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 did you hear about the Financial Relief Program?
I authorize Humber/UofGH to release information to IGNITE concerning my enrolment status/application
*
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