Student Financial Profile–Graduate (FW23

Student Financial Profile–Graduate (FW23–24)

Protection of Privacy:
• Personal information in connection with this application is collected under the authority of The York University Act, 1965 and is needed for educational, administrative and statistical purposes, and to process your application and decide on your eligibility for the programs you indicate below.
• Once an award has been granted, York University may disclose certain information to the donor of the award, the Division of Advancement, provincial funding organizations and/or York University academic departments/Faculties and Colleges, as set out in the Declaration and Consent section.
• If you are the recipient of a scholarship and/or award, your name and photograph may be used for promotional purposes as set out in the Declaration and Consent section.
• If you have any questions about the collection, use and disclosure of your personal information by York University, please contact: Registrarial Services, rscheck@yorku.ca, 416-872-9675.

Please complete the form below to be considered for entrance awards that require the demonstration of financial need.

York Student ID (if available)
Name Name First Last
Email
Student Status
Please respond to the following questions.
1. I am single with no dependents.

1. I am single with no dependents. Yes No
2. I am married or in a common-law relationship with no dependents.

2. I am married or in a common-law relationship with no dependents. Yes No
3. I am married or in a common-law relationship with dependents.

3. I am married or in a common-law relationship with dependents. Yes No
4. Is your partner earning an income?

4. Is your partner earning an income? Yes No N/A
5. Is your partner a full-time student?

5. Is your partner a full-time student? Yes No N/A
6. Is your partner receiving OSAP or any other government assisted student loan?

6. Is your partner receiving OSAP or any other government assisted student loan? Yes No N/A
7. I am a sole-support parent

7. I am a sole-support parent Yes No
8. Please indicate the number of dependent child(ren).
9. Where will you be residing during the Fall/Winter 23–24 academic sessions? (select one)

9. Where will you be residing during the Fall/Winter 23–24 academic sessions? (select one) With parent(s), family or friends not paying rent With parent(s), family or friends paying rent Living in on-campus residence Living off-campus paying rent
10. Which ONE statement best describes your current residency?

10. Which ONE statement best describes your current residency? I have lived in Ontario all my life or Ontario is the last province in which I lived (or will have lived) for at least 12 months in a row, prior to being a full-time post-secondary student. My spouse has always resided in Ontario or Ontario is the last province in which my spouse resided for 12 months in a row without being a full-time postsecondary student. Ontario is the last province my parent(s), step-parent, legal guardian, or official sponsor(s) has resided in for 12 months in a row. I am from another Canadian province or territory. I am an international student. I am a Canadian citizen and I and/or my parents/spouse have not been living in Canada for the past 12 months in a row.
B. What is your partner's gross annual income for the current calendar year (January to December)?
8. Have you already applied for the Ontario Student Assistance Program (OSAP) or the government student assistance program in your province/territory for the Fall/Winter 2021–2022 session?

8. Have you already applied for the Ontario Student Assistance Program (OSAP) or the government student assistance program in your province/territory for the Fall/Winter 2021–2022 session? Yes No
Financial Resources
Please only include your resources for the Fall/Winter 2023–2024 academic year (September 2023 to April 2024).
Your income from paid work outside York University. (Do not include any anticipated TA/GA/RA income from York University).
Your monthly income from government benefits (i.e. EI, Ontario Works, Indian Affairs, VRS, CPP, etc.)
Please specify government benefits that you receive.
Spousal or other family contributions.
Other resources that will support your studies.
Savings to be used during the Fall/Winter 2023-2024 academic year
Monthly income from Teaching, Research or Graduate Assistantship
Tuition Fee Waiver: (If you are a senior, or an employee at York eligible for the waiver, or a dependent/spouse/partner of a York employee eligible for the waiver)

Tuition Fee Waiver: (If you are a senior, or an employee at York eligible for the waiver, or a dependent/spouse/partner of a York employee eligible for the waiver) Yes No
Agreement

• I declare that the information I have provided in this application is true, complete and accurate.
• I understand that all information I have provided in connection with this application is subject to verification and audit by York University.
• I will provide supporting documentation to York University to verify my eligibility upon request.
• I understand that any funds I receive will be applied to my student account at York
• I consent to the disclosure by York University of personal information I have given on this application as follows:
o To other educational institutions and the Ministry of Training, Colleges and Universities (for OSAP purposes) to verify its completeness and accuracy.
o Should I be selected to receive an award, to the donor of the award, the Division of Advancement and other educational institutions the following information: my name, my award, program of study, year level, the amount of my award and personal information that confirms the reason for the award grant. To opt out, please send a written request to Scholarships & Bursaries, W223 Bennett Centre for Student Services, York University, 4700 Keele Street, Toronto, Ontario, M3J 1P3; and
o Should I be selected to receive a scholarship, my name, program of study, year level and photograph for promotional purposes.

Agreement

• I declare that the information I have provided in this application is true, complete and accurate.
• I understand that all information I have provided in connection with this application is subject to verification and audit by York University.
• I will provide supporting documentation to York University to verify my eligibility upon request.
• I understand that any funds I receive will be applied to my student account at York
• I consent to the disclosure by York University of personal information I have given on this application as follows:
o To other educational institutions and the Ministry of Training, Colleges and Universities (for OSAP purposes) to verify its completeness and accuracy.
o Should I be selected to receive an award, to the donor of the award, the Division of Advancement and other educational institutions the following information: my name, my award, program of study, year level, the amount of my award and personal information that confirms the reason for the award grant. To opt out, please send a written request to Scholarships & Bursaries, W223 Bennett Centre for Student Services, York University, 4700 Keele Street, Toronto, Ontario, M3J 1P3; and
o Should I be selected to receive a scholarship, my name, program of study, year level and photograph for promotional purposes. By submitting this Student Financial Profile, I have read and agree to the above:

Student Financial Profile–Graduate (FW23–24)

Student Financial Profile–Graduate (FW23–24)

Please respond to the following questions.

Financial Resources Please only include your resources for the Fall/Winter 2023–2024 academic year (September 2023 to April 2024).

Financial Resources
Please only include your resources for the Fall/Winter 2023–2024 academic year (September 2023 to April 2024).