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STUDENT AWARDS AND FINANCIAL AID


nd
2 Floor Needles Hall
Waterloo, Ontario, Canada N2L 3G1
519-888-4567 | ext. 33583 | fax 519-746-2882 | safa.uwaterloo.ca
email: safainfo@uwaterloo.ca
P

29T

2014-2015

29T

OSAP SPRING
Extension Form

29TU

SECTION A: Personal Information

UW ID Number

Social Insurance Number

Last Name

First Name

Email Address

Local Telephone

To add OSAP for spring 2015, the recommended deadline to submit this form is April 1, 2015 and the final deadline is June 16, 2015.
Complete this form if you require OSAP funding in your upcoming SPRING term and:

You have already applied for fall 2014 and/or winter 2015 OSAP and your confirmation of enrolment is completed. If you have
not applied for OSAP online in fall 2014 and/or winter 2015 DO NOT COMPLETE THIS FORM; complete a 2014-2015 web
application.

Study term in spring 2015: Undergrad students intending on taking at least 60% full-time course load or 40% course load
for students with a permanent disability. Graduate students intending on studying full-time, or

Official co-op work term in spring 2015: you require additional living costs while on an official co-op work term.
U

SECTION B: Spring Term Information

A. Spring term status


Full-time study term
U

If undergrad, indicate number of intended courses for spring term:


(e.g. 2.5 units = 5 courses = 100%)

Official co-op work term


Indicate number of intended courses for spring term, not including PD courses:
(e.g. 2.5 units = 5 courses = 100%)

B. Accommodations
Residing with parents
Not residing with parents

Report income on page 2

SECTION C: Office use only


Program Change

Reinstatement

Rollover

Awards

RESP

Govt Benefits

PS Inc

SP Inc

Cost Code

CL

Eff Dt

Course Lvl

TNF

CPF

BET

Date

Signature

February 2015

Work-Term

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SECTION D: Financial Information


INCOME SOURCE

Fall 2014 Income

Winter 2015 Income

No change

No change

Changes below

Changes below

Spring 2015 Income

A. Award, Scholarship & Bursary income


Specify the name and amount of each award
(attach separate sheet if required)
Include: Graduate Research Studentship (GRS), Tuition Benefits
Do not include: OSAP awards/grants/bursaries, UW bursary/needsbased scholarship if we have informed you in writing it will be
reported to OSAP directly
B. RESP/Scholarship Trust Fund/Other Education Savings Plan
Total income you expect to receive from an RESP, Scholarship Trust
Fund, or other education savings plan that you intend to use for your
period of study.
C. Employment earning (use gross income before taxes)
Include: all income from full/part-time employment, donship, co-op
earnings, research/teaching assistantship, etc.
Do not include: income already reported in items A, B, or E
D. Students with Children
Enter the total amount you expect to pay for child care for each
dependent child 12 years of age and younger living with you full-time.
For multiple children, you must specify the amount that you expect to
pay for each child separately (include a separate page as necessary).
E. Government income/benefits
Indicate the type of government income you are receiving (example:
WSIB, EI, CPP, ODSP)
Do not include: OSAP funding, GST rebates, Ontario Trillium
Benefit, Child Tax Benefits, Universal Child-care Benefits or
Extended Care and Maintenance Allowance for Childrens Aid.

SECTION E: Declaration
I declare that I am providing complete and accurate information to update my OSAP application. I understand that I am responsible to
promptly notify the Student Awards and Financial Aid office, in writing, of further changes. This information is subject to verification and
audit by the Ministry of Training, Colleges and Universities, Canada Revenue Agency and the University of Waterloo and that incorrect
information may affect my future OSAP eligibility.

Student signature

February 2015

Date

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