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IODE Ontario $ 500 up to $1,000 Lucy

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IODE Ontario
Lucy Morrison Memorial Fund for Education
Bursary Application Form
1 | Page January 2017
Post-Secondary Study in Ontario
$ 500 up to $1,000
• Awarded to students at the post-secondary level on the basis of
financial need.
• Applicants must have completed at least one full year of study
at an approved university or college.
• Applicants must be studying at an accredited post-secondary
institution in Ontario and must be a Canadian citizen.
Application forms available in your Awards Office
or
IODE Ontario
45 Frid Street, Suite 9
Hamilton, Ontario L8P 4M3
email:
iodeontario@bellnet.ca
Website;
www.iodeontario.ca
IODE is a national women's charitable organization,
dedicated to enhancing the quality of life for individuals, through
education support, community service and citizenship programs.
IODE Ontario
Lucy Morrison Memorial Fund for Education
Bursary Application Form
2 | Page January 2017
A
pplication
Name of applicant………………….…………………..………. Phone # ...….……...………………………..
Home address………………………………..…….……………………………..………………………….
Applicant’s mailing address…………………………..………… email …………..…….……………………….
Place of birth …………………………………… Date of Birth ……………… Canadian Citizen …. Yes / NO
I am enrolled at ………………………….……...…….. City …………………………..……………………
Course…………………………………………….…. Length of Course ……….….. Year Completed 1 2 3 4
N.B. Applicants must have completed at least one full year of study at an approved
university or college AND must be currently studying at an accredited post-
secondary institution in Ontario.
Information to accompany this application:
1. A detailed letter of reference from a member of university/college staff giving information
r
egarding your character, ability and family circumstances.
2. Name, address, and occupation of two references, such as professor or employer.
3. Transcript of marks - previous year and current marks if possible (showing final grades).
5. Proof of Enrollment in and current attendance at a post-secondary institution.
6. A copy of the OSAP statement. If you have not applied to OSAP or have been refused
as
sistance from OSAP, you must give an explanation.
7. Personal letter and resume with additional information which you feel is important.
8. A completed “IODE Student Budget” form.
9. Submit proof of Canadian citizenship.
I declare that the following:
Information provided on this application and the Student Budget form is correct.
Signature of Applicant ……..…………………………………..……………………………..………
Date ……….….……………………………………………….…………………
Important: Incomplete Applications Will Not Be Considered
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IODE Ontario
Lucy Morrison Memorial Fund for Education
Bursary Application Form
3 | Page January 2017
Student Budget
Please complete the Student Budget Form. It will help us to
determine your eligibility for a bursary. The bursaries are based
on financial need as well as academic standing.
This award is made available from the IODE Ontario Lucy
Morrison Memorial Fund for Education, which is the
Education Fund of the Provincial Chapter of Ontario IODE and
represents the voluntary contributions of our members
throughout Ontario. The fund is named in memory of a former
Provincial President of IODE. The value of bursaries is based on
the amount of funds donated each year.
The Student Budget Form and any supporting documents are to
be sent to:
Education Officer
IODE Ontario
45 Frid Street, Suite 9
Hamilton, Ontario L8P 4M3
fax: 905-522-3637
email: iodeontario@bellnet.ca
Website; www.iodeontario.ca
IODE Ontario
Lucy Morrison Memorial Fund for Education
Bursary Application Form
4 | Page January 2017
Student Budget Form
Name:
Financial Resources:
Savings from summer $_______________
Previous savings and/or investments cashed for use this year $_______________
Earnings during study period (if you are already working part-time) $_______________
Family contribution (parents, spouse) $_______________
Government financial assistance (OSAP, other provincial loans, etc.) $_______________
Other governmental Income (CPP, FBA, ODSP, etc.) $_______________
Scholarships/Fellowships/Awards/Bursaries $_______________
Bank loans $_______________
Other (specify) ______________________________________ $_______________
Total Resources $_____________
Estimated Expenses:
Total tuition and compulsory fees $_______________
Books/supplies/equipment $_______________
Rent/residence costs $_______________ X 8 month’s $_______________
Utilities/phone $_______________ X 8 month’s $_______________
Food $_______________ X 8 month’s $_______________
Transportation (local) $_______________ X 8 month’s $_______________
Trip home $_______________ X # of trips $_______________
Medical/dental costs (you pay) $_______________ X 8 month’s $_______________
Recreation/entertainment $_______________ X 8 month’s $_______________
Miscellaneous/personal $_______________ X 8 month’s $_______________
Clothing $_______________ X 8 month’s $_______________
Total Expenses $_____________
Based on the above budget, my calculated financial need is:
$_______________ minus $_______________ = $_______________
Total Expense Total Resources Financial Need
I certify that the information provided on this form is true and fairly represents my
financial situation.
Date: ___________________ Signature: ____________________________________
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Completed 1 September 2021

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