal DefermentIfyouarehavingdifficultyrepayingyourB.C.studentloans,youcanasktohavetheprincipalpaymentdeferredforaperiodoftime.Ifapprovedforprincipaldeferment,youonlyneedtomakethemonthlyinterestpaymentsonyourloan.Theprincipalportionofthepaymentisdeferred.Thisdefermentwillgiveyoutimetostabilizeyourfinancialpositionandavoiddefaultingontheloan.Approvalisusuallygivenforsix-monthperiodsandisavailableforamaximumof12 months.

Revision of TermsYoumayasktheNSLSCaboutreducingyourmonthlypaymentamountorextendingthelengthoftimeyoutaketorepayyourloan.Thiswillresultinlowermonthlypayments,howeveryouwillpaymoreinterestovertime.

Ifyouthinkyoumightneedhelprepayingyourloan,calltheNSLSCassoonaspossibleforinformationonavailableassistance.

Permanent Disability BenefitsThePermanentDisabilityBenefitisavailabletoborrowerswithaseverepermanentdisabilitythatpreventsyoufromworkingand/orgoingtoschool,andyouwillneverbeabletorepayyourloans.Ifyouhaveaseverepermanentdisability,youmaybeeligibletohaveyourloanscancelled.Toapplyforthisbenefit,contacttheNSLSC.

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Debt management programs B.C. Loan Forgiveness Program RecentgraduatesinsomespecificprofessionscanhavetheirB.C.studentloansforgivenbyagreeingtoworkatpubliclyfundedfacilitiesinunderservedareasofBritishColumbia.

Ifyouqualifyfortheprogram,theprovincialgovernmentwillforgiveyouroutstandingB.C.studentloandebtatarateof33.33 percentperyear.Afterthreeyears,yourB.C.studentloanswillbepaidinfull.

Whileyouareintheloanforgivenessprogram,theprovincialgovernmentwillalsopayanyoutstandinginterestthataccumulatesduringeachyearyouareregisteredintheprogram.

Eligibility

ToqualifyfortheB.C.loanforgivenessprogram,youmust:

• haveB.C.studentloansingoodstanding;

• beinstudentloanrepayment;

• notbeenrolledinfull-timepost-secondarystudies;

• havegraduatedfromanaccreditedpost-secondaryinstitutioninthetimeframerequiredbytheprogramfordifferentprofessions;and

• beemployedatapubliclyfundedfacilityinanunderservedB.C.community.

Note: Professionals who receive B.C. loan forgiveness may be full-time, part-time, casual or on-call workers.

Nursing, medical, midwifery and pharmacy graduatesYouareeligibleforB.C.loanforgivenessif:

• yougraduated(oryourstudyprogramends)afterAugust 1,2000;and

• youareemployedatapubliclyfundedfacilityinanunderservedB.C.community.

Speech language pathology, occupational therapy, audiology and physiotherapy graduatesYouareeligibleforB.C.loanforgivenessif:

• yougraduated(oryourstudyprogramends)afterDecember1,2004;and

• youareworkingwithchildrenatapubliclyfundedfacilityinanunderservedB.C.community.

Teachers for the deaf and hard of hearing, teachers for the visually impaired, school psychologists and technical education teachersYouareeligibleforB.C.loanforgivenessif:

• yougraduated(oryourstudyprogramended)afterApril1,2007;and

• youareemployedatapubliclyfundedfacilityorschooldistrictwithinB.C.

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Debt management programs How to applyB.C.loanforgivenessapplicationscanbedownloadedfromwww.StudentAidBC.caandarealsoavailablefromStudentAid BCandfromyourschool’sfinancialaidoffice.

1. Completeyourapplicationform.

2. SubmityourapplicationformtoStudentAid BCalongwiththeoriginal,currentwithinonemonthletterfromthepubliclyfundedfacilityorhealthauthorityyouareworkingfor,confirmingyouremployment.Electronicversionsofemploymentletterswillnotbeaccepted.

Please note:

• Ifyouareinprivatepractice,youmusthaveapractitionernumberandsubmitaletterfromyourhealthauthorityconfirmingthatyouserveinthecommunity.

• IfyouareaprofessionalundercontracttotheProvinceofB.C.,youremploymentlettermustalsoincludethecontractnumberandministryinvolved.

• Ifyouareamidwife,youmustalsosubmitaletterfromtheAssociationofMidwivesconfirmingyourregistration.

3. Submitanofficialsealedtranscriptfromyourpost-secondaryschoolprovingthatyouhavefulfilledgraduationrequirements.

Formoreinformationonthisprogram,visitwww.StudentAidBC.ca.

Pacific Leaders Loan Forgiveness Program ThePacificLeadersLoanForgivenessProgrampromotestheB.C.PublicServiceasapotentialemployertonewpost-secondarygraduatesandaprogressiveemployertocurrentemployees,byforgivingtheiroutstandingB.C.studentloandebtatarateofone-thirdperyear.IftheycontinuetoworkfortheB.C.PublicServiceforthreeyears,theirB.C.studentloanwillbepaidoffinfull.

ThePacificLeadersB.C.loanforgivenessprogramisopentoallnewemployeesandanyfullorpart-timeregularemployeeoftheprovincialgovernmentwhohasaB.C.studentloaningoodstanding.Formoreinformation,visitwww.pacificleaders.gov.bc.ca.SAMPLE DOCUMENT

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Information and programs for part‑time students Canada Student Loans for Part‑time StudiesTheGovernmentofCanadaoffersloansandgrantsforpart-timestudiestostudentstakingbetween20and59 percentofafullcourseload.

Asapart-timestudent,youmaybeeligibletoborrowupto$10,000inCanadaStudentLoans.Youarenotrequiredtomakemonthlypaymentsonyourloanwhilestudying,althoughinterestwillaccumulatewhileyouareinschool.

Thereisnomaximumdurationofassistanceforpart-timestudents.However,themaximumloanamountyoucanhaveoutstandingatanytimecannotexceed$10,000.Loanapplicationsforpart-timestudentsareavailablefromStudentAidBCoronlineatwww.StudentAidBC.ca.

VisitCanLearn.caformoreinformationonCanadaStudentLoansforpart-timestudents.

Canada Student Grant for Part‑time StudentsUnderthisgrant,part-timestudentswhoqualifyforaCanadaStudentLoanandmeetthegranteligibilityrequirementsmaybeeligibleforastudentgrantofupto$1,200peracademicyear.Thisgrantisissuedatthebeginningandmiddleoftheschoolyear.

Canada Student Grant for Part‑time Students with DependantsUnderthisgrant,part-timestudentswithuptotwochildrenunder12yearsofagemaybeeligiblefor$40 perweekofstudy.Part-timestudentswiththreeormorechildrenmaybeeligiblefor$60 perweekofstudy.Thisgrantisissuedatthebeginningandmiddleoftheschoolyear.

B.C. Supplemental Bursary for Students with a Permanent DisabilityThisbursaryisalsoavailabletopart-timestudents.Formoreinformation,turntopage 31.

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Information and programs for students with permanent disabilitiesWhat is a permanent disability?Ifyouareastudentwithapermanentdisabilitythatrestrictsyourphysicalormentalabilitytoperformdailyactivitiesnecessarytoparticipatefullyinpost-secondarystudies,youmaybeeligibleforadditionalstudentfinancialassistance.SeeDefinitions,page 38.

Forstudentswithapermanentdisability,afullcourseloadisdefinedasnolessthan40 percentofafullcourseload.

Tobeconsideredforthegrantsandprogramslistedbelow,youmustsupplyappropriatemedicaldocumentationverifyingyourpermanentdisabilityandyoumusthaveademonstratedfinancialneedwhenyouapplyforfull-timestudentloanassistance.

ForstudentswhohavenotbeenapprovedashavingapermanentdisabilitybyStudentAidBC,apermanentdisabilityprogramsapplicationmustbeusedwhenapplyingfortheseprograms.Downloadthisformfromwww.StudentAidBC.ca.

Canada Student Grant for Persons with Permanent DisabilitiesUnderthisgrant,qualifyingstudentswithpermanentdisabilitiesandatleast$1ofdemonstratedfinancialneedwillreceive$2,000peracademicyeartohelpcoverthecostsofaccommodation,tuitionandbooks.ThisfundingisissuedonyourMasterStudentFinancialAssistanceAgreement.

Canada Student Grant for Services and Equipment for Persons with Permanent DisabilitiesUnderthisgrant,qualifyingstudentswithpermanentdisabilitieswhohaveexceptionaleducation-relatedcostssuchastutors,note-takers,interpreters,braillersortechnicalaidsmayreceiveupto$8,000peracademicyear.Onceyourapplicationisprocessed,youwillreceivewrittennotificationofyoureligibility.Tobeconsideredforthisgrant,youmustprovideappropriatemedicaldocumentationverifyingyourpermanentdisabilitywhenyouapplyforfull-timeassistance.Studentsmustsubmitapermanentdisabilityprogramsapplicationtobeconsideredforthisgrant.Studentswhoreceivethegrantwillberequiredtosubmitreceipts.

Assistance Program for Students with Permanent DisabilitiesIfyouhaveexhaustedyourCanadaStudentGrantforServicesandEquipmentforPersonswithPermanentDisabilitiesfundingfortheyear,youmaybeeligiblefortheAssistanceProgramforStudentswithPermanentDisabilities.Thisisanon-repayablegrantofupto$10,000($12,000ifattendantcareisrequiredatschool)perprogramyearforthepurchaseofeducational-relatedspecializedservicesand/oradaptiveequipment.Studentsinreceiptofthisgrantwillberequiredtosubmitreceipts.

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 DisabilityTheB.C.Accessgrantwillreplaceupto$1,000inB.C.studentloanfundingwithanon-repayablegrant.Thisgrantisavailableonlytofull-timestudentswithpermanentdisabilities.

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Information and programs for students with permanent disabilitiesEligibilityOnceyouhaveappliedandareeligibletoreceivefull-timefundingyouautomaticallyqualifyfortheB.C.AccessGrantifyouhavepreviouslysubmittedverificationofyourpermanentdisabilitytoStudentAid BC.

Ifyouareafirst-timestudentwithapermanentdisability,youdonotqualifyautomatically.You musthaveamedicalprofessionalwithexpertiseinyourareaofdisabilitycompleteapermanentdisabilityprogramsapplicationtoidentifyyourdailyeducationalbarriersandsubmitthedocumentationtoStudentAidBCforassessment.

Formoreinformationonthisprogram,visitwww.StudentAidBC.ca.

Learning Disability Assessment BursaryTheLearningDisabilityAssessmentBursaryassistsstudentswiththeup-frontcostsofthelearningdisabilitiesassessment.Studentswithalearningdisabilityrequirearecentlearningdisabilityassessmenttodetermineeligibilityforbothfederalpermanentdisabilitygrants.

Thisgrantprogramisavailabletopart-timeorfull-timestudentsattendingB.C.publicpost-secondaryinstitutionstakingpost-secondary-levelcoursesonly.Abursaryofupto$1,800willbemadeavailabletoeligibleapplicants.

FormoreinformationcontactthedisabilityservicesofficeataB.C.publicpost-secondaryinstitution.

Learning Disability Assessment Reimbursement Thepermanentdisabilityprogramsapplicationallowsyoutoapplyforreimbursementofupto75 percentofthecostofonepsycho-educationalassessmentforalearningdisability(maximumof$1,200).Seepage 2oftheapplicationfordocumentationrequirements.

Theassessmentmustclearlyindicatethatalearningdisabilityhasbeenidentifiedassetoutinsection4ofthepermanentdisabilityprogramsapplication.Anyreimbursementisincludedinthetotaleligibleamountof$8,000throughtheCanadaStudentGrantforServicesandEquipmentforPersonswithPermanentDisabilities.

B.C. Supplemental Bursary for Students with a Permanent DisabilityTheB.C.SupplementalBursaryforStudentswithaPermanentDisabilityisaprovincialbursaryprogramdesignedtoassiststudentswithdisabilitieswithexceptionaleducationalcosts(e.g. additionaltransportationcosts,specializedclothing,etc).Thisbursaryprogramisavailabletopart-timeorfull-timestudentswithpermanentdisabilitiesattendingdesignatedpost-secondaryinstitutionsandtakingacourseorcoursesatthepost-secondarylevel.

Studentsdonotneedtoapplyseparatelyforthisadditionalfunding.Studentswhohaveprovidedthenecessarymedicaldocumentationtoqualifyfortheexistingfinancialaidprogramsforstudentswithdisabilitieswillautomaticallyreceivethisbursaryfunding.

Formoreinformationonthisprogramvisitwww.StudentAidBC.ca.

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Adult Basic Education Student Assistance ProgramThisprovincialprogramhelpsadultsenrolledinskillsupgrading,educationandtrainingcoursessuchas:

• adultbasiceducation;

• Englishasasecondlanguage;and

• adultspecialeducation.

Theprogramprovidesgrantstohelpmeetdirecteducationalcostsincludingtuition,fees,books,suppliesand,ifapplicable,transportationandunsubsidizeddaycareforyourchild-carecosts.Theamountawardedtoyouisbasedonastandardneed-assessmentprocedure.

How to applyYoucanapplytothisprogramonlyifyouareanadultattendingapublicpost-secondaryinstitutioninB.C.

Youmustcompleteanapplicationformandreturnittothefinancialaidofficeatyourschool.Thefinancialaidofficeratyourschoolwilldetermineifyouareeligible.

Visitwww.StudentAidBC.catodownloadthisform.

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Scholarships administered by StudentAid BC Pacific Leaders Scholarship for Children of Public ServantsTheB.C.governmentisofferingupto60scholarshipsof$2,500eachtochildrenofB.C.publicservantswhoarestudyingfulltimeatadesignatedpost-secondaryinstitutioninB.C.Studentsmayreceivethisscholarshiponceintheirlifetime.

Moreinformationaboutthisscholarshipcanbefoundonlineatwww.pacificleaders.gov.bc.ca.

United World Colleges Scholarship for Aboriginal StudentsThreeB.C.Aboriginalstudentswillreceivea$35,000scholarshipannuallyfortwoyears($70,000 intotal)toattendPearsonCollege.

Moreinformationaboutthisscholarshipcanbefoundonlineatwww.pearsoncollege.ca.

United World Colleges Scholarship for Seminar on Youth LeadershipTwentyB.C.Grade 12studentswillreceivea$4,000scholarshiptoattendthethreeweek“SeminaronYouthLeadership”programatPearsonCollegeinJulyandAugustofthisyear.

Moreinformationaboutthisscholarshipcanbefoundonlineatwww.pearsoncollege.ca.

Lieutenant Governor’s Silver MedalThesemedalsareawardedtostudentsinvocationalorcareerprogramslessthantwoyearslongwhohaveexcelledintheirstudiesandwhohavecontributedtothelifeoftheirpost-secondaryinstitutionortheircommunity.ThemedalsareawardedbytheLieutenant-GovernorofBritish Columbia.

Thereisnoapplicationprocess.Nomineesarechosenbytheinstitutiontheyattend.Students shouldcontacttheirB.C.publicschooldirectlyfordetails.

For more information on grants, bursaries and scholarships, visit:

• www.StudentAidBC.ca

• CanLearn.caSAMPLE DOCUMENT

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Definitions

AAcademic yearForthepurposeoftheneedsassessment,theacademicyearisdefinedbytheschoolandsubjecttoamaximumlengthof12 months(52 weeks).Anacademicyearmaybe

comprisedofmultipletermsorsemesters,includingspringand/orsummersessions.

AmortizationTherepaymentperiodforastudentloanasarrangedwiththebank,creditunionorotherlender.

Assessment of NeedTheprocessofdeterminingtheamountofassistanceastudentiseligibletoreceive.The eligible/assessedneedisthedifferencebetweenallowablecosts(includingtuition,books,livingexpenses,transportation,etc)andtotalresources(includessavings,expectedcontributions,assets,study-periodincome,spouseorparentalcontributions,excessmotorvehiclevalue,etc.).

AssetsIncludesinvestmentsdemonstratingfinancialstrengthsuchasliquidassets(e.g.RRSPs,bonds,GICs,etc.)andfixedassets(e.g.realestate,revenueproperty,recreationalproperty).

AuditsAprocessthatrequiresstudentstoprovidedocumentationverifyinginformationsubmittedtoStudentAidBCbythestudentorthestudent’sspouse,common-lawpartner,parent,step-parent,sponsororlegalguardian.

AwardTheamountofmoneyastudentreceivedthroughStudentAidBC.Awardsmayincludestudentloans,grants,bursariesandscholarshipsandthepay-downofloansthroughvariousB.C.debtmanagementprograms.

BBankruptcyAtermusedtodescribethefinancialsituationofapersonwhoisunabletopaydebts,isjudgedtobelegallyinsolventandwhoseremainingpropertyisadministeredforcreditors

ordistributedamongthem.

BursariesNon-repayableawardsbasedonfinancialneedandgiventostudentsbygovernments,schools,businesses,societiesorotheragenciesandorganizations.

CChild‑care subsidyAnamountofmoneyfromtheMinistryofChildrenandFamilyDevelopmentgiventostudentswithdependentchildrenaged11yearsorundertohelpwithday-carecosts.

Common‑lawStudentswhohavelivedwithapersoninamarriage-likerelationshipforaperiodofatleastoneyear(12consecutivemonths)asofthefirstdayofclasses.Ifthereisachildoftheunionandcohabitationhasbeenlessthanoneyear(12 months),thestudentappliesasasingleparent.

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Definitions Course loadToqualifyforStudentAidBC,astudentmustbeenrolledinaprogramofstudyleadingtoarecognizedcredential.Therefore,thestudentmustcomplete100 percentofthecomponentsoftheprogramthatleadstotheconferringofthecredential(lessanyportionswherethestudenthasreceivedpreviouscreditorpreviouslearningassessment).Courseloadpercentagereferstotherateatwhichastudentiscurrentlyworkinginordertocompletetheentireprogram.

CredentialThecertificate,diplomaordegreeconferreduponthestudentbythehomeinstitutioninrecognitionofsuccessfulcompletionoftherequirededucationaltraining.

DDay‑care costsThecostspaidtoacaregivertocareforastudent’schild(ren)aged11yearsorunder,toenablethestudentandspouseorcommon-lawpartnertoattendclassesortowork

duringthepre-studyorstudyperiod.Ifaspouseorcommon-lawpartnerisathomecaringforthestudent’sdependentchild(ren)duringthefourmonthsbeforeclassesstartorduringthestudyperiod,youcannotclaimday-carecosts.

DeclarationTheStudentAidBCdeclarationisalegaldocument.Bysigningit,youagreewithwhatthedeclarationsaysandthattheinformationyouhavegiveniscorrect.ItalsotellsyoufromwhomStudentAidBCcangetinformationaboutyouandwithwhomStudentAidBCmayshareyourapplicationinformation.

DefaultAloanisconsideredtobeindefaultwhenyouarebehindonyourpaymentsfornineormoremonthsandcollectionactivitiesarerequired.DefaultingonyourloancandisqualifyyoufromreceivingfuturestudentfinancialassistanceandapplyingforrepaymentassistanceundertheRepaymentAssistancePlanandB.C.debtmanagementmeasures.Italsoaffectsyourcreditrating.

DelinquentYourloanisconsideredtobedelinquentwhenyouarebehindinyourregularlyscheduledmonthlypayments.

Dependent students (Group A students)ThesearestudentswhoareconsideredbyStudentAidBCtobefinanciallydependentontheirparents,step-parents,sponsorsorlegalguardiansanddonotqualifyasindependentstudents.Dependentstudentshaveneverbeenmarriedordonothavedependentchildrenorhavenotbeenoutofhighschoolfor48monthsorhavenotbeeninthelabourforcefortwoperiodsof12consecutivemonths.

Designated schoolsApost-secondaryschoolthathasbeenauthorizedbytheProvinceofBritishColumbiaaseligibleforthepurposesoftheCanadaStudentLoanandStudentAidBCloanprogramswithrespecttosomeoralloftheprogramsofferedbytheschool.Aschoolmustbedesignatedatthetimeastudent’sapplicationisreceivedortheapplicationwillautomaticallybedenied.

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Definitions Disbursement dateTheearliestdatetheNSLSCisallowedtoreleaseStudentAidBCfundingtothestudentortheirschool.

EElectronic confirmation of enrolmentAprocessinwhichaschoolmayconfirmastudent’senrolmentelectronically.

Exceptional medical expensesSuddenandunexpectedcostssuchascappingabrokentooth,purchasingcrutchesorsplints,orotheremergencyneeds.Theseareusuallyone-time-onlyexpensesanddonotincludenormalongoingmedical,dentaloropticalcosts.

FFull timeAstudentenrolledinatleast60 percentofafullcourseload(40 percentforstudentswithpermanentdisabilitieswhohavebeenapprovedbyStudentAidBCtostudyatthe

reducedcourseload)foratleast12 weeksatadesignatedpost-secondaryschoolandleadingtoacertificate,diplomaordegree.Astudentmaytakesomeorallcoursesbycorrespondenceprovidedthatthestudent’sprimaryoccupationisthefull-timepursuitofthatprogramofstudy.

GGood standingStudentswhoarenotdelinquentontheirstudentloanpayments(havenotmissedapayment)orwhohavebroughttheirstudentloansbackfromdefaultbymeeting

StudentAid BC’srequirementsforrehabilitationafterdefault.

Group A (dependent) studentsTheclassificationgiventostudentswho,underprogramcriteria,arefinanciallydependentonparents,step-parents,sponsorsorlegalguardians.

Group B (independent) studentsTheclassificationgiventostudentswho,underprogramcriteria,arefinanciallyindependentoftheirparents,step-parents,sponsorsorlegalguardians.Independenceisdeterminedbysuchfactorsasmarriage,numberofyearsinthefull-timelabourforceandnumberofyearsoutofsecondaryschool.

Guaranteed loansStudentloansthatarereceivedpriortoAugust1,1995andwhichareguaranteedbythefederalgovernmentoraprovincialgovernment.Ifastudentdefaultsonaguaranteedloan,thegovernmentpaysthebankandthedebtisthenoweddirectlytothegovernment.

GuardianUsedtoidentifyapersonwhoischargedwiththelegalrightanddutyofcareforawardduetotheward’sinability(duetoage,ormentalorphysicalinability)tocareforhimselforherself.

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Definitions

IIndependent students (or Group B students)Areconsideredtobefinanciallyindependentoftheirparents,step-parents,sponsorsorlegalguardians.Independenceisdeterminedbysuchfactorsasmarriage,numberofyearsinthe

full-timelabourforceandnumberofyearsoutofsecondaryschool.

Interest‑free statusInterest-freestatusprovidesstudentswhoareenrolledinfull-timestudiesatadesignatedpost-secondaryschool,aperiodduringwhichtheyarenotrequiredtomakestudentloanorinterestpaymentsaslongastheauthorizedagentisnotified.Thefederaland/orprovincialgovernmentswillassumeresponsibilityforprovidinginterestpaymentsforthedurationofthegraceperiod.

LLanded immigrant/permanent residentApersonwhoisnotaCanadiancitizenbutwhohaspermissiontoresideinCanadaonapermanentbasis.Permanentresidentstatuscanbedemonstratedbypresentingavalid

IMM 1000form(RecordofLandingdocument)orvalidimmigrationcardthatdoesnotspecifylimitedconditionsofentryandaSINthatstartswith1,2,4,5,6or7.

Legal GuardianAlegalguardianisapersonwhohaslegalauthorityanddutytocareforanotherperson.Ifyourparentsaredeceased(passedaway),ortheyareincapableofcaringforyouandyouareundertheageof19,youwillhavealegalguardian.IfyouareachildincareoftheprovinceunderaContinuingCustodyOrder,theDirectorofChildWelfareoftheMinistryofChildrenandFamilyDevelopmentandthePublicGuardianandTrusteeareyourlegalguardians.

MMaster Student Financial Assistance AgreementThisisalegaldocumentthatincludesthestudentinformationandloanagreementdetailingthetermsandconditionsoftheCanadaandB.C.studentloansandgrants.

OneMasterStudentFinancialAssistanceAgreementisrequiredforeverystudentforthelifetimeoftheirstudentloans.Afteratwo-yearbreakinstudy,anewMasterStudentFinancialAssistanceAgreementwillberequiredforfurtherfinancialassistance.

OOverawardWhenastudentreceivesmoreassistancethanheorsheiseligibletoreceive,anoverawardiscreated.Thismaybecausedbyareassessmentofanapplicationduetonew

informationreceived,anauditbeingconductedbyStudentAidBC,awithdrawalfromfull-timestudiesorotherreasons.

PParentForthepurposeofassessingneed,parentincludesnaturalparent,step-parent,sponsororlegalguardian.

Part‑time studentEnrolledin20to59 percentofafull-timecourseloadatapublicorprivatepost-secondaryinstitution.Loaneligibilitydependsongrossfamilyincome.

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Definitions Permanent disabilityAfunctionallimitationcausedbyaphysicalormentalimpairmentthatrestrictstheabilityofapersontoperformthedailyactivitiesnecessarytoparticipateinstudiesatapost-secondarylevelorinthelabourforceandisexpectedtoremainfortheperson’sexpectednaturallife.

Post‑secondary studyStudiesatapost-secondaryschoolinwhichastudentenrolsaftersecondaryschool(Grade 12).Itdoesnotincludeadultbasiceducationprograms,collegepreparatoryprogramsorEnglishasasecondlanguage.

Pre‑study periodThe18-weekperiodimmediatelybeforethestartofthestudyperiodforwhichassistanceisbeingrequested.

PrincipalTheamountofmoneyaborrowerstillowesonaloanandmustrepay.

Prime RateThevariablerateofinterestcalculatedbasedontheinterestratesdeclaredbythelargestfiveCanadianfinancialinstitutions(theBankofMontreal,theCanadianImperialBankofCommerce,theBankofNovaScotia,theRoyalBankofCanadaandTDCanadaTrust)astheirprimerate.The primeratewillbecalculatedbyignoringboththehighestandthelowestofthosefiveratesandtakingtheaverageoftheremainingthreerates.Changestotheprimeratewilltakeeffectthefollowingbusinessday.

RReassessmentA requesttomakechangestotheinformationonastudent’sapplication.Suchchangescouldinvolveincome,programofstudy,costs,maritalstatuspriortothefirstdayof

classes,etc.

RehabilitationAprocessrequiredwhenastudent’sfileiseitherindefaultorafterabankruptcyfiledwhileinrepayment,toallowforconsiderationofadditionalstudentfinancialassistancethroughStudentAid BC.

ResidentAtermusedtodescribeastudent’seligibilityforprovincialresidencyundertheStudentAid BCprogram.Eligibilitydiffersbetweendependentandindependentstudents.

Risk‑sharing loansStudentloanscashedbetweenAugust1,1995,andJuly31,2000,wherethefederalgovernmentandtheprovincialgovernmentpayariskpremiumtothebankofthevalueofallloansenteringrepaymentstatus.Thebankisthenresponsibleforcollectingthedebtandusingtheriskpremiumtowardcostsincurredduetodefaultedstudentloans.

SScholastic standingAcademicstandingasdeterminedbytheschool.Wheretheschoolgivessufficientcreditforadvancementintheprogramand/orissuesacredentialtoastudent,thestudentis

consideredtohavemetthe“scholasticstanding”requirementunderStudentAidBC.

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Definitions Single‑parent studentStudentswhohavenevermarried,orwhoareseparatedordivorcedfromaspouse,orwhoarewidowedandwhohavelegaland/orphysicalcustodyandresponsibilityforsupportingandlivingwiththeirownchild(ren)atleasttwodaysperweekduringtheentirestudyperiod.

SponsorIndividualidentifiedasthesponsoronRecordofLandingimmigrationdocument(IMM 1000)issuedbythefederalgovernment.Groupsponsorshipwillnotbeusedforstudentloanassessments.

Study period (after classes start)Theintervalduringwhichaneligiblestudentisenrolledincoursesadministeredbyadesignatedpost-secondaryschool.Theminimumlengthofthestudyperiodis12 weeksforfull-timestudies.The maximumlengthis52weeks.Thestartdateisthefirstdayofclasses.The enddateisthedateofthefinalclassorexam,whicheverislater.

Successful completionUsedtoidentifyastudentwhohasfullycompletedastudyperiod/semester/termandhasalsowrittenandpassedcourseexamsforthesamestudyperiod/semester/term.

UUnmet needTheamountbywhichtheassessedneedexceedsthetotalaward.

Unsuccessful completion of termUsedtoidentifyastudentwhohasnotfullycompletedastudyperiod/semester/termandhasnotwrittenand/orpassedcourseexamsforthesamestudyperiod/semester/term.

VVerificationAprocessofconfirmingtheaccuracyofinformationsuppliedforpurposesofstudentfinancialassistance.

WWithdrawalTheactionofastudentwhodropsbelowfull-timestudiesandformallywithdrawsfromcoursesormissesmorethan10consecutiveinstructionaldays.Thisincludes

incompletesemesters/terms.Ifthestudentstopsattendingclasses,thatisalsoconsideredawithdrawal.Ifthestudentfallsbelow60 percent(40 percentforstudentswithpermanentdisabilities)ofafull-timecourseload,theschoolisexpectedtoreportthestudentaswithdrawn.

YYouth in Continuing Care of the B.C. Director (Ward of the Court)Atermusedtodescribeayoungperson,whohas,throughacourtorder,been:

• placedincontinuingcustodyofadirectorundertheB.C.Child,FamilyandCommunityServiceAct(CFCSA);or

• placedintheguardianshipofadirectorundertheB.C.FamilyRelationsAct(FRA);or

• takenintocareofaDirectorpursuanttoSections23,24and75oftheB.C.AdoptionActandneverplacedforadoption.

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StudentAid contact information Mailing address

StudentAid BC PO Box 9173, Stn. Prov. Govt. Victoria, BC V8W 9H7

Courier address

c/o StudentAid BC 835 Humboldt Street, 1st floor Victoria, BC V8V 4W8

Telephone

Main: 250-387-6100

If you are calling from the B.C. Lower Mainland: 604-660-2610

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

•   find out more about student financial assistance.

NationalStudentLoanServiceCentre(NSLSC)contactinformation

Mailing address

National Student Loans Service Centre P.O. Box 4030 Mississauga, ON L5A 4M4

Telephone

1-888-815-4514 (Within North America)

800 2 225-2501 (Outside North America)

TTY: 1-888-815-4556 TTY

Fax: 1-888 815-4657

Internet

CanLearn.ca

Visit: www.StudentAidBC.ca and CanLearn.ca

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Visit: www.StudentAidBC.ca

Student Guide

Vouspouvezobtenircettepublicationenfrancaisau www.StudentAidBC.ca

E l i g i b i l i t y - P l a n n i n g - A p p l y O n l i n e - L o a n s - G r a n t s - A p p l i c a t i o n S t a t u s - D i s b u r s e m e n t s - F o r m s - C o n t a c t - R e p a y m e n t

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Permanent Disability Programs Application(StudentAid BC)

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Permanent Disability Programs Application StudentAidBCApril 2011

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.

» 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? 1. Grants and BursariesThis 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.

2. Services and EquipmentThis 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.

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.

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)

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April 2011StudentAidBC Permanent Disability Programs Application

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.

CoNtACt youR DISABILIty CooRDINAtoR oR DESIGNAtED SChooL offICIAL foR ASSIStANCE IN ComPLEtING thIS APPLICAtIoN

progrAm requIred doCumentAtIon

CSGP–PDSBSDBCAGCSGP-SEPD

• 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

• 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.

CSGP-SEPD (in addition to the above documentation)

• A copy of your registration form for your current course(s) applicable to the permanent disability program funding you are requesting.

• Two 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.

Learning Disability Assessment Reimbursement (CSGP-SEPD)

• 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 EducationStudentAid BC – Directed Programs Unit PO Box 9173 Stn Prov Govt Victoria BC V8W 9H7

Courier Address:ministry of Advanced EducationStudentAid 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 Columbia108 - 1750 West 75th Avenue Vancouver BC V6P 6G2 Phone: 604 264-8295 Fax: 604 263-2267

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Permanent Disability Programs Application StudentAidBC | 1April 2011

seCtIon 1: All students MUST Complete thIs seCtIon

Student Last Name

Student First Name Initial

Mailing Address All mail will be sent to this address

Apt / box / suite number

City / Town Province / State

Postal Code / Zip Code Area Code Telephone Number

- -

Email Address

Date Classes Start Date Classes End

Year Month Day Year Month Day

- - to - -

Social Insurance Number

- - Application Number

-

Student Number

Personal Education Number

Date of Birth Year Month Day

- -

Gender Male Female

Citizenship Status (Mark one box only) Canadian Citizen Protected Person Landed Immigrant / Permanent Resident

Name of School

Campus

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 Name of claim advisor Contact Number

( )

Inactive – Closing Date In Appeals – as of

Year Month Day Year Month Day

- - - -

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.

mInIstry use only

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)

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2 | StudentAidBC Permanent Disability Programs Application April 2011

seCtIon 2: deClArAtIon — ImportAnt doCument; you must reAd, sIgn And dAteI 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; and7) 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. Authorization1) 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.

Signature of Applicant (Must be signed in Ink) 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.).

SAMPLE DOCUMENT

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Permanent Disability Programs Application StudentAidBC | 3April 2011

seCtIon 3: Csgp-sepd And Apsd (If your Csgp-sepd fundIng Is exhAusted) – servICes And equIpmentto 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-educationalreport(lessthansixmonthsold),and • Originalpaidreceipt(invoicenotacceptable)

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 disability-related 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

Please attach recommendations and / or rationale for specific equipment and / or software or specify in the space provided below.

Note: Disability Coordinator must submit a detailed Service Request by e-mail to StudentAid BC

servICes:

SChooL SuPPoRt

CANADA StuDENt

GRANtChECk ALL SERVICES REquIRED AND SuPPoRtED

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).

Taped lectures.

Accommodated exams.

Access to computer resources or adapted or alternate workstation or classroom.

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.

offICIAL SChooL StAmP oR SEAL

Signature of Disability Co-ordinator / School official: (in ink) Date Signed Year Month Day

- -

Print Name telephone Number

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4 | StudentAidBC Permanent Disability Programs Application April 2011

seCtIon 4: verIfICAtIon of permAnent dIsABIlItythIS 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 YYYY MM DD

3. Is this a chronic** disability? Yes No Date of onset: - - 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.)

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) 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

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

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)

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Permanent Disability Programs Application StudentAidBC | 5April 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.)

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 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 The learning disabilities report is attached and was completed in the last five years.

Yes No 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.

dIAgnostIC feAtures Yes No 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

Yes No 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.

SAMPLE DOCUMENT

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6 | StudentAidBC Permanent Disability Programs Application April 2011

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.

Explain the severity and prognosis of the student’s current permanent disability.

Severity:

Prognosis:

Name of Certifying Medical Assessor Registration / Certificate #

Occupation of Medical Assessor Area Code Telephone Number

- Mailing Address Area Code Facsimile Number

-

City / Town Province Postal Code

Signature of medical assessor (in ink) Date

*Permanent DisabilityA 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 / syndromeThe 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.

mEDICAL offICE StAmP

ReqUiRed

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TAB JSAMPLE DOCUMENT

Notification of Assessment(StudentAid BC)

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NOTES:

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Master Student Financial Assistance Agreements & Information(StudentAid BC & National Student Loans Service Centre)

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NOTES:

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IMPORTANT - PLEASE READ BORROWER PAGESPROTECTED WHEN COMPLETED - B

1.

Master Student Financial Assistance Agreementfor Canada and British Columbia

BC MSFAA #

Area Code and Telephone Number

Agreement: This integrated Master Student Financial Assistance Agreement (“MSFAA”) is comprised of two separate loan contractsbetween you (“you” or “your”), as identified in Part A, and: (1) Her Majesty the Queen in Right of Canada, as represented by the Minister ofHuman Resources and Skills Development (“Canada”), made pursuant to the CSFAA and called the Master Student Financial AssistanceAgreement for Canada (“MSFAA-Canada”); and (2) Her Majesty the Queen in Right of the Province of British Columbia as represented bythe Minister of Advanced Education and the Minister of Finance (“BC”) and called the Master Student Financial Assistance Agreement forBritish Columbia (“MSFAA-BC”).

Full Name of Student and Mailing Address Date of Birth (yyyy/mm/dd)Part A YOUR INFORMATION

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 AgreementPart C: Electronic Funds Transfer Part D: Your Acknowledgement and SignatureP t E D fi iti

Social Insurance Number

Part B MASTER STUDENT FINANCIAL ASSISTANCE AGREEMENT

For office use only

2.

3.

4.

OR ATTACH A VOID CHEQUE

Certification: You certify that all information provided in your application(s) for Financial Assistance and on this MSFAA is true andcomplete to the best of your knowledge.

Authorization: You authorize each of Canada and BC to collect, use and disclose information related to any of your Canada or BCStudent Loan(s) or Student Grant(s), as applicable, (i) by Canada, for the purposes of carrying out the administration and enforcement ofthe 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.

Account Number (Refer to bottom of personal cheque):

Agreement to Repay: You promise to pay your total Outstanding Loan Balance in accordance with the Terms and Conditions of each ofthe MSFAA-Canada and the MSFAA-BC.

Part E: DefinitionsPart F: Additional Terms and Conditions of your MSFAA-Canada and your MSFAA-BC

Transit Number

The terms in this MSFAA will form part of each of your MSFAA-Canada and your MSFAA-BC, to the extent applicable.

Part C ELECTRONIC FUNDS TRANSFER

Name and Address of Financial Institution:

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

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.

Signature Date (yyyy/mm/dd)

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.

Canada Post Stamp

Part D YOUR ACKNOWLEDGEMENT AND SIGNATURE

National Student Loans Service Centre

P.O. Box 4030Mississauga, 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 June 1, 2011-E

5. Ratifi cation 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 FinancialAssistance. You acknowledge that your acceptance of any disbursement made under this MSFAA will ratify your acceptance of any revised Terms and Conditions.

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IMPORTANT - PLEASE READ BORROWER PAGESPROTECTED WHEN COMPLETED - B

1.

Date of Birth (yyyy/mm/dd)

Master Student Financial Assistance Agreementfor Canada and British Columbia

Part B MASTER STUDENT FINANCIAL ASSISTANCE AGREEMENT

For office use only

BC MSFAA #

Part A YOUR INFORMATION

Area Code and Telephone Number

Full Name of Student and Mailing Address

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.

Social Insurance Number

The MSFAA is comprised of:Part A: Your Information Part B: Master Student Financial Assistance AgreementPart C: Electronic Funds Transfer Part D: Your Acknowledgement and SignatureP t E D fi iti

Agreement: This integrated Master Student Financial Assistance Agreement (“MSFAA”) is comprised of two separate loan contractsbetween you (“you” or “your”), as identified in Part A, and: (1) Her Majesty the Queen in Right of Canada, as represented by the Minister ofHuman Resources and Skills Development (“Canada”), made pursuant to the CSFAA and called the Master Student Financial AssistanceAgreement for Canada (“MSFAA-Canada”); and (2) Her Majesty the Queen in Right of the Province of British Columbia as represented bythe Minister of Advanced Education and the Minister of Finance (“BC”) and called the Master Student Financial Assistance Agreement forBritish Columbia (“MSFAA-BC”).

2.

3.

4.

Bank ID

Name and Address of Financial Institution:OR ATTACH A VOID CHEQUE

Account Number (Refer to bottom of personal cheque):

Part C ELECTRONIC FUNDS TRANSFER

The terms in this MSFAA will form part of each of your MSFAA-Canada and your MSFAA-BC, to the extent applicable.

Certification: You certify that all information provided in your application(s) for Financial Assistance and on this MSFAA is true andcomplete to the best of your knowledge.

Agreement to Repay: You promise to pay your total Outstanding Loan Balance in accordance with the Terms and Conditions of each ofthe MSFAA-Canada and the MSFAA-BC.

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

Authorization: You authorize each of Canada and BC to collect, use and disclose information related to any of your Canada or BCStudent Loan(s) or Student Grant(s), as applicable, (i) by Canada, for the purposes of carrying out the administration and enforcement ofthe 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.

Part E: DefinitionsPart F: Additional Terms and Conditions of your MSFAA-Canada and your MSFAA-BC

Canada Post Stamp

Signature Date (yyyy/mm/dd)

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.

Part D YOUR ACKNOWLEDGEMENT AND SIGNATURE

P.O. Box 4030Mississauga, 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)

National Student Loans Service Centre

Copy 2 - Your copy June 1, 2011-E

5. Ratifi cation 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 FinancialAssistance. You acknowledge that your acceptance of any disbursement made under this MSFAA will ratify your acceptance of any revised Terms and Conditions.

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“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 financialassistance 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, interest-free 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,

“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.

“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 isadministered 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.

(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 fullcourse 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, whootherwise 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 effectas the definition of Full-Time Student when used in the MSFAA-Canada.

“NSLSC” means the National Student Loans Service Centre which administers parts of the Financial Assistance programs on behalf of Canada.

“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.

Part E DEFINITIONS

“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 August1, 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 meansthe 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 containedin this MSFAA will only form part of your MSFAA-Canada or only form part of your MSFAA-BC, respectively.

“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.

“BC Authorized Administrator” or “BCA” means Canada acting on behalf of BC in administering parts of the BCSAP.

“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 StudentGrant 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 atany 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 unpaidnon-sufficient funds (“NSF”) fees outstanding as of August 1, 2011 (excluding any BC Student Grant amount(s)).

“Lender” means a financial institution that is a party to an agreement with Canada, entered into under the CSFAA or the CSLA.

Part F ADDITIONAL TERMS & CONDITIONS OF YOUR MSFAA-CANADA and MSFAA-BC

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 Loan Balance while you are a Full Time Student

(i)(ii)

(iii)(iv)(v)

(vi)(vii)

(viii)(ix)

(i)(ii)

exchange the financial information necessary to facilitate such Personal Pre-Authorized Debits according to the Canadian Payments Association Rule H1; anddebit 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.

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 offourteen and one-half (14½) years); or (3) you being required to pay a Final Lump Sum Payment.

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:

(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 ceaseto be a Full-Time Student.

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. Youhave 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 torevoke 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

(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 haveidentified 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:

(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 infull, 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.

(a) Interest-Free Period: Interest will not accrue while you are a Full-Time Student.

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:

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-Canadaand MSFAA-BC loan payments;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;Payment Allocation: payment amounts under this MSFAA will be allocated proportionately to the Outstanding Loan Balance under each of the MSFAA-Canada and the MSFAA-BC. 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 andthen to principal; Final Lump Sum Payment: any amount of your Outstanding Loan Balance that remains at the end of your Amortization Period; and

(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 beadded to the principal amount of your Outstanding Loan Balance.

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; Payment Trigger Date: is the first day of the seventh month following the month in which you cease to be a Full-Time Student;

Loan Balance while you are a Full-Time Student.

(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 BCStudent Loan or Student Grant for credit against any Outstanding Loan Balance you may have.

7. Return of Money

(b) Early Payment: You may pay all or any part of your Outstanding Loan Balance at any time without notice, penalty or bonus.

Principal, Interest and Fees: your Outstanding Loan Balance;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;

(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 asfollows:

(i)(ii)(iii)

(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:

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 full-time 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.

you may be returned to interest-free status for the applicable period; 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 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 youremain 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 orspecified 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 makingpayments 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 aninterest-free period can result if you do not meet the requirements for interest-free status under the CSFAA or the BCSAP, as applicable.

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your fi nancial 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.

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(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 twoconsecutive months;

(c) you file for or have filed against you any bankruptcy-related proceeding;

12. Denial, Termination and Immediate Repayment Under Your MSFAA-BC

11. Denial, Termination and Immediate Repayment Under Your MSFAA-CanadaYou 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 OutstandingLoan Balance:

(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.

(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(d) you seek relief under a provincial law relating to the orderly payment of debts that includes a Canada Student Loan;

(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 thatyou make the payment(s) and you demonstrably and unequivocally refuse to do so;

Part F (Continued) ADDITIONAL TERMS & CONDITIONS OF YOUR MSFAA-CANADA and MSFAA-BC

(d) Authorization: For the purposes of assessing your ongoing eligibility for Financial Assistance, and administering Financial Assistance and enforcing your obligations under the MSFAA-BC, 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 allparticulars 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 andmunicipal 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 Ministryof 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

(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 theMSFAA-BC, and that failure continues without you having made payment in full of the overdue loan payment for (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

(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 theirrespective contractors or agents, information to locate you including your name, SIN, date of birth, banking information, permanent and alternate address, telephone number, employer, andeducational institution address for the purpose of enforcing your obligations pursuant to each of the 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 inyour 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 StudentGrant(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) andthis 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 agentsincluding 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 beexchanged and disclosed with financial institutions, lenders, educational institutions, employers, credit bureaus and BC Ministry of Advanced Education and Ministry of Finance and CanadaRevenue Agency. The collection, use, exchange and disclosure will be undertaken as required and in compliance with the Privacy Act.

(i)

(ii)

(iii)

(iv)

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. 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. 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.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.

(f) Limitation Period: You acknowledge that the period for the limitation of actions shall be six years.

(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.

(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 MSFAAor you may be required to enter into a new MSFAA.

(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 andmaintenance.(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.

(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.

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 youof your Outstanding Loan Balance, subject to the CSFAA.

(b) Previous Outstanding Student Loan Amounts:

14. Miscellaneous

(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 theBCSAP, 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 programsor 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 orinsolvent or take advantage of or are the subject of any bankruptcy or insolvency-related proceeding, you may no longer be eligible for Financial Assistance.

(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 CollectionAgent. (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.

(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 youhaving 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 LoanBalance will become immediately due and payable in full on the day thereafter.

(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 thatsection, 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 andpayable in full on the day after the demand is made.

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"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, avail-able 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)."

Corporation of British Columbia, BC Assessment Authority, Land Title and Survey Authority of BC, WorkSafe BC, BC Vital Statistics Agency, Offi ce of the Superintendent of Bankruptcy Canada, Human Resources and Skills Development Canada, Canada Revenue Agency and Citizenship and Immigration Canada.

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Take the Master Student Financial Assistance Agreement(MSFAA) to a designated Canada Post1 outlet

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

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.

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.

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!

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Once your loan agreement is processed, StudentAid BC will need to:

» Confirm your enrolment: h 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.

h 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.

h 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.

» Initiate the disbursement of funds: h 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 Local Victoria 604 -660-2610 Lower Mainland

1-800-561-1818 Toll-free within North America

About disbursement of funds – contact the National Student Loans Service Centre at:

1-888-815-4514 Toll-free within North America800-2-225-2501 Toll-free outside North America1-888-815-4556 TTY

Whathappens

next?How

and when will you receive

your money?

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Confirmation of Enrollment(StudentAid BC)

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NOTES:

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Appendix 7 – Request for Reassessment

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REQUEST FOR REASSESSMENTAppendix 7StudentAidBC

Page 1

2 0 1 1 / 2 0 1 2

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.

5 Change in previous post-secondary weeksIf 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.

6 Changes in marital statusNote: 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.

7 Change in dependant informationIf 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.

8 Change in living situationNote: 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. ORB. 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.

Changes include but are not limited to:

1 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 Any new source of income, or changes to your incomeProvide 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)/step-parent/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.

3 Changes to your program of study or study period datesIf 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.

4 Change of school before cashing any StudentAid BC funding

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.

INSTRUCTIONSSection 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.

DEADLINEYour 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.

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REQUEST FOR REASSESSMENTAppendix 7StudentAidBC

Page 3

2 0 1 1 / 2 0 1 2

2011/12 APPENDIX 7

MINISTRY USE ONLY

What is your original 2011/2012 application number? (Questions must be answered in ink)

SCHOOL/PROGRAM CODESgo to page 4

(12) SOCIAL INSURANCE NUMBER

(13) STUDENT NUMBER (IF KNOWN)

(14) DATE OF BIRTH YEAR MONTH DAY

MALE FEMALE

(15) GENDER

(16) MARITAL STATUS (MARK ONE BOX ONLY)

SINGLESINGLEPARENT MARRIED

COMMON-LAW

SEPARATED/DIVORCED/W I D O W E D

C D EBA

(18) PROGRAM CODE

(17) SCHOOL CODE

IMPORTANT!• Onlyanswerquestions(inink)wheretheinformationisnowdifferentfromyouroriginal

application.

• Whenyouseethissymbol refer to the Instructions book for help.

• all information is subject to audit and verification.

• Nofaxesorcopiesareaccepted,originalsignaturesarerequired.

• Fundingcannotbeissuedafterthedateclassesend.

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

DEADLINE 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.

2 0 1 1

(01) LAST NAME NOTE: Your last name MUST match the name on your social insurance number card

(02) FIRST NAME NOTE: Your first name MUST match the name on your social insurance number card

(02a) MIDDLE NAME

(03) MAILING ADDRESS All mail will be sent to this addressApt./box/suite number STREET NUMBER AND STREET NAME

(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

(07) PROVINCE/STATE (08) POSTAL/ZIP CODE

(09) COUNTRY

(10) AREA CODE TELEPHONE NUMBER

( ) -

(11) E-MAIL ADDRESS

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Page 42011/12 APPENDIX 7

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) YES NO

(20) Are you or have you ever been a landed immigrant/permanent resident? (if born in Canada, mark NO) .........(20) YES NO

(21) Have you ever declared bankruptcy? If YES, read page 5 before answering ...........................................................(21) YES NO

(22) Have you ever cashed a Canada student loan? (if FULLY repaid, mark NO) ................................................................... (22) YES NO

(23) Date you graduated from or left secondary (high) school ............................................................................................(23)

YYYY MM

(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)

months

(25) Will you have been out of high school for more than 48 months (4 years) when classes start? ............................. (25) YES NO

(26) Are you married or common-law? If ‘YES’, Appendix 2 must be completed .................................................................(26) YES NO

(27) Are you a single parent, separated, divorced or widowed? ...................................................................................................(27) 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

(30) My parents are deceased and I do not have a legal guardian. If both conditions apply, read page 7 .........(30) YES NO

(31) Did you answer ‘YES’ to any of Questions 25 to 30? ..................................................................................................................(31) YES NO(GO TO 32) (GO TO 33)

[ ] [ ]

(32) Are you a resident of B.C. as defined on page 8? .............................................................................................................. (32) YES NO

(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) YES NO

SECTION 2 of 8 – PERSONAL INFORMATION continued

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Page 5 2011/12 APPENDIX 7

SECTION 2 of 8 – BEFORE CLASSES START (Read page 9)

.00$

.00$

.00$

.00$

.00$

.00$

.00$

$ .00

.00$

$ .00

YES NO

YES NO

YES NO

(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)

(b) Enrolled in full-time study for at least two months (including high school)? ...................................(34b)

(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)

(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)

(d) Child-care subsidy you receive? (Only one parent may claim child-care subsidy) Read page 10. Enter ‘0’ if none ....................................................................................................................(35d)

(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)

(36) In the four months BEFORE classes start what is the total amount of:

(a) Canada student loan and/or provincial student loan payments. Enter ‘0’ if none ...........................(36a)

(b) 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)

(c) 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)

(d) Child support and/or spousal support payments. Read page 11 ..................................................(36d)

(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)

SECTION 2 of 8 – BEFORE CLASSES START (Read page 9)

Specify:

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Page 6

(46) What year of this program will you be in? (e.g., 1st, 2nd, 3rd, 4th, etc.). Read page 14 ........................(46)

(47) Will you have a full-time job during your study period? Read page 14 before answering ................... (47)

(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)

(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)

(38) NAME OF SCHOOL

YEAR

(39) PROGRAM/FACULTY. Read page 12

(40) MAJOR/DEPARTMENT (IF APPLICABLE)

(42) DATE CLASSES END

YEAR MONTH DAY

STUDY PERIOD DATES FOR THIS APPLICATION

YEAR MONTH DAY

(41) DATE CLASSES START

(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) YES NO

(44) COURSE LOAD (MARK ONE BOX ONLY) (for students with permanent disabilities) Read page 13

100% 80% 60% 40%

(45) PROGRAM TYPE (MARK ONE BOX ONLY)A B

ASSOCIATE/ UNIVERSITY UNCLASSIFIED/ CERTIFICATE DIPLOMA TRANSFER BACHELOR MASTER DOCTORATE PROFESSIONAL QUALIFYING

C D E F G H

YES NO

YES NO

YES NO

SECTION 3 of 8 – AFTER CLASSES START/STUDY PERIOD

IMPORTANTYour study period cannot be more

than 52 weeks and must match your school’s program dates.

2011/12 APPENDIX 7

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Page 7 2011/12 APPENDIX 7

SECTION 3 of 8 – AFTER CLASSES START/STUDY PERIOD continued

.00$

.00$

.00$

.00$

.00$

.00$

.00$

.00$

.00$

.00$

.00$

.00$

.00$

.00$

.00$

.00$

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)

INCOME: Enter ‘0’ if none.

(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)

(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)

(60) Pension income from Orphan’s Benefits, Canada Pension Plan (CPP), retirement pensions, disability pensions, or any other pension. Read page 16 .................................................................................. (60)

(61) Scholarship or merit-based awards, including Passport to Education and Provincial Government Scholarship ..................................................................................................................................................................................(61)

(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)

(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)

(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)

(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 .................................................................................................................(68) Read page 18

Specify:

.00$

.00$

.00$

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Page 8

List ALL Canadian and foreign assets. (Include ‘locked-in’ assets.)

(69) What is the net worth of your RRSPs? Enter ‘0’ if none ..........................................................................................(69)

(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)

(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)

(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)

(74a) Do you have any eligible dependants as defined on page 22

(74b) List eligible dependants below (only include spouse/common-law partner if they are permanently disabled)

NO (go to Section 6)YES (give details below)

ANSWER ALL QUESTIONS

MOTOR VEHICLES Read page 20. You must answer BOTH Questions 73 and 73a.

All information is subject to audit and verification

ANSwER BOTH QUESTIONS

(73) Do you own a car/truck/motorcycle/other motor vehicle of which you are the registered owner? Uninsured vehicles must be declared .......................................................................................................................(73)

NO (you must answer Question 73a)

YES (give details below and answer Question 73a)

(73a) Do you lease a car/truck/motorcycle/other motor vehicle of which you are the registered lessee? Uninsured vehicles must be declared .................................................................................................... (73a)

OwN:

LEASE:NO

YES (give details below)

.00$

.00$

.00$

.00$

.00$

SECTION 5 of 8 – DEPENDANTS (Read page 22)

YEAR MAKE AND MODEL TYPE2010 Acura CSX 4dr Sedan

YEAR MAKE AND MODEL TYPE2010 Acura CSX 4dr Sedan

PURCHASE DATEYEAR MONTH

2 0 1 0 0 6

LEASE DATEYEAR MONTH

2 0 1 0 0 6

PURCHASE PRICE

$ 1 7 2 0 0 .00$ .00$ .00

VEHICLE VALUE AT LEASE DATE

$ 1 7 2 0 0 .00$ .00$ .00

RESALE VALUE

$ 1 6 5 0 0 .00$ .00$ .00

MONTHLY LEASE PAYMENTS

$ 3 8 0 .00$ .00$ .00

OTHER ELIGIBLE DEPENDANTS’ NAME(S)(Only include spouse/common-law partner if they are permanently disabled)

IS DEPENDANT ATTENDING

POST-SECONDARY?

YES NO

YES NO

YES NO

YES NO

YES NO

WAS THIS DEPENDANT CLAIMED ON YOUR 2010 TAX RETURN?

YES NO

YES NO

YES NO

YES NO

YES NO

DATE OF BIRTH

YEAR MONTH DAY

SECTION 4 of 8 – ASSET AND INCOME INFORMATION

2011/12 APPENDIX 7

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Page 9 2011/12 APPENDIX 7

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.).

Please provide an explanation for the changes made in this reassessment:

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Page 10

Give the name, address and telephone number of a contact person over 19 years of age living in Canada or the United States.

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 street number and street name

(82) Use this line for any part of your address not indicated above

(83) Use this line for any part of your address not indicated above

(84) CITY/TOWN

(85) PROVINCE/STATE (86) POSTAL/ZIP CODE

(87) AREA CODE TELEPHONE NUMBER (88) COUNTRY

( ) - CANADA U.S.

(89) Relationship to you (mark one box only)

A Parent/step-parent/sponsor/ legal guardian B Other

relative C Other

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)

SIGN HERE

PRINT NAME

PRINT HERE

(76) DATE SIGNED

YEAR MONTH DAY

SECTION 7 of 8 – ALTERNATE ADDRESS

2011/12 APPENDIX 7

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Page 11 2011/12 APPENDIX 7

(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 C Other

relative 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.

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.).

SECTION 8 of 8 – RELEASE OF INFORMATION (Read page 23)

CONTACT INFORMATIONTO REACH StudentAid BC BY PHONE:

Call (250)-387-6100

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

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

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