Tuition Waiver for Learners in/from Care

Student ID Number*

Date of Birth*

Email*

Name*

First name (Given name) Middle name Last name (Family name) Previous last name

Address*

Street Address City Province Postal code

Home phone number

Cell phone number*

Program*

Other program

If your program is not listed above enter it here, ie: MAJOR CODE - PROGRAM NAME.

Start date*

Have you applied for OSAP?*

Yes
No

Are you receiving any other government funding during your study period?*

Yes
No

If yes, please specify source:

ODSP
Ontario Works
PSSSP/band funding
Second career
Other

Specify other government funding

Have you been in care for a minimum of one year?*

Yes
No

Are you currently receiving Continuing Care and Support for Youth Allowance?*

Yes
No

Were you ever adopted?

Yes
No

If yes, at what age?

Please explain

Notice of Collection of Personal Information

Georgian College is compliant with the Freedom of Information and Protection of Privacy Act (FIPPA), 1990, and endeavors to treat your personal information in accordance with this law. The personal information requested on this form is collected under the legal authority of the Ontario Colleges of Applied Arts and Technology Act, 2002 and in accordance with Sections 38(2) and 41(1) of FIPPA. The information provided will not be used for any purposes other than the general analysis of the services received at the Registrar’s Office. For further information about the information requested on this form or the purpose for which it will be used, please contact Ashlee Armstrong, Manager, Financial Aid – ashlee.armstrong@georgiancollege.ca; for more information about FIPPA, please contact the Access and Privacy Office at AccessPrivacy@GeorgianCollege.ca

Applicants Declaration*

I have read and understood the above statement: I authorize Georgian College to verify the above information and to make any other inquiries necessary to process this application. I understand and agree that this Bursary will be applied toward tuition fees at Georgian College.

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Date Submitted*

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Phone

This field is for validation purposes and should be left unchanged.

Tuition Waiver for Learners in/from Care

Former or current youth in the care of a child welfare society, who are pursuing their first postsecondary program, may be eligible for a tuition waiver (Georgian pays your tuition fees). Priority will be given to residents of Ontario.

Eligibility criteria

Waiver amount

Supporting documents

Questions

Application form

Notice of Collection of Personal Information