Application for Awards, Bursaries and Scholarships Name of award for which you are applying: Name of College program for which you have been accepted/registered: To be eligible for awards that specify Aboriginal ancestry as part of the criteria, please indicate below: Inuit Non-status Metis Treaty/Status Student information: Student name: Student #: Current address: City: Province: Postal code: Home phone: Cell phone: Date of Birth (dd/mm/yy): Email: Social insurance number: Permanent address (if different from above): City: Province: Postal code: Educational background: Name of high school: Grade completed: Year: Family information: If applicable, is spouse: Working Attending school At home Names and ages of dependent children: Name: Age: Name: Age: Name: Age: Name: Age: (If you need more space to write, please attach additional paper to this form) If applicable, please indicate how you meet the special criteria for this award. Red River College - Student Services Notre Dame Campus Exchange District Campus D101–2055 Notre Dame Ave., Winnipeg, MB R3H 0J9 P104-160 Princess St., Winnipeg, MB R3B 1K9 P: 204.632.2327 | F: 204.697.0584 P: 204.632.2327 | F: 204.949.9105 Last modified July 2015 Application for Awards, Bursaries and Scholarships Is there any additional information of which you would like us to be aware? I certify that the information given on this application form is complete and true in every respect. I understand that as an award applicant/recipient, the information on this application may be provided to the Award Selection Committee/Donor Student signature Date (dd/mm/yy) If financial need is a selection criterion, please complete the FINANCIAL INFORMATION section below. Financial information (during this year’s enrolment period) Monthly expenses Amount ($) Monthly resources Amount ($) Housing/Rent Employment income Food Spouse’s income Utilities EI/Employment MB Transportation Child Tax Benefit Day care Parental contribution Debt payments Sponsorship Miscellaneous (clothing, recreation, etc.) Other Total monthly costs: Total monthly resources: Other expenses: Amount ($) Other resources: Amount ($) Outstanding tuition Canada Student Loan Outstanding books Manitoba Student Loan Other Total: Total: Red River College - Student Services Notre Dame Campus Exchange District Campus D101–2055 Notre Dame Ave., Winnipeg, MB R3H 0J9 P104-160 Princess St., Winnipeg, MB R3B 1K9 P: 204.632.2327 | F: 204.697.0584 P: 204.632.2327 | F: 204.949.9105 Last modified July 2015 Application for Awards, Bursaries and Scholarships Please list any exceptional expenses you (or your spouse, where applicable) have or expect to have during the academic year. If you (or your spouse, where applicable) own a vehicle, please indicate the following: Make: Model: Year: Please list the type and cash value of all bank accounts, bonds, trust accounts, etc. Bank and account type Value Bank and account type Value (chequing/savings) (chequing/savings) This section to be completed by parent(s) unless the applicant: • Has been working full-time for two or more years OR • Has been out of high school for four or more years OR • Is married, living common-law, or has dependent children of their own. From previous year Mother Father Taxable income $ $ Non-taxable income $ $ Self-employment earnings $ $ Total: $ $ Names and ages of dependent , including applicant: Name: Age: Name: Age: Name: Age: Name: Age: For more information on our student awards and financial aid please visit rrc.ca/awards Mail or drop off a completed form to: Student Service Centre, Notre Dame Campus, D101-2055 Notre Dame Ave., Winnipeg, MB R3H 0J9 Red River College - Student Services Notre Dame Campus Exchange District Campus D101–2055 Notre Dame Ave., Winnipeg, MB R3H 0J9 P104-160 Princess St., Winnipeg, MB R3B 1K9 P: 204.632.2327 | F: 204.697.0584 P: 204.632.2327 | F: 204.949.9105 Last modified July 2015.