Childcare Bursary Application | Graduate Students' Association

Introduction

This bursary is for graduate students currently registered in a graduate program at the University of Guelph. Students may apply once per degree. Once a complete application has been received, the GSA Finance Committee will review it, and successful applications may be reimbursed up to $500.00.

Guidelines

Applicants must be able to provide documentation of current child-care expenses (i.e., past bills) from a childcare provider in Ontario.
The financial statement/invoice/receipt must include the applicant and child(ren)’s: name, address, phone number and a signature indicating the veracity of the information provided.
Reimbursement will not be paid for childcare provided through a family member (e.g. stay-at-home parent, grandparent, or any blood relative).
Please attach a letter explaining the nature of your needs.

Conditions

Bursary awardees and/or childcare providers may be contacted through either the University of Guelph or the GSA’s Auditors.
Please ensure that all the requested information is included in the application package. Incomplete applications will not be considered. The GSA Finance Committee will not seek information on your behalf.

Applicant Information

Name(Required)

First Last

Student Number(Required)

Department(Required)

Program(Required)

Semester Level(Required)

Student Status(Required)

University of Guelph Email(Required)

Phone(Required)

Dependants

Child Information(Required)

Enter name of each child for whom expenses are being claimed. Add row for each child.

Name

Age

Please provide your semesterly income.

If you did not receive a form of income, please type 0.

Teaching Assistantship (TA)

Scholarship

OSAP

Workstudy

Research Assistantship

Other

University Funding SubTotal(Required)

Do you receive income from bursaries?(Required)

Yes

No

Bursary Source(Required)

Bursary Amount(Required)

Are you currently employed?(Required)

Yes

No

Place of Employment(Required)

Employment Status(Required)

Semesterly Net Income(Required)

Do you have any additional income assets?(Required)

Yes

No

Assets Source(Required)

Assets Amount(Required)

Do you have any savings (GIC, RRSPs, etc.)?(Required)

Yes

No

GICs

RRSPs

Other

Other Income SubTotal(Required)

Total Semesterly Income(Required)

Do you have a partner?(Required)

Yes

No

Partner's Information

Name(Required)

First Last

Student Number(Required)

Department(Required)

Program(Required)

Semester Level(Required)

Student Status(Required)

Please provide your partner's semesterly income.

If they did not receive a form of income, please type 0.

Teaching Assistantship (TA)

Scholarship

OSAP

Workstudy

Research Assistantship

Other

Partner's University Funding SubTotal(Required)

Does your partner receive income from bursaries?(Required)

Yes

No

Bursary Source(Required)

Bursary Amount(Required)

Is your partner currently employed?(Required)

Yes

No

Place of Employment(Required)

Employment Status(Required)

Semesterly Net Income(Required)

Does your partner have any additional income assets?(Required)

Yes

No

Assets Source(Required)

Assets Amount(Required)

Partner's Other Income SubTotal(Required)

Partner's Total Semesterly Income(Required)

Expenses

Please do your best to estimate your semesterly expenses.

Rent or Mortgage Total (per semester)

Hydro Total (per semester)

Phone Total (per semester)

Internet Total (per semester)

Cable Total (per semester)

Food Total (per semester)

Child Care Total (per semester)

Dental and Medical (per semester)

Other Expenses?(Required)

Yes

No

Other Expense Total (per semester)(Required)

Please describe other expenses(Required)

Total Semesterly Expenses(Required)

Financial Summary

Total Semesterly Income(Required)

Total Semesterly Expenses(Required)

Total financial need (income – expenses)(Required)

Additonal Information

Have you previously applied to the GSA Child Care Bursary?(Required)

Yes

No

Amount awarded(Required)

Date of previous application(Required)

Have you applied for OSAP/government subsidies for childcare in the last year?(Required)

Yes

No

Name of subsidy(Required)

Amount received(Required)

Date of allocation(Required)

Have you applied for a Graduate Program Services bursary?(Required)

Yes

No

Name of bursary(Required)

Amount received(Required)

Date of allocation(Required)

Documentation

Childcare Expense Documentation(Required)

Please provide documentation of current child-care expenses (i.e., past bills) from a childcare provider in Ontario. The GSA cannot accept applications for care provided in an unlicensed day care/babysitting centre/facility. The GSA cannot accept applications for children registered in private education institutions, such as a private school or Montessori school. The financial statement/invoice/receipt must include the applicant and child(ren)’s: name, address, phone number and a signature indicating the veracity of the information provided. No monies will be paid for childcare provided through a family member (e.g. stay-at-home parent, grandparent, or any blood relative).

Drop files here or

Max. file size: 256 MB.

Copy of the Child's ID(Required)

Drop files here or

Max. file size: 256 MB.

Additional Documentation

You may provide the committee with up to one additional page of information regarding your current financial and personal situation. If there have been health issues, emergency circumstances or other relevant issues that have caused you personal or financial troubles that have resulted In your need for a childcare bursary, this is the place to explain them to the committee.

Drop files here or

Max. file size: 256 MB.

Disclaimer and Signature

Signature(Required)

Please sign here.

Name

First Last

If for any reason you cannot sign above, please type your name here. Typing your name here acts as your electronic signature.

Today's Date(Required)