Please take the time to review the entire application before responding and ensure you have the required information.

Please note the following:

  • You can only submit this form once.
  • You cannot save and edit your answers at a later date.
  • The deadline to submit the student application is April 16, 2019 11:59 pm (EST).
  • Late applications will not be accepted.

If you have any questions about the form, please contact scholarships@hsfcan.org

Section A: Student Personal Information
Section B: Student's Current Status Information

Check the ONE statement that BEST describes you:


Section C: High School Graduation
Section D: Residency

Choose the ONE option that best describes your residency situation:

Section E: Student's Financial Background

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E1. Enter your estimate of the GROSS income from all sources that you expect to receive
during your pre-study period.

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E2. Enter the total value of your Registered Retirement Savings Plan (RRSP), as of the date 16 weeks before your 2019-2020 study period.

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E3. Enter the total value of all other investments (GIC's, bonds, terms deposits, etc.) and saving account balances as of the date 16 weeks before your 2019-2020 study period.

$.00

E4. Enter the GROSS market value for any motorized vehicle(s) you own or lease.

Section F: Student Information During Study Period

F1. Where will you live during your study period?

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F2. Enter the total estimated GROSS employment income you expect to receive during your study period.

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F3. Enter the total known income from scholarships, bursaries, and awards you expect to receive during your study period.

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F4. Enter the contribution expected from either a Registered Education Savings Plan (RESP) or a Non-registered education saving plan (CST,USC) for your study period.

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F5. Enter the total estimated value of all other income not already included.

Section G: Information from Parents(s)

If you checked item B7, your parent(s), step-parent, or legal guardian(s) must complete this section. "Father" refers to father, step-father, or legal guardian, or official sponsor. "Mother" refers to mother, step-mother, or legal guardian, or official sponsor.

G1. What is the CURRENT marital status of your parent(s)?

G2A. How many dependent children, including you, are there in your family as described in item G1 (e.g., 1,2,3)?

G2B. How many dependent children, including yourself, are there in your family as described in item G1 who will be registered at a college or university in September (e.g., 1,2,3)?


G3. Enter the annual income for each parent, as reported on the 2018 Canadian individual income tax return. (Enter amounts in dollar only; do not indicate cents. If amount is negative, enter zero.)

What is father's (or parent 1) income reported on line 150 of his 2018 income tax return?


G4. Enter the amount of non-refundable tax credits and tax payable for each parent, as reported on his or her 2018 Canadian individual income tax return. (Enter amounts in dollars only; do not include cents.) Canadians Only



Section J: Source of Government Income(Canadians Only)

J1. Was any of the income reported in this application from provincial social assistance?

Section K: Authorization to Release Information

K1. If you are selected for an award where one of the criteria has a financial need component, could we provide the donor of the award your name and program information? This decision will not affect your eligibility for award consideration.

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Personal information is collected under the authority of Holborn Scholars Foundation, and in accordance with Ontario's Freedom of Information and Protection of Privacy Act (FIPPA). This information is used for the purpose of determining eligibility for scholarships/grants. For details on the use and disclosure of this information contact Student Financial Assistant at scholarships@hsfcan.org.

I certify that the information contained in this application is complete and true. I agree to provide Student Financial Services with any documentation necessary to verify the above noted information. I understand that failure to provide such documentation may affect current or future eligibility for the financial need-based programs. I further understand that should my eligibility for the financial need-based program be terminated.

A3 Help. If you do not have an OUAC ID, please enter 999999

B2 Help. You are considered to be in a common-law relationship if (a) you and your spouse have been in a relationship for not less than 3 years, or (b) you and your spouse are living together in a conjugal relationship and raising any children of whom you are both the natural or adoptive parents.

B3 Help. You are considered a sole-support parent if you have any dependent children living with you on a full-time basis during your study period, AND you are single, separated, divorced, or widowed.

C1 Help. "Full-time" means 60% or more of a regular high school program. If you left high school at any time and were out of high school for at least one full year, enter the date on which you first left high school.

E1 Help. Definition of Pre-study period: If you were a full-time high school student in 2018-2019, your pre-study period is the time between the end of your last study period and the start of your 2019-2020 study period. If there are fewer than 16 weeks, enter the income received during the actual number of weeks. OR If there are more than 16 weeks between these 2 periods, enter the income received during the 16 weeks immediately before the start of your 2019-2020 study period.

If you were not a full-time high school student, your pre-study period is the 16 weeks immediately before the start of your 2019-2020 study period.

F Help. Study Period is defined at the period beginning September 1, 2019 to April 30, 2020

F4 Help. The amount listed should be the amount being used for your first year of study only. Not the full value in the plan.

F5 Help. Include investment income, monetary gifts, government benefits (E.I., CPP, etc.,) but do NOT include OSAP or other provincial government loan assistance information here.

G1A Help. If you are living with both of your natural parents, your father and mother must complete this section. If you are living with only one of your natural parents, this natural parent and his or her spouse, if any, must complete this section.

G1B Help. The parent with whom you currently live OR last lived, OR who last supported you, must complete this section.

G2 Help. Dependent children are children with disabilities, pre-school children and children attending elementary or high school who are under 16 years of age. Children 16 years or older must be a full-time (taking 60% or more of a full course load) high school or postsecondary student to be considered dependent. Children who do not have a disability and who have been out of high school for 4 or more years are not considered dependent.

G3 Help. If both parents are completing this section and the total combined income entered in items G3A, G3C is less than $6,200, the parents must indicate how the family's daily living costs are being met.

If only ONE parent is completing this section and the total income entered in items G3A, G3C is less than $6,200, that parent must indicate how the family's daily living costs are being met.

G4C Help. If you entered data on line 421 and/or 422 of your 2018 income tax return, subtract this amount(s) from line 435. Enter this revised amount in item G4C.

G5 Help. Completing this section should be done for extenuating financial circumstances beyond your family's control. Some examples of this may be, but not limited to; loss of job, if 2018 income included severance pay or significant insurance payout, or retirement.