Updated: Sept 2017
Application for International Graduate Student Bursary
Note: A small fund is available to provide minimal assistance to international graduate students who are required to pay higher
levels of program fees compared to domestic students. Due to limitations on the amount of funding available, only students who
show the greatest financial need can expect to receive support from this fund. In order to apply for support from this fund, the
following information must be provided. Application deadlines are October 1 and February 1.
Student’s personal data
Mr. Mrs. Ms. Student number:
Name:
Address:
E-Mail: ______________________________________________________________________________________
Marital status:
Do you have dependents? Yes No
Single Married
Divorced Common-law Other
If yes, number:
Ages
Canadian citizen Permanent resident
International student VISA
Student status: Full-time Part-time
Program of study:
Number of courses completed: Number of courses yet to be completed:
Tuition fees outstanding:
Budget Information (September April of current academic year)
Expenses (per month X 12 months)
Resources
Rent or Room and Board
$
Summer savings
Food
$
Net Employment earnings
Telephone
$
Parent contribution
Electricity
$
Spouse contribution
Heat
$
Federal student loan
Water
$
Provincial student loan
Local transportation
$
Scholarships
Child care
$
Bursaries
Medical/dental
$
Church contribution
Misc: laundry/toiletries, etc.
$
Training allowance
Other Expenses
Sponsorship
University residence
$
Income assistance
University meal plan
$
Child tax credit
Tuition and fees
$
Child support
Books and supplies
$
Investments/RRSPs
Return transportation - ONCE
per academic year
$
Other specify
Other specify
$
Total expenses
$_____________
Total resources
Total expenses minus Total Resources = Financial need
Updated: Sept 2017
Employment
Place of Employment during Summer ______________________________ Position _________________________
Net Earnings $______________________ Summer Savings $__________________
Place of Employment (Academic Year) _____________________________ Position ________________________
Full-time Part-time Net Employment Earnings (monthly) $__________ x 8 = $_________________
Parent/Spouse Data
Occupation of parent(s) ________________________________________ Annual Gross Income $____________
________________________________________ Annual Gross Income $____________
Occupation of spouse __________________________________________ Annual Gross Income $____________
Number of dependents in family _______________ Number attending university _____________
Do you live with your parents during the academic year? Yes No
If no, how many roommates do you have? __________
Comments
Please provide a full explanation of your financial circumstances. Explain why you wish to be considered for the
International Graduate Student Bursary. If there are special circumstances which limit the support provided by your
parent(s) or spouse, please explain. Limit is one page per application.
Declaration: READ CAREFULLY BEFORE SIGNING!
I declare that the foregoing information is, to my knowledge, a true, complete and accurate statement of my financial status, and I
hereby request consideration for assistance from the funds made available for this purpose by Saint Mary’s University.
I understand that the submission of false information may be subject to proceedings under the Discipline System for students (see
the current Calendar for the section on Student Discipline) and will result in the disqualification of my Application for an
International Graduate Student Bursary.
I authorize the release by Saint Mary’s University of information about any financial assistance that may be awarded to me as a
result of this application.
I authorize Saint Mary’s University to contact my sources of income for verification.
Signature: ______________________________________________ Date: ______________________________
Did you remember to…..
Multiply all of your expenses by 12?
Total your expenses and resources?
Incomplete applications will not be considered!
International Graduate Student Bursary funds are applied to the student’s account.
Please do not call or drop by the office for results. The results of your application will be
mailed to you by the FGSR Office after the posted deadlines.
For Office Use Only:
Student Account Balance $____________________ QPA ____________________
Award Amount $____________________________ Date _____________________
Approval:
Dean, Faculty of Graduate Studies and Research
Date:
click to sign
signature
click to edit
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