EMERGENCY STUDENT ASSISTANCE APPLICATION
Please complete all parts of this application in full.
Incomplete applications will not be processed.
Usually, loans do not exceed $1000, as funds are limited.
Consider carefully your ability to repay before you apply.
You must have paid all tuition owing for both the current and from previous academic sessions.
You must have repaid all outstanding emergency aid from previous academic sessions.
You must be a full-time student in the current academic session.
You must have achieved the minimum passing grade on all courses taken in the previous academic session.
Required Supporting Documentation:
The following documents, when applicable, need to be included in your application package. Only clear
scans/photocopies are acceptable. Check list:
Recent pay stub;
Government Student Aid Notice of Assessment/Assistance;
Canada Revenue Agency (CRA) Notice of Assessment;
Awards external to the University (bursaries, scholarships, etc.), only clear scans/photocopies accepted.
How to Complete This Form:
This form performs some calculations and therefore must be completed using the free Adobe Acrobat Reader. Please fill
out the form and email it, along with your supporting documents, to firstname.lastname@example.org to be reviewed by an
Awards Officer. Upon approval, you will be required to sign both this Application and a Promissory Note.
Notice Regarding Collection, Use, and Disclosure of Personal Information by the University
Your personal information is being collected under the authority of The University of Manitoba Act. The information you
provide will be used by the University for the purpose of determining eligibility for the Emergency Loan, for
administrating the loan, and for communication. Your personal information will not be used or disclosed for other
purposes, unless permitted by The Freedom of Information and Protection of Privacy Act (FIPPA). If you have any
questions about the collection of your personal information, contact the Access & Privacy Office (tel. 204-474-9462), 233
Elizabeth Dafoe Library, University of Manitoba, Winnipeg, MB, R3T 2N2.