Lawrence S. Bloomberg Faculty of Nursing

Graduate Awards Application Forms

Application Form
Information Collected
Personal Information Statement
  • By completing this application, you are requesting the faculty to consider you for any in-course award that you may be eligible to receive.  Applicants need not indicate which award they would like to be considered, since the faculty will determine this based on the award application and the area of nursing interest of the applicants. Please note that many of these awards have residency and financial need requirements. We encourage all eligible applicants to complete the award application form.

    APPLICATION DEADLINE: April 24, 2020


    Award Application for PhD Students

    Award Application for MN and Post Master Students

     

  • The following data is collected on this form:

    Academic Year (system provided field)

    Date and Time of form submission (system provided field)

    For the next three questions, if you select No, you will not be able to continue with the application and you can discuss your options by contacting awards.nursing@utoronto.ca

    Personal Information Collection Consent. See tab (No, or Yes, I agree with the statement)

    Agree to transcripts access by those who need to know (No, or Yes, I agree with the statement)

    If you are selected for an award, professional/academic highlights (not financial data) may be provided to the award donor. In submitting the application, you agree to this disclosure (No, or Yes, I agree with the statement)

    PERSONAL INFORMATION

    Student Number

    First Name/Given Name

    Last Name/Surname

    Chosen Name

    Street Address

    Apartment #

    City

    Province

    Postal Code

    Email & Email Confirmation

    Phone Number

    PROGRAM INFORMATION

    Degree (drop down selection list):

    MN: Clinical
    MN: HSLA
    MN: NP
    PhD (on PhD form only)
    Post Master

    Current Year of Study (academic year 2019-2020) (drop down selection list)

    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 (drop down selection list):

    Canadian Citizen or Permanent Resident

    Study Permit

    Ontario Residency (drop down selection list):

    I 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 live in Ontario now and for fewer than 12 months in a row

    Not a resident of Ontario

    ACADEMIC AND PROFESSIONAL BACKGROUND

    For PhD Applicants – Have you worked as a RN for at least 5 years or full time equivalent? (Yes, No)

    For MN and Post-Mater Applicants – Have you worked as an RN for at least 3 years or full time equivalent? (Yes, No)

    If worked as an RN – How many years have you worked full-time as a RN?

    Nursing Interest.  Please indicate up to 3 nursing interests from the following list. 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.

    Indigenous Health Nursing
    Addictions
    Cardiac/ Stroke
    Community Health
    Geriatric
    Global Health
    Health Policy/ Nursing Administration
    Hospice and Palliative Care
    Maternal/ Women’s Health
    Medical/ Surgical Nursing
    Mental Health Nursing
    Neurosciences
    Nursing Education
    Oncology
    Paediatrics
    Pain Management
    Preventive Care
    Rehabilitation Nursing
    Public Health
    Women/Gender Health
    Veterans
    Other

              Please explain why you are interested in these areas.

    Nursing Interest #1 (max 250 words)

    Nursing Interest #2 (max 250 words)

    Nursing Interest #3 (max 250 words)

    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 the application, you agree to the disclosure. (max 250 words)

    Please describe your leadership and/ or extracurricular activities and how these experiences make you a strong candidate for these graduate nursing awards. (max 250 words)

    Are you applying for a needs-based award (No or Yes).

    BUDGET – to be completed only if “Are you applying for a needs-based award” is Yes

    If the applicant fails to demonstrate need, the applicant will be considered for non-need-based awards only.

    For PhD program – Please enter total 12-month budget from September 1, 2020 to August 31, 2021.  Please provide information about the resources and expenses you anticipate between September 1, 2020 and August 31, 2021. If you are completing your degree by June 2021, please base your budget on 10 months rather than 12. Tuition, books and supplies will be considered when the application is reviewed. Do not enter them on the form. Please do not use weekly or monthly figures.

    For MN or Post-MN programs – Please enter your 10-month budget from September 1, 2020 to June 30, 2021 Please provide information about the resources and expenses you anticipate between September 1, 2020 and June 30, 2021. Tuition, books and supplies will be considered when the application is reviewed. Do not enter them on the form. Please do not use weekly or monthly figures.

    Are you expecting to work part-time during the academic year (2020-2021)? (Yes, No)

    If Expecting to work – Number of Hours per Week.

    If Expecting to work – Resources – After-tax deduction employment income. Please enter the after tax employment income you will, or expect to receive in 2020-2021.

    Resources – Awards. Please enter the Awards/Scholarships/Fellowships you will, or expect to receive in 2020-2021.

    Resources – OSAP or other government student aid.  For applicants who are eligible to apply for OSAP: If you did not receive OSAP this year and are planning to apply for the upcoming academic year, enter the amount from the online OSAP Aid Estimator.https://osap.gov.on.ca/AidEstimator1920Web/enterapp/enter.xhtml?lang=en

    Resources – Family Financial Support/Spousal Contributions. Please enter the family support/ spousal contribution you will, or expect to receive during the period in 2020-2021.

    Resources – Spouse/Partner Income (after-tax). Please enter the spouse/ partner income (after-tax) that your spouse/ partner will, or expect to receive during the period in 2020-2021.

    Resources – Savings, RRSP, RESP(amount withdrawn for the year only). Please enter 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 and RRSP funds that you expect to withdraw to fund your education for the upcoming year.

    Resources – Other

    If  “Resources- Other” is greater than zero, provide details

    Total Resources (system calculated field)

    Expenses – Rent/Mortgage.  Please enter only the portion of rent/ mortgage payments you are responsible for the period in 2020-2021.

    Expenses – Utilities.  Please enter only the expense for utilities you are responsible for the period in 2020-2021.

    Expenses – Food.  Please enter only the expense for food you are responsible for the period in 2020-2021.

    Expenses – Transportation.  Please enter only the expense for transportation you will, or expect will be during the period in 2020-2021.

    Expenses – Cell/Internet.  Please enter only the expense for telephone/ internet you are responsible for the period in 2020-2021.

    Expenses – Child/ Dependent Care.  Please enter only the expense child/ dependent care you are responsible for the period in 2020-2021.

    Expenses – Other.  Include other necessary expenses you expect to incur.

    If  “Expenses- Other” is greater than zero, provide details

    Total Expenses (system calculated field)

    You may want to provide additional details about your application such as background on your exceptional circumstances, explanations about expenses and resources that may not be clear and/or how the award will support you in your academic success.

    Additional Information (e.g. exceptional circumstances) max 250 words

     

    To be completed only if “Are you applying for a needs-based award” is Yes
    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 (Yes, No)

    For PhD award applicants – Confirm the budget information entered above is for the entire period from September 1, 2020 to August 31, 2021 or from September 1, 2020 to June 30, 2021.

    For MN and Post-Master award applicants – Confirm the budget information entered above is for the entire period from September 1, 2020 to June 30, 2021. (Yes, No)


    Other Data Collected 

    This data is automatically collected by the system for the purpose of Information Technology administration and trouble shooting, as may be required and for summary-level only website statistical reporting:

    Browser Type

    Browser Version

    IP Address (does not identify you)

    Hardware and operating system (reported on an aggregate level only)

    Country/City of data origin (reported on an aggregate level only)

    Session duration (reported on an aggregate level only)

  • The University of Toronto respects your privacy. The information on this form is collected pursuant to section 2(14) of the University of Toronto Act, 1971. It is collected for the purpose of administering admission, registration, academic programs, university-related student activities, activities of student societies, financial assistance and awards, graduation and university advancement, and for the purpose of statistical reporting to government agencies. Your IP address and browser version are collected for Information Technology troubleshooting, as may be required. At all times, all data is protected in accordance with the Freedom of Information and Protection of Privacy Act. If you have questions, please refer to www.utoronto.ca/privacy OR contact the University’s Freedom of Information and Protection of Privacy Office at 416 946-5835, Room 104, McMurrich Bldg., 12 Queen’s Park Crescent West, Toronto, ON, M5S 1A8.

    I agree to have the information in this form plus my IP address and browser version be collected and stored electronically and I understand it will be protected in accordance with the Freedom of Information and Protection of Privacy Act. I understand that the information will be shared and viewed only by those who need to know. I also understand this form will be retained based on the University’s best practice guidelines for records retention, after which it will be destroyed in accordance with Information Technology Security best practices.

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