Emergency Grant Application

First Name(Required)

Last Name(Required)

Student Number(Required)

Date of Birth

Month(Required)

Day(Required)

Year(Required)

Address(Required)

Apartment/suite(Required)

City(Required)

Province(Required)

Phone(Required)

Note: Please use your academic (torontomu.ca) email. Please do not use your personal email. If you enter your personal email it may result in a disqualification. This email will be used to communicate decisions. You will be notified of your application's status via the e-mail address you provided above. Please ensure that you have entered it correctly, this can not be changed later.

Email(Required)

Have you received a TMAPS Emergency Grant in the last academic year (September to August)?(Required)

Student Status(Required)

Name of Program/Certificate(Required)

Optional Equity Demographics

Please select all categories with which you self-identify:

Aboriginal, First Nations, Métis, or Inuit

Racialized person or person of color

Lesbian, Gay, Bisexual, Transgender, Queer

Woman

Charter refugee or asylum-seeking

New immigrant to Canada

Are you currently employed?(Required)

If no, please explain the reason for unemployment(Required)

Are you eligible for OSAP?(Required)

Did you apply this year?(Required)

If no, please explain why not(Required)

What awards, bursaries, and grants have you received in the past year?(Required)

Please describe what type of crisis (family, medical, emergency, etc.) makes you apply for this grant, and the way it impacts you.(Required)

Revenue in last six months

(if you do not know the exact amount, please estimate)

Bursaries, awards, and grants (including OSAP grant)(Required)

OSAP amount(Required)

Employment Income(Required)

Savings(Required)

Family Support(Required)

Investments(Required)

Other Income(Required)

Expenses in last six months

(if you do not know the exact amount, please estimate)

Tuition Fees(Required)

Textbooks(Required)

Course Kits or Equiment (as stated in course outline)(Required)

Accommodations (rent)(Required)

Utilities(Required)

Food(Required)

Transportation(Required)

Personal (entertainment, personal hygiene)(Required)

Medical(Required)

OSAP debt(Required)

Line of Credit Debt(Required)

Credit Card Debt(Required)

Interests (credit card, line of credit)(Required)

Other Expenses(Required)

Declaration

I hereby declare that the information provided on this form is complete and accurate to the best of my knowledge. I, understand that if the information in this application is found to be untrue or intentionally misrepresented, this may be in violation of the Student Code of Non-Academic Conduct. I understand that the information on this application will be used for the purposes of qualifying the recipients of the TMAPS Emergency Grant fund, and that non-identifying information such as student debt may also be used in the compilation and publication of aggregate statistics.

Please attach all relevant documentation to support your application (such as eviction notice, medical certificate, layoff notice, relevant emails etc.) and email them to vp.services@tmaps.ca and cc internal@tmaps.ca. Use the Subject Line "Emergency Grant [Full Name]" e.g. "Emergency Grant John Doe" Alternatively, you can submit them in-person.