Lawrence S. Bloomberg Faculty of Nursing

Undergraduate Graduating Awards Application

Application Form
Information Collected
Graduating Awards List
  • By completing this application, you are requesting the faculty to consider you for any graduating 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 awards 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: May 15, 2019


    The due date for this application has passed.

  • The following information is collected on the Application Form:

    Agree to personal information collection. Yes/No

    Agree to transcripts access. Yes/No

    Agree to share professional/academic highlights with award doner. Yes/No

    Student Number

    First Name/Given Name

    Last Name/Surname

    Preferred Name

    Address

    Apartment #

    City Province

    Postal Code

    Email

    Phone Number

    PROGRAM INFORMATION (what is your status?)

    • Graduating in June 2019 Bachelor of Science in Nursing (BScN)

    RESIDENCY

    Status in Canada (select from list provided).

    Ontario Residency (select from list provided).

    ACADEMIC AND PROFESSIONAL BACKGROUND

    Please indicate up to 3 nursing interests (select from list provided)

    Please discuss your three nursing interests and immediate career goals. Max 2000 characters.

    Please elaborate on your extracurricular activities and/ or leadership experience during the Nursing program. Max 2000 characters.

    Please describe your career goals related to your three nursing interests and how your program of study helps you achieve these goals. Max 2000 characters.

    BUDGET (from September 1, 2018 to June 30, 2019)

    Please provide information about the resources and expenses you anticipate between September 1, 2018 and June 30, 2019. Tuition, books and supplies will be considered when the application is reviewed. Do not enter information for these. Enter the total amount for the 10-month period. Please do not use weekly or monthly figures. If the applicant chooses not to complete the financial budget or fails to demonstrate need, the applicant will be considered for non-need-based awards only.

    Did you work part-time during the academic year (2018-2019)? Yes/No

    If Yes, please indicate the estimated number of hours per week and after-tax employment income.

    • Number of Hours Per Week. Please enter the number of hours per week you will, or expect will be working.
    • Resources – After tax deduction employment income. Please enter the after-tax employment income you will, or expect to receive in 2018-2019

    Resources – Awards. Please enter the Awards/Scholarships/Fellowships you received in 2018-2019. If this is not applicable to you, please enter zero.

    Resources – OSAP or other government student aid. For applicants who currently receive OSAP: enter the government loan that you received for the current academic year. If this is not applicable to you, please enter zero.

    Resources – Other After-Tax Income (all sources). Enter all other gross taxable and non-taxable income which you expect to receive (except employment income), such as income from dividends, etc. Do not report RESP withdrawals. If this is not applicable to you, please enter zero.

    Resources – Family Support/Spousal Contributions. Please enter the family support/ spousal contribution you will, or expect to receive during the period in 2018-2019. If this is not applicable to you, please enter zero.

    Resources – Spouse/Partner Income (After tax). If this is not applicable to you, please enter zero.

    Resources – Savings/RESP. 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, please enter zero.

    Resources – Line of Credit. Only include the amount currently available to you through your student line of credit or bank loan. If this is not applicable to you, please enter zero.

    Resources – Other. If this is not applicable to you, please enter zero.

    Resources Other – enter details

    Expenses – Rent/Mortgage. Please enter only the expenses of rent/mortgage payments you are responsible for the 10-month period. If this is not applicable to you, please enter zero.

    Expenses – Utilities. Please enter only the expenses for utilities you are responsible for the 10-month. If this is not applicable to you, please enter zero.

    Expenses – Food & Household Supplies. Please enter only the expenses for food and household supplies you are responsible for the 10-month. If this is not applicable to you, please enter zero.

    Expenses – Transportation. Please enter only the expenses for food and household supplies you are responsible for the 10-month. If this is not applicable to you, please enter zero.

    Expenses – Telephone/Internet. Please enter only the expenses for Telephone and/or internet you are responsible for the 10-month. If this is not applicable to you, please enter zero.

    Expenses – Child/Dependent Care. Please enter only the expenses for Child/Dependent Care you are responsible for the 10-month. If this is not applicable to you, please enter zero.

    Expenses – Other. Include other necessary expenses you expect to incur. If this is not applicable to you, please enter zero.

    Expenses Other – enter details.

    Additional Information. Please describe any exceptional circumstances that may not be evident in the budget section above. Please provide a brief statement below you would like the Committee to consider.

    CERTIFICATION

    I certify that 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 is for the period. Yes/No

    Confirm the budget information entered above is for the entire period from September 1, 2018 and June 30, 2020. Yes/No

    Name

    Date


    Other Data Collected

    Date and time of form submission

    This data is collected for the purpose of Information Technology administration and trouble shooting, as may be required. This information is retained only for a short period of time.

    Your IP address (does not identify you)

    Your browser type

    Computer operating system

  • Edwin Chau Memorial Scholarship

    Donor: Dr. Grace Bradley, in memory of her father, Mr. Edwin Chau To be awarded each year to a student in his/her graduating year who is committed to the care of patients of any age with debilitating chronic illnesses. Value: Annual fund income APPLICATION DUE: May 15 Document required: Award Application Form


    Kathleen Russell Memorial Scholarship Fund (OTSS)

    Donor: Ms Elsie Watt, Faculty, Staff, Alumni and Friends Awarded to a second-year BScN student who will be pursuing graduate education in the Department of Nursing Science. Apply to the Chair, Awards Committee, Lawrence S. Bloomberg Faculty of Nursing. Students should apply at the end of year two, if they have also applied and been admitted to the MN program at the Lawrence S. Bloomberg Faculty of Nursing. The student must also demonstrate financial need and reside in the province of Ontario. Value: Annual fund income APPLICATION DUE: May 15 Document required: Award Application Form


    M. Jean Wilson Scholarship

    Donor: Ms M. Jean Wilson, former Undergraduate Program Chair Awarded to a student graduating from the Bachelor of Science in Nursing program who has carried a regular course load and has the highest academic standings in their final year. Value: Annual fund income | Application not required


    Nancy Coles Blackburn Memorial Award (OSOTF)

    Donor: Ms Dorothy Coles Awarded each year to student(s) in the graduating year. Candidates must:

    1. Have financial need;
    2. Have ranked in the upper half of the final year class but not necessarily have carried a full course load; and,
    3. Have demonstrated excellence in community health nursing.

    Apply to the Chair, Awards Committee, Lawrence S. Bloomberg Faculty of Nursing. Students should apply at the end of year two. Value: Annual fund income APPLICATION DUE: May 15 Document required: Award Application Form


    Nancy Coles Blackburn Memorial Scholarship

    Donor: Family and friends of Nancy Coles Blackburn Awarded each year to student(s) in the graduating year. Candidates must:

    • Have ranked in the upper half of the final year class but not necessarily have carried a full course load; and,
    • Have demonstrated excellence in community health nursing.

    Apply to the Chair, Awards Committee, Lawrence S. Bloomberg Faculty of Nursing. Students should apply at the end of year two. Value: Annual fund income APPLICATION DUE: May 15 Document required: Award Application Form


    Alice Girard Prize

    Donor: Dr. Alice Girard Awarded to a undergraduate student who graduating from the Undergraduate program of the Faculty of Nursing. In selecting the recipient, consideration will be given to both academic performance and to demonstrate ability and evidence of success in the nursing field. Value: Annual fund income | Application not required


    Nora J. Greenslade Prize

    Donor: The Rev. Stanley H. Greenslade and Family Awarded to a student with outstanding achievement in the final year who has demonstrated the pursuit of excellence in both the academic and clinical areas. Value: Annual fund income | Application not required

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