First Name
*
Your first or preferred name.
Last Name
*
Your last or family name.
Student Number
*
Your Guelp Humber Student number.
DOB
*
Date Of Birth (format DD/MM/YYYY)
Phone Number
*
Please enter digits only
Personal Email
*
Enter your personal email address.
UofGH Email
*
Enter your University of Guelph Humber email address.
Address Line 1
*
Enter your current street address
Address Line 2
Enter your apartment, suite, unit number, or other address designation.
City
*
City
Postal Code
*
Postal Code
Province
*
Province
Field of Study
*
Business
Community Social Services
Early Childhood Studies
Justice Studies
Kinesiology
Media & Communication Studies
Psychology
Please tell us why you chose your program or field of study.
*
Please tell us about your career aspirations and long-term goals.
*
Please tell us more about yourself and how receiving this award would impact your education.
*
How many semesters are there in your study period for the current school year?
*
Enter a number between 1 – 3
What are your tuition fees per semester?
*
What will your total rent/mortgage cost be per month?
*
What will your total utility costs be per month?
*
What will your total estimated food costs be per month?
*
What will your estimated transportation costs be per month?
*
What will your estimated uninsured medical/dental expenses be for your study period?
*
What will your miscellaneous expenses be for your study period?
*
How much do you expect to earn during your study period?
*
How much OSAP funding do you expect to receive during your study period?
*
What are your estimated family contributions towards your education for this study period?
*
What are your current savings for your study period?
*
Have you received, or are you expecting to receive any awards, scholarships, or bursaries?
*
If yes, please enter the total amount below for your study period.
Please upload supporting documentation to support confirmation of enrollment.
*
(i.e. Confirmation of enrolment verification/official enrollment letter, PDF format, max size 5MB)