The information collected in this application is used to assess the financial need of students who are applying for specific awards and employment offered by Redeemer University College.  All information collected is kept strictly confidential.

Double check the accuracy of the informaton entered and inform Financial Aid of any changes. 

Incomplete applications will be disqualified.  Deadline is March 31, 2012.
First & Last Name:
Email Address:
Redeemer Student Number (if known):
Date of Birth:
Gender: Male
Female
Citizenship:
Student Status Single
Single - out of high school for at least 4 years or a current/former Crown Ward
Married
Separated/Divorced
Number of Dependent Children (if applicable):
Church Membership:
City that your church is located in:
High School Attended:
City that your high school is located in:
High School Graduation Date (Month/Year):
Previous years of post secondary (college/university) education:
In 2012-13, I will be in Year: 1
2
3
4
5
B.Ed. - Yr 1
B.Ed. - Yr 2
Course Load at Redeemer: Full-time (4+ courses/term)
Part-time (less than 4 courses/term)
Degree Program: 1 year certificate
4 or 5 year BA/BSc/Concurrent BEd
2 year Consecutive BEd
Intended Area(s) of Study / Major:
Career Goal(s):
Summer 2012 Accommodations:
2012-2013 Academic Year Accommodations:
Student's estimated gross summer 2012 employment income:
Scholarships, Awards, Bursaries (received or expected) for the 2012-13 study period:
Off-Campus Employment income during 2012-13:
RESP (withdrawal):
Other income during 2012-13 study period:

Provide asset values as requested below.  If you are an incoming student, provide the value of your assets as of June 30, 2012.  If you are a returning student, provide the value of your assets as of May 15, 2012.
Vehicle(s):
Registered Retirement Savings Plans (RRSPs):
Savings:

If you are a single independent student (your high school completion date is June 2008 or earlier or you are a current/former Crown Ward) you do not have to provide any of the family information requested below.  You may proceed to the end of the application form.
Parents' current marital status:

If your parent(s) are divorced/separated, then only the parent you live with, or last lived with, needs to complete the family information below.  If that parent has re-married, then his or her spouse must also complete the family information below.
Father/Step-Father's Name:
Father/Step-Father's Employer:
Father/Step-Father's 2011 Gross Income (line 150 of Canadian Tax Return):
Father/Step-Father's CPP (line 308 + line 310):
Father/Step-Father's EI (line 312):
Father/Step-Father's Total Tax Payable (line 435*):

*If Father/Step-Father entered data on line 421 and/or 422 of his 2011 Income Tax Return, subtract amount(s) from line 435 and enter the revised amount.
Mother/Step-Mother's Name:
Mother/Step-Mother's Employer:
Mother/Step-Mother's 2011 Gross Income (line 150 of Canadian Tax Return):
Mother/Step-Mother's CPP (line 308 + line 310):
Mother/Step-Mother's EI (line 312):
Mother/Step-Mother's Total Tax Payable (line 435*):

*If Mother/Step-Mother entered data on line 421 and/or 422 of her 2011 Income Tax Return, subtract amount(s) from line 435 and enter the revised amount.
If your parents are divorced/separated, is there an agreement specifying a contribution for education?: Yes
No
If yes, how much per year?:
Number of dependant children, including applicant: (includes all children under the age of 16. Children over 16 must be full-time students and not out of high school for more than four years.)
Number of dependant children in college or university, including applicant, in 2012-13:
Total private elementary and/or secondary school tuition that will be paid by your family for 2012-13:
Supplementary Information:

If you are a married student, or will be married during the 2012-2013 study period, you must enter the following spousal information.
Date of Marriage (dd/mm/yyyy):
Spouse's Name:
Spouse's status during 2012-13 study period (if applicable):
Spouse's Employer (if applicable):
If your spouse will be a full-time student during the 2012-2013 school year, what is the length (number of weeks) of their program of study?
Spouse's 2011 Gross Income (line 150 of Canadian Tax Return):
Spouse's CPP (line 308 + 310):
Spouse's EI (line 312):
Spouse's Total Tax Payable (line 435*):

*If your spouse entered data on line 421 and/or 422 of his/her 2011 Income Tax Return, subtract amount(s) from line 435 and enter the revised amount.
Comments/Additional Information:
By submitting this form, you are vouching that all information provided is true, correct and complete in all respects. I agree