First Name
*
Your first or preferred name.
Last Name
*
Your last or family name.
Student Number
*
Your Guelp Humber Student number.
Campus
*
Campus
North
Lakeshore
Guelph-Humber
IGS
DOB Day
*
Date of Birth Day.
DOB Month
*
Date Of Birth Month.
DOB Year
*
Date Of Birth Year.
Phone Number
Phone Number.
Email
*
Email
Current Address Line 1
*
Address Line 2
Address City
*
Address Postcode
*
Address Province
*
Tuition cost for the semester
*
Per semester (Enter A Numeric Value Only With No Special Characters Ex: 500)
Books/Supplies cost for the semester
Per semester (Enter A Numeric Value Only With No Special Characters Ex: 500)
Rent cost per month
*
Per month (Enter A Numeric Value Only With No Special Characters Ex: 500)
Telephone cost per month
Per month (Enter A Numeric Value Only With No Special Characters Ex: 500)
Utilities per month
Per month (Enter A Numeric Value Only With No Special Characters Ex: 500)
Transportation cost per month
Per month (Enter A Numeric Value Only With No Special Characters Ex: 500)
Medical uninsured cost per month
Per month (Enter A Numeric Value Only With No Special Characters Ex: 500)
Childcare costs per month
Per month (Enter A Numeric Value Only With No Special Characters Ex: 500)
Groceries/Food cost per month
Per month (Enter A Numeric Value Only With No Special Characters Ex: 500)
Savings at beginning of year
*
(Enter A Numeric Value Only With No Special Characters Ex: 500)
Earnings during school year per month
*
Per month (Enter A Numeric Value Only With No Special Characters Ex: 500)
OSAP Loans
*
Total for year (Enter A Numeric Value Only With No Special Characters Ex: 500)
Scholarships/Bursaries
(Enter A Numeric Value Only With No Special Characters Ex: 500)
Government income per month
Specify (CPP/ChildTax/EI/VocRehab) Per month (Enter A Numeric Value Only With No Special Characters)
Other income
Government benefits (Enter A Numeric Value Only With No Special Characters Ex: 500)
Partner/Spouse contribution per month
Per Month (Enter A Numeric Value Only With No Special Characters Ex: 500)
Description of other income
Explain the details of the other form of income
Total amount you are requesting
*
(Enter A Numeric Value Only With No Special Characters Ex: 500)
Please describe the financial plan you had in place prior to commencing studies.
Please describe the unexpected circumstances/events that resulted in a financial emergency.
Please describe in detail.
Please describe the intended use of the Financial Relief Program funding
How are you currently supporting yourself or what help have you sought out already?
I authorize Humber/UofGH to release information to IGNITE concerning my enrolment status/application
*
Test