Scholarship Application Form
Please only fill out one application per family
Child's Full Name
*
First Name
Last Name
Why Program are you Applying for?
Date of Birth
*
-
Month
-
Day
Year
Date
Scholarship Amount Requested
*
$
Back
Next
Family Information
Parent 1
Parent Name
*
First Name
Last Name
Home Phone
*
-
Area Code
Phone Number
Work Phone
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent 2
Is there a second parent in the household? If so, please fill in their details
Yes
No
Parent Name
First Name
Last Name
Home Phone
-
Area Code
Phone Number
Work Phone
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Other children in family
Please add names, ages, dates of birth, and genders of all other children in the family.
*
Do the other children in the family need a scholarship as well?
*
Yes
No
Some, but not all
If some but not all, please describe your family's need
*
Back
Next
Additional Information
Child's Gender
*
Male
Female
Non-binary
Monthly Family Income (Gross)
*
$
Additional Income
*
Income ($)
Ontario Works/ODSP
Child Support
Support from Spouse
Social Security
Income from 2nd Job
Other
Total Additional Income
Total Monthly Income
*
Please upload proof of income. Please combine all documents into one pdf before uploading
*
Browse Files
Cancel
of
Please Explain the Reasons for Need
*
Is your family involved with third party agencies? (eg. Children's Aid Society, Indigenous Organizations, etc.)
*
Submit
Should be Empty: