1. Healthcare

Ontario Aboriginal Bursary
Application 2014-2015
Financial Aid Office, Blackburn Hall
1600 West Bank Drive
Peterborough, ON K9J 7B8
Telephone: (705) 748-1524
Fax: (705) 748-1629
Submit completed application to the Financial Aid Office by January 29, 2015
Trent University is pleased to advise that the Government of Ontario has allocated funding to create a limited number of
Aboriginal Bursaries. These awards are for students of aboriginal identity or heritage including First Nations, Inuit and
Metis people.
This award considers financial need, as defined by the Financial Aid Office. The Financial Aid office will consider OSAP
and Native band funding information to determine individual need.
You are eligible for an Ontario Aboriginal bursary if:
 You are a Canadian citizen, Permanent Resident or Protected Person;
 You are an Ontario resident: Ontario must be the last province you resided in for at least one year before postsecondary studies;
 You are enrolled in full time studies (at least 60% of a full course load) for fall/winter session;
 You Have not received the Ontario Aboriginal award from another institution in the same funding year
 You are a student with aboriginal identity or heritage, including First Nations, Inuit and Metis people
If all of the above applies to you, then you are eligible to apply for an Ontario Aboriginal bursary. If you do not meet all
of these criteria, please do not complete this form.
Surname:
Given Name:
Email Address:
Social Insurance Number (SIN):
Trent Student Number:
Phone:
City:
Postal Code:
- to match OSAP application
Address:
Please indicate:
 First Nations
 Inuit
 Metis
 Married
 Sole Support Parent  Number of Children:
Band Name:
Student’s Marital Status:
 Single
DECLARATION OF STATUS:
“I hereby state that I am an Aboriginal student and identify as such as per my institution’s Aboriginal self-identification policy. This
assertion means that I identify as a member of the First Peoples of Canada meaning, in general terms, First Nation, Métis, Inuit,
Indigenous, Aboriginal or specifically by my home community or my Nation”.
Signature:
Date:
Incomplete applications, and applications without appropriate documentation, will not be processed.
FINANCIAL AID USE ONLY Approved $:
Bursary:
Account #:
Budget – Academic Year: For the Period
to
(Expenses and resources should reflect your current study period. For example: 8 months for a fall & winter term)
I am living:  At home  Away from home
Expenses
Resources
Tuition & Ancillary Fees
Summer/Work Term Savings (before fees
or rent were paid)
Books
Rent or Residence Fees (for entire term)
Utilities
Telephone
Groceries
Personal / Household
Bus / Return travel home
Local Transportation (gas only)
Uninsured Medical / Dental (attach receipts
Previous Savings
Part time Earnings (During study term)
Government Income (CPP, EI, etc.)
Native Band Funding
Parental Contribution / RESP
Spousal Contribution (8 month net income)
Total OSAP (loans and grants)
Other Province Student Aid
Scholarships / Awards
and insurance statement)
Child Care
Clothing
Laundry
Entertainment / Miscellaneous
Other (Specify and attach receipts):
Other Income (specify):
Total Expenses: $
Total Resources: $
Please select one of the following options:


Yes, the Financial Aid Office may release my name, and program of study, to the donor(s) or sponsor(s) of my
bursary or award.
No, I do not wish my name to be released to the donor(s) or sponsor(s) of my bursary or award. Please contact me
directly with any requests to release my name.
NOTICE OF COLLECTION OF PERSONAL DATA
The Ministry of Training, Colleges and Universities (the Ministry) has provided your college or university with the funding to administer the
First Generation Bursary and the Aboriginal Student Bursary (Bursary programs). As a condition of this funding, your college or university
is required to make reports to the Ministry of your contact information, the amount of bursary you receive and the date it was awarded,
your study period and information related to your eligibility for the bursary. This personal information will be used by the Ministry to
administer and finance the Bursary programs. It will also be used to establish the minimum amount of student aid your college or university
is required to provide under the Student Access Guarantee (the Guarantee) and to administer and finance the Guarantee.
If you apply for OSAP, this personal information will be used to update your OSAP application or award, including your declared income.
Administration includes: public reporting on the administration and financing of the Bursary programs and the Guarantee; monitoring and
auditing your college or university or its authorized agents to ensure that they are administering the Bursary programs appropriately;
conducting risk management, error management, audit and quality assessment activities; and conducting policy analysis, evaluation and
research related to all aspects of student assistance. Financing includes: planning, arranging or providing funding of the Bursary programs
and the Guarantee.
The ministry administers the Bursary programs and the Guarantee under the authority of the Ministry of Training, Colleges and Universities
Act, R.S.O. 1990, c. M.19, as amended. If you have any questions about the collection or use of this information, contact the Director,
Student Financial Assistance Branch, Ministry of Training, Colleges and Universities, P.O. Box 4500, 189 Red River Road, 4th Floor,
Thunder Bay, ON P7B 6G9.
Signature:
Date:
The Financial Aid Office at Trent University allows the disclosure or exchange of information to donors or sponsors and internal departments as required
regarding the awarding of scholarships, bursaries and awards. Information including student name, program and year of study may be released. The
information on this form is collected under the authority of the Trent University Act, 1963 and is needed to collect your personal and financial information.
The information will be used to determine your eligibility for bursaries. If you have any questions about the collection, use or disclosure of this information by
the University, please contact the University Registrar, Office of the Registrar, Blackburn Hall, 705-748-1215.