Graduate Students Financial Need Assessment Form for Work Study Fall/Winter

Graduate Students Work Study Financial Need Assessment Form: Fall/Winter 2023-24

Graduate domestic students must be registered full-time to use this form. Work study decisions are emailed within 5 to 10 business days.

Name:

Student ID Number:

I will be registered as a full-time graduate student for:

Work Study Deadline:

Fall and Winter Fall only Winter only

January 15, 2024

Citizenship / Residency / Government Aid

CITIZENSHIP STATUS:

Canadian Citizen Permanent Resident Protected Person

(International Students must complete the International Student Financial Need Assessment form)

RESIDENCY: Choose the first option that best describes your current residency situation:

I have lived in Ontario all of my life.
Ontario is the last province in which I lived (or will have lived) for at least 12 months in a row without being a full-time post-secondary student.
Ontario is the last province in which my spouse has lived (or will have lived) for at least 12 months in a row without being a full-time post-secondary student.
I live in Ontario now and I have lived in Canada for less than 12 months in a row.
I live in Ontario and none of the previous statements apply to me. My home province/territory is:

GOVERNMENT AID:

I have or will apply for OSAP: Yes No
I have or will apply for Out-of-Province government assistance: Yes No

GTA / GRA / GSA Information

To be completed by the Chair (or designate) of your department even if reporting $0

Semester

Source (circle type)

Amount Committed to this Student

Fall 2023

GTA / GRA / GSA

Winter 2024

GTA / GRA / GSA

Signature of Chair (or designate)

Print Full Name

Date

FOR OFFICE USE ONLY:

OSAP/OOP AMT:

SAG:

UNMET NEED:

DATE:

INITIAL:

WORK STUDY

COMMENTS:

Initial & Date

Approve

Deny

Initial & Date

AIDE:

AMT:

CMC:

Information Required

Enter your pre-study income (gross earnings for the 16-week period prior to the start of your study period)

Were you registered as a full-time student during your pre-study period? Yes No

Student bank loan or personal line of credit (available balance only)

A) Income / Resources

For your study period (if applying for Fall and Winter, study period = 8 months; if applying for Fall or Winter Only, study period = 4 months)

Bank balance before paying tuition/expenses at the start of this study period

Parental or spousal financial contribution

Married students not on OSAP: You must attach a copy of your spouse's 2022 Notice of Assessment

Total amount of OSAP or Out-of-Province assistance

Out-of-Province assistance: You must attach proof of your government aid funding assessment

Awards, scholarships or bursaries

GTA/GRA/GSA

Employment income (do not include GTA/GRA/GTA)

Government income or sponsorship funding including Child Tax Benefit
Specify type/source:

Investments and savings (e.g., GICs, mutual funds, bonds, TFSA, RESPs, etc.)

Registered Retirement Savings Plan (RRSP) total value

Any other income you will be receiving not listed above (e.g., gifts, child or spousal support, etc.)

TOTAL Financial Resources (Report on Line 1 below)

B) Expenses

Choose the option that matches your marital status and registration plans for the appropriate study period

I am Single, will be registered full-time in a graduate program and will live away from home.

Fall AND Winter (Claim $33,575)
Fall OR Winter (Claim $16,790)

I am Single, will be registered full-time in a graduate program and will live at home with parents/guardians.

Fall AND Winter (Claim $16,615)
Fall OR Winter (Claim $8,310)

I am married and my partner is not a full-time student. I will be registered full-time in a graduate program.

Fall AND Winter (Claim $36,855)
Fall OR Winter (Claim $18,430)

I am married and my partner is a full-time student. I will be registered full-time in a graduate program.

Fall AND Winter (Claim $22,615)
Fall OR Winter (Claim $11,310)

I am a sole support parent and will be registered in a full-time graduate program.

Fall AND Winter (Claim $35,795)
Fall OR Winter (Claim $17,990)

Childcare: Indicate the number of dependent children you have, claim an additional $2,650 per registered semester per child

# dependent children: x # sem. (1 or 2): x $2,650 = Claim this amount:

Other expenses (e.g., prescriptions not covered by insurance, etc.):

You must attach receipts for verification.

TOTAL Expenses (Report on Line 2 below)

C) Financial Need

Line 1 (from Section A: Resources)

Line 2 (from Section B: Expenses)

FINANCIAL NEED: Line 1 minus line 2

Notice of Collection of Personal Information

We are committed to protecting your privacy. Personal information is collected under the authority of the University of Guelph Act (1964) and pursuant to the Freedom of Information and Protection of Privacy Act (FIPPA), R.S.O. 1990, c.F.31 as amended. Personal information and the information collected on this form will be used by University of Guelph officials to carry out their authorized administrative responsibilities, such as but not limited to awards selections and notifications. If you are selected as the recipient of an award, information about your program of study and a brief rationale for your selection may be shared with the award donor(s) for stewardship purposes. In addition, if you have applied for OSAP assistance, the University is required to notify the Ministry of Colleges and Universities, OSAP branch, which may result in an OSAP re-assessment.

If you have questions about the collection, use or disclosure of your personal information, call the Office of Registrarial Services at (519) 824-4120 ext. 58715 or refer to the Departmental Policy on the Release of Student Information.

Comments / Explanation

Attach a separate sheet if you have any comments or explanations to provide.

I certify that the information contained in this application is complete and true. I agree to provide Student Financial Services with any documentation necessary to verify the above-noted information. I understand that failure to provide such documentation may affect current or future eligibility for the Work Study program.

Signature:

Date:

Completed forms can be scanned and emailed from your University email account to awards@uoguelph.ca.