Anne and Paul Mahon Rec and Read/Post Secondary Club (PSC) Bursary Application

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Anne and Paul Mahon Rec and Read/Post‐
 Secondary Club (PSC) Bursary Application
            ELIGIBILITY CRITERIA & GENERAL AWARD INFORMATION
Eligibility Criteria:
    1. Applicants must have taken part in either the “Rec and Read” or “Post‐Secondary Club” in high
       school for a minimum of one full year.
    2. Applicants must check the self‐identification box on the University of Manitoba application form
       stating that you are a Canadian Indigenous person. (First Nations, Metis, Inuit).
    3. To be eligible to receive funding from this award program, all students must be registered in
       courses in both the Fall and Winter terms.
    4. Students must register for and complete a minimum of 9 credit hours per term.
    5. Applicants must meet the minimum admission requirements for University 1 (including limited
       admission), or for any faculty with a “Direct Entry” option at the University of Manitoba.

General Award Information:
    1. Successful recipients are contacted via email by the end of July. Students can also check Aurora
       Student by that time, to see if a bursary has been setup for disbursement. Award information is
       available for viewing under the “View my Student Aid” tab section in the Student Awards and
       Financial Aid tab in Aurora Student.
    2. Bursary funds are disbursed to tuition fees prior to the fall term fee deadline. If the bursary
       amount does not cover the full amount due for the fall term, it is the recipient’s responsibility to
       pay the remaining amount owed by the fee deadline (to prevent late fee charges).
    3. Should a recipient of this bursary have their tuition fees covered by a sponsorship, the recipient
       may request a refund in Aurora. This can be done after the course revision deadline date in
       September. The refund will be issued as an e‐Transfer, or cheque when specified.

                           Application Deadline: June 1st
                                RETURN COMPLETED APPLICATIONS TO:
                         FAAOapplications@umanitoba.ca

            Incomplete applications will not be eligible for bursary consideration.
Reset Form
                           Anne and Paul Mahon
                           Rec and Read/Post‐Secondary Club (PSC) Bursary                                 (Award #17466)

Please choose which program you participated in:                 Rec and Read                  Post‐Secondary Club
____________________________________________________________________________________
(NAME OF YOUR HIGH SCHOOL)

____________________________________________________________ #00 ___________________
(NAME OF THE UNIVERSITY PROGRAM YOU APPLIED TO)                                                    (UM STUDENT NUMBER)

_______________________________ _____________________ ______________________________
(FIRST NAME)                                   (MIDDLE NAME)                   (LAST NAME)

_______________________________ ____________________________________________________
(TELEPHONE NUMBER)                             (EMAIL ADDRESS)

Do you have children?            No  Yes (you must complete the Applicant’s dependents section on page 1).

 Expenses                                                      Resources
 Tuition cost for both terms*
 *including health insurance
                                          $                    Parental Contribution                  $
                                                               All income.*
 Books & Supplies/Equipment               $                    *Do not include amounts already        $
                                                               included in the following fields)
 Rent                                     $                    Spouse’s income (if married)           $
 Telephone (cell & land lines)            $                    Trust Funds / Bonds / RESP             $
 Heating / Electricity                    $                    Previous savings                       $
                                                               Summer savings (Please
 Food (groceries)                         $                                                           $
                                                               estimate)
 Clothing                                 $                    Band sponsorship                       $
 Transportation*
 *car/bus costs, please indicate
                                          $                    Bank loan / Line of Credit             $
                                                               Government Income*
 Entertainment & dining out               $                    *i.e., Family allowance,               $
                                                               Orphan’s benefit, etc.)
 Insurance(s) *
 *Do not list your UM health and dental                        Scholarship / Bursary /
                                          $                                                           $
 plan costs if they already have been                          Graduate Fellowships
 calculated in your tuition.

 Laundry                                  $                    Income tax rebate (estimate)           $

 Other (Please specify on page2)          $           0.00

                                TOTAL     $           0.00                               TOTAL        $              0.00

                                                    DEFICIT (Expenses ‐ Resources) = $                               0.00

      ,
Name: ____________________________________________                   UM Student Number: _________________                  1
Anne and Paul Mahon
                     Rec and Read/Post‐Secondary Club (PSC) Bursary                         (Award #17466)

OTHER EXPENSES

Expense Description (Please specify what the expense is for, e.g. day‐care costs)                    $ Total

                                                                                        $

                                                                                        $

                                                                                        $

                                                                                        $

                                                                                        $

                                                      TOTAL (Other Expenses) $                         0.00

FAMILY PROFILE – Applicant’s with Dependents:
                                                                     Amount of Fees           Other Support
   Age       Name of School or Day‐care                             Paid by Applicant         Child Receives

                                                                $                       $

                                                                $                       $

                                                                $                       $

                                                                $                       $

                                          Total Number of Dependent Children:

      ,
Name: ____________________________________________          UM Student Number: _________________             2
Anne and Paul Mahon
                        Rec and Read/Post‐Secondary Club (PSC) Bursary                            (Award #17466)

STUDENT ‐ why this funding is essential?
In 600 words or less, please outline why this funding is essential to enable you to attend the University
of Manitoba for the upcoming fall/winter session. Please describe how you benefited from being
involved in the Rec and Read or Post‐Secondary Club programs.

READ THIS BEFORE YOU SIGN BELOW: I hereby declare that all the above information is complete and true in
every respect, and that financial assistance is essential for me to continue my education. All information is mine
alone and if not, any award money received, if applicable, is forfeit. I also consent to full access to my student
records. (This personal information is being collected under the authority of The University of Manitoba Act. It will
be used for the purposes of assessment of financial need and will not be used for public and / or university
publication purposes. I agree to allow the university to release my contact information to the donor (s) of this
award.)

Signature of Applicant _________________________________________ Date ____________________

      ,
Name: ____________________________________________                 UM Student Number: _________________             3
Anne and Paul Mahon
                        Rec and Read/Post‐Secondary Club (PSC) Bursary                            (Award #17466)

TEACHER REFERENCE – student involvement
In 600 words or less, please speak to this student’s involvement in either Rec and Read or Post‐
Secondary Club programs.

READ THIS BEFORE YOU SIGN BELOW: I hereby declare that all the information in my reference provided above is
complete and true in every respect. (This information is being collected under the authority of The University of
Manitoba Act. It will be used for the purposes of assessment of financial need and will not be used for public and /
or university publication purposes.)

Signature of Reference _________________________________________ Date ____________________

      ,
Name: ____________________________________________                 UM Student Number: _________________            4
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