Graduate In-Course Award Application (Doctoral Programs) 2022-2023 - Graduate In-Course Award Application (Doctoral Programs) Step 1 of 18 0% Personal Information Statement*It is a University of Toronto requirement to get consent for data collection on electronic forms. By completing this application, you are requesting the faculty to consider you for any admission award that you may be eligible to receive. Please see Personal Information Statement Tab and provide your data collection consent below. No Yes, I agree You cannot continue with the electronic form, please contact awards.nursing@utoronto.ca to discuss your options. PERSONAL INFORMATIONStudent Number (If Known) Student number must have 10 digits. If your student number is less than 10 digits, preface it with enough zeros to make it 10 digits. First Name/Given Name* Last Name/Surname* Chosen Name Street Address* Apartment # City* Province* Postal Code* Email* Enter Email Confirm Email Phone Number* PROGRAM INFORMATIONDegree*PhD RESIDENCY Residency and financial information is being collected to confirm eligibility for OSOTF and OSOTF II/OTSS awards, which are given based on financial need and residency requirements. International students are not eligible; however, they are eligible for other awards. Please note that many awards are based on need and residency. Status in Canada* Canadian Citizen or Permanent Resident Study Permit Ontario Residency*To be eligible for OSOTF awards, you must: i) be a Canadian Citizen/Permanent Resident of Canada/Protected Person, ii) demonstrate financial need. Please check the statement that applies. I was born and raised and/or have always resided in Ontario I resided in Ontario for 12 consecutive months before becoming a post-secondary student. My partner/ spouse has resided in Ontario for at least 12 consecutive months immediately before the last day of the month in which classes began for my most recent period of full-time post-secondary studies (i.e. current academic year) and, during this time, my partner/ spouse was not enrolled in full-time post-secondary studies. I qualify as a dependent and my parent(s), step-parent(s), legal guardian(s), or official sponsor(s) has resided in Ontario for at least 12 consecutive months immediately before the last day of the month in which classes began for my most recent period of full-time post-secondary studies (i.e. current academic year) I live in Ontario now AND have lived in Canada for fewer than 12 months in a row. Not a resident of Ontario ACADEMIC AND PROFESSIONAL BACKGROUND Where directed, please provide any professional or academic highlights that address award criteria if applicable. If you are selected for an award, this information (not financial) may be provided to the award donor. In submitting this application, you agree to this disclosure. Have you worked as a RN in full time employment for at least 5 years?* Yes No Please indicate up to 3 areas of interest/experience. The list is based on awards available for specific areas of nursing and is not a comprehensive list of all nursing interest areas. There are also several awards available that are not based on a specific area of interest. Area of Interest 1*AddictionsCardiac/ StrokeCommunity HealthGeriatricGlobal HealthHealth Policy/ Nursing AdministrationHospice and Palliative CareIndigenous Health NursingInfection ControlMaternal HealthMedical/Surgical NursingMental Health NursingNeurosciencesNursing EducationOncologyPaediatricsPain ManagementPreventive CareRehabilitation NursingPublic HealthWomen/Gender HealthVeterans' HealthPlease describe your interest and experience in this area.*Max 250 wordsArea of Interest 2AddictionsCardiac/ StrokeCommunity HealthGeriatricGlobal HealthHealth Policy/ Nursing AdministrationHospice and Palliative CareIndigenous Health NursingInfection ControlMaternal HealthMedical/Surgical NursingMental Health NursingNeurosciencesNursing EducationOncologyPaediatricsPain ManagementPreventive CareRehabilitation NursingPublic HealthWomen/Gender HealthVeterans' HealthPlease describe your interest and experience in this area.Max 250 wordsArea of Interest 3AddictionsCardiac/ StrokeCommunity HealthGeriatricGlobal HealthHealth Policy/ Nursing AdministrationHospice and Palliative CareIndigenous Health NursingInfection ControlMaternal HealthMedical/Surgical NursingMental Health NursingNeurosciencesNursing EducationOncologyPaediatricsPain ManagementPreventive CareRehabilitation NursingPublic HealthWomen/Gender HealthVeterans' HealthPlease describe your interest and experience in this area.Max 250 wordsPlease provide a brief statement that summarizes your academic background and professional experience.*Max 250 words BUDGET If you choose not to complete the financial budget or fail to demonstrate need, you will be considered for non-need-based awards only. I would like to be considered for need-based awards.* Yes No LIVING EXPENSESThe following questions will prompt you to provide information about the resources and expenses you anticipate between September 1, 2022 and August 31, 2023. Financial need is normally demonstrated when a negative balance appears in the “TOTAL AVAILABLE RESOURCES” field of the application (e.g., “Total Expected Expenses” is higher than “Total Expected Resources”). Showing a large positive balance in the “TOTAL AVAILABLE RESOURCES” field is not typically considered a demonstration of financial need, unless extenuating circumstances are also reported within the text box provided in this application. Enter your expected expense and resource amounts ensuring they don't exceed any maximum eligible amounts as indicated. The system calculated Living Expenses are based on provincially determined (OSAP) allowable claims, for which rent, utilities, food, household supplies, cell & internet, transportation costs, etc. are accounted. Supporting documentation must be provided for items where indicated on the form. Do you have rent or mortgage payments?* Yes No Status* Single/ Separated/ Divorced Married/common-law Status* Single/ Separated/ Divorced Married/common-law Number of dependent(s) aged 0 to 12*If this is not applicable to you, enter zero.Please enter a number greater than or equal to 0.System Calculated: Eligible Dependent Expenses - Aged 0-12 (WITHOUT Mortgage/Rent)Maximum allowance = $333 x # of children x 12 months System Calculated: Eligible Dependent Expenses - Aged 0-12 (WITH Mortgage/Rent)Maximum allowance = $600 x # of children x 12 months Enter Dependent Expenses - aged 0-12 up to the maximum eligible as shown aboveIf this is not applicable to you, enter zero.Please enter a number greater than or equal to 0. Number of dependent(s) - aged 13 to 18*If this is not applicable to you, enter zero.Please enter a number greater than or equal to 0.System Calculated: Eligible Dependent Expenses - Aged 13-18 (WITHOUT Mortgage/Rent)Maximum allowance = $491 x # of children x 12 months System Calculated: Eligible Dependent Expenses - Aged 13-18 (WITH Mortgage / Rent)Maximum allowance = $729 x # of children x 12 months Enter Dependent Expenses - aged 13-18 up to the maximum eligible as shown aboveIf this is not applicable to you, enter zero.Please enter a number greater than or equal to 0. Number of children in Day Care*If this is not applicable to you, enter zero. Please enter a number greater than or equal to 0.System Calculated: Maximum Eligible Day Care Expenses Day Care Expenses*Enter day care expenses for the period for all dependent children up to the maximum eligible monthly amount per child ($491). Please enter a number greater than or equal to 0. Maximum $491 x # of children x 12 months Supporting documentation is required If this is not applicable to you, enter zero. Please enter a number greater than or equal to 0.HiddenCheck Day Care ExpensesYou cannot proceed unless the Day Care Expenses is less than or equal to the Maximum Eligible Day Care Expenses. Revise the figure above for the Day Care Expenses to the maximum eligible or ensure you have entered the correct number of Children in Day Care. Upload Day Care Confirmation Document(s)*Uploaded documents must not have any special characters in the file name or you will get a system error and will not be able to continue with the application process.Max. file size: 8 MB. Enter total Medical, Dental and/ or Prescription Costs*Include only costs not covered by OHIP. Supporting documentation must be submitted. If this is not applicable to you, enter zero.Please enter a number greater than or equal to 0.Upload Medical, Dental and/ or Prescription Costs Payment Confirmation Document(s)*Include only documents for costs not covered by OHIP. Uploaded documents must not have any special characters in the file name or you will get a system error and will not be able to continue with the application process.Max. file size: 8 MB. Other Expenses* Specify below: Include other necessary expenses (e.g. other dependent expenses not included above) you expect to incur. Do not include living expenses (e.g. mortgage / rent, food, household supplies, clothing, transportation, cell & internet expenses) as these costs are already calculated and included within the Living Expenses field as calculated by the system. Supporting documentation (e.g. receipts from current year) must be provided for each item or the amount(s) will be automatically removed from consideration. If this is not applicable to you, enter zero.Please enter a number greater than or equal to 0.Specify Other Expenses Upload Receipts*Uploaded documents must not have any special characters in the file name or you will get a system error and will not be able to continue with the application process.Max. file size: 8 MB. System Calculated: Eligible living expensesThis expense will be submitted with this applicationSystem Calculated: Eligible living expensesThis expense will be submitted with this applicationSystem Calculated: Eligible living expensesThis expense will be submitted with this applicationSystem Calculated: Eligible living expensesThis expense will be submitted with this applicationSystem Calculated: TOTAL EXPENSESThis total will be submitted with this application. RESOURCESEXPECTED RESOURCES (must be for the same time-frame as the Expected Expenses section)If you are planning to apply for government student loans (e.g., Ontario Student Assistance Program) for the upcoming academic year and received the loan for the current academic year, enter the current year’s amount as your estimate for the upcoming year and provide a copy of your current year’s Notice of Assessment with your application. If you did not receive government student loans this year and are planning to apply for the upcoming academic year, enter the amount from the online OSAP Aid Estimator and submit a print-out or equivalent with your application. Since the online OSAP Aid Estimator for 2022-2023 academic year not available until Spring 2022, please use the estimate for the 2021-2022 academic year https://osap.gov.on.ca/AidEstimator2022Web/enterapp/enter.xhtml?lang=en Supporting document is required. Student Loan (check one)* None OSAP Out- of-Province US Loan Other Student Loan Amount*If this is not applicable to you, enter zero.Please enter a number greater than or equal to 0.Upload Government Student Loan Supporting Documentation*Uploaded documents must not have any special characters in the file name or you will get a system error and will not be able to continue with the application process.Max. file size: 8 MB.Available student line of credit / financial institution loan*Only include the amount currently available to you through your student line-of-credit or bank loan. If this does not apply to you enter zero.Please enter a number greater than or equal to 0.Other employment income (after tax deduction)*Please enter the expected after-tax employment income during the 12-month period in 2022-2023. Include employment income that is outside of your funding commitment (e.g. work-study, off-campus employment, paid internships). If this is not applicable to you, enter zero.Please enter a number greater than or equal to 0.Funds received from family member(s)*Enter funds received as gifts or (long-term) loans from family members. If this is not applicable to you, enter zero.Please enter a number greater than or equal to 0. Spouse/ Common-Law Partner’s income (after tax deduction, i.e. net income)*If this is not applicable to you, enter zero.Please enter a number greater than or equal to 0.System Calculated: Eligible Partner IncomeThis is calculated based on your spouse/ common-law partner’s total annual income amount after taxes are deducted divided 2 since 50% is eligible. This resource will be submitted with this application. Child support or government assistance/benefits*A look-up table on basic child support payments can be found through the Ministry of the Attorney General’s website. https://www.ontario.ca/page/arranging-child-support. Income assistance services can be found through the Government of Canada’s website. Various Ontario benefits also fit in this category. https://www.canada.ca/en/services/benefits/family.html If this is not applicable to you, enter zero. Please enter a number greater than or equal to 0.Other support / assistance / resources*If this is not applicable to you, enter zero.Please enter a number greater than or equal to 0.Savings / accessible investments/ RESP (amount withdrawn for the year only)*Please enter a number greater than or equal to 0.Only include the total amount of savings you currently have access to (i.e. money that you could withdraw today, that is not locked into an investment). Include any RESP funds that you expect to withdraw to fund your education for the upcoming year. If this is not applicable to you, enter zero.Other Resources*If this is not applicable to you, enter zero.Please enter a number greater than or equal to 0.Specify Other Resources* System Calculated: TOTAL RESOURCESThis total will be submitted with this application. System Calculated: TOTAL AVAILABLE RESOURCESFinancial need is normally demonstrated when a negative balance appears in the “TOTAL AVAILABLE RESOURCES” field of the application (e.g., “Total Expected Expenses” is higher than “Total Expected Resources”). Showing a large positive balance in the “TOTAL AVAILABLE RESOURCES” field is not typically considered a demonstration of financial need, unless extenuating circumstances are also reported in the Personal Statement field below.Personal Statement*Please provide additional background details on your circumstances or financial situation to assist in the review for a needs-based award Max 250 words CERTIFICATION I certify that all the information provided on this application is, to the best of my knowledge, truthful, accurate and complete. Confirm Certification Statement and the budget information entered above is for the entire period from September 1, 2022 and August 31, 2023.* Yes No We cannot process your application unless you can confirm. Name* First Last Date* MM slash DD slash YYYY Once your application has been submitted successfully, you will receive a confirmation email Δ
