Application form for a U.W.I. Credit Union Bursary

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Personal Details* This field is required.

Prefix

First Name

Surname

Marital Status

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Date of Birth* This field is required.

Date

3

Age* This field is required.(At today's date)

4

Contact Information

Telephone (Mobile)

Telephone (Work)

Telephone (Home)

Email Address (John.Doe@example.com)

5

Current Residential Address* This field is required.

Street Address Line 1

Street Address Line 2

Area

Country

6

Programme* This field is required.To qualify for consideration for a Bursary: the applicant MUST be pursuing either a Technical or Tertiary level programme approved by U.W.I. Credit Union Co-operative Society Ltd.; the Programme MUST be at least 14 months duration; the applicant MUST have successfully completed one year in the Programme

Name of Technical or Tertiary-level Programme. For example, BSc in Psychology

7

Current Programme Financing* This field is required.Are you the Beneficiary of an Award, Bursary or Scholarship? (Beneficiaries of other Awards, Bursaries or Scholarships will not quality for consideration for a U.W.I. Credit Union Bursary)

YESNO

8

Historical Programme Financing* This field is required.Were you previously awarded a U.W.I. Credit Union (UWICU) Bursary for a Programme at this same level - undergraduate or postgraduate? (Previous UWICU Bursary Awardees will not quality for consideration for a UWICU Bursary at the same level Programme)

YESNO

9

Does your Transcript reflect registration for this current academic year?* This field is required.(To qualify for consideration for a Bursary, the Transcript MUST reflect registration for the current academic year)

YESNO

10

Points for Progress in Programme/ Registration for this current academic yearYes = Registration for the current academic year - 1 point;

This field is generated from "Does your Transcript reflect registration for the current academic year?"

11

Upload current/ up-to-date Transcript* This field is required.(To qualify for consideration for a Bursary, the Transcript MUST reflect registration for this current academic year)

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Select files to upload

12

Grade Point Average (GPA)* This field is required.Enter the "Degree" / Cumulative GPA stated on the uploaded Transcript

Example 4.00

13

Points for Academic/ Technical Merit3.60+ = 4 points; 3.00 to 3.59 = 3 points; 2.50 to 2.99 = 2 points; 2.00 to 2.49 = 1 point; 1.99 and -1.99 = 0 points

This field is generated from "Grade Point Average (GPA)"

14

Are you the Sole Breadwinner who finances your household?* This field is required.Applicant's Payslip will be required for upload, if applicable

YESNO

15

Does your Spouse/ Partner financially support your household?* This field is required.Applicant's and/ or Spouse/ Partner's Payslips will be required for upload, where applicable

YESNO

16

Do your Parents/ Guardians financially support your household?* This field is required.Applicant's and/ or Parents/ Guardians' Payslips will be required, where applicable

YESNO

17

Applicant's Employment Details* This field is required.If Unemployed, type "Not Applicable" in each field

Job Title

Employer

Employer's Address

18

Spouse's/ Partner's Employment DetailsIf Unemployed, type "Not Applicable" in each field

Spouse's Job Title

Employer

Employer's Address

19

Parent/ Guardian #1 Employment Details

Parent/ Guardian #1 Job Title

Employer

Employer's Address

20

Parent/Guardian #2 Employment DetailsIf Not Applicable, leave the fields blank - DO NOT ENTER ANY DATA

Parent/ Guardian #2 Job Title.

Employer

Employer's Address

21

Dependent Household Members* This field is required.Select ALL that apply to indicate immediate family members in your household who are dependent on you for financial support

Student

Pensioner / Retiree

Person with a Disability / Recipient of Social Welfare

Unemployed immediate family member(s) - spouse/ partner, child or children, parent

Not Applicable

22

Points for Factors that affect Household Income (Financially-dependent Household Members)Student; Pensioner/ Retiree; Person with a Disability/ Recipient of Social Welfare; Unemployed Immediate Family Member = 1 point; Not Applicable = 0 points

This field is generated from Dependent Household Members

23

MONTHLY Household Income* This field is required.Monthly-paid: Enter the "Basic Salary" figure stated on the most recent Payslip for the Applicant, the Parent/s AND the Spouse/Partner in Trinidad and Tobago currency in the relevant fields, where applicable; Fortnightly-paid: Multiply the "Basic Salary" figure stated on the most recent Payslip x 2, then enter that figure in the relevant field. If Not Applicable, enter 0

Applicant's Monthly Income: Monthly-paid - "Basic Salary"; Fortnightly-paid - "Basic Salary" x 2

Parent #1 or Spouse's/ Partner's Monthly Income: Monthly-paid - "Basic Salary"; Fortnightly-paid - "Basic Salary" x 2

Parent #2 Monthly Income: Monthly-paid - "Basic Salary"; Fortnightly-paid - "Basic Salary" x 2

24

TOTAL MONTHLY HOUSEHOLD INCOME

This figure is automatically generated from the entries in the field "MONTHLY Household Income": Monthly-paid - "Basic Salary"; Fortnightly-paid - "Basic Salary" x 2

25

TOTAL ANNUAL HOUSEHOLD INCOME

This figure is automatically generated from the entries in the field "TOTAL MONTHLY HOUSEHOLD" x 12: Monthly-paid - "Basic Salary"; Fortnightly-paid - "Basic Salary" x 2"

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Points for Total Annual Household Income$0 to $45,000 = 7 points; $45,0001 to $65,000 = 6 points; $65,001 to $85,000 = 5 points; $85,001 to $120,000 = 4 points; $120,001 to $150,000 = 3 points; $150,001 to $175,000 = 2 points; Above $175,000 = 1 point

The highest point (7) represents the lowest income range and highest financial need, and vice versa.

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Upload Most Recent Payslip/ Proof of Income of EACH Household Member (Applicant, Spouse/Partner and Parents/ Guardians, where applicable)* This field is required.The "Basic Salary" stated on each monthly-paid Payslip MUST correspond with the figures that were entered in the "MONTHLY Household Income" fields. Self-employed MUST upload a 6-month Statement of Cash Flows with supporting financial transaction documents

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Select files to upload

28

MONTHLY Household Expenditure* This field is required.(Enter estimated Monthly Expenses in each field in Trinidad & Tobago currency)

Mortgage or Rent (Monthly)

Groceries (Monthly)

Electricity (Convert to a monthly figure)

Water (Convert to a monthly figure)

Telephone (Monthly)

Internet/ Cable (Monthly)

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Total MONTHLY Household Expenditure

This figure is automatically generated from the entries in the field "MONTHLY Household Expenditure"

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Total ANNUAL Household Expenditure

This figure is automatically generated from the field "Total MONTHLY Household Expenditure" x 12

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Applicant's ANNUAL Educational Expenses* This field is required.(Enter Applicant's Annual Education Expenses in each field in Trinidad & Tobago currency)

Programme Fee (Actual Annual Fee from Educational Institution's Fee Booklet) )

Books (Estimated Annual Expense)

Other Educational Supplies (Estimated Annual Expense)

32

Applicant's Total ANNUAL Educational Expenses

This figure is automatically generated from the entries in the field "Applicant's ANNUAL Educational Expenses"

33

TOTAL ANNUAL EXPENSES

This figure is automatically generated from the field "Applicant's Total ANNUAL Household Expenditure" + "Applicant's Total ANNUAL Educational Expenses"

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SurplusThis field represents the difference between TOTAL ANNUAL HOUSEHOLD INCOME and TOTAL ANNUAL EXPENSES

35

Points for Surplus-$1+ to $5,000 = 2 points; $5,001+ = 1 point

This field is generated from Surplus

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Points for Financial Need (10 maximum)Annual Income = 7 points maximum; Surplus = 2 points maximum; Factors that affect Household Income = 1 point

This field represents the Total Points for Annual Household Income + Surplus + Factors that affect Household Income

37

Upload two (2) Utility Bills listed in "MONTHLY Household Expenditure" (Electricity, Internet, Telephone, Water, Other)* This field is required.If the Utility Bill is not in the applicant's name, an officially-signed letter and copy of the ID from the name of the person on the bill MUST also be uploaded

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Utility Bills MUST be dated within the last three (3) months

38

Involvement or Participation in U.W.I. Credit Union ActivitiesList the dates and events of three (3) of the most recent U.W.I. Credit Union activities that you were involved in, within the last five (5) years. If there was no involvement, leave the field BLANK - DO NOT ENTER ANY DATA

Example: 2024 - Participant, Fabric Manipulation Workshop, U.W.I. Credit Union

Example: 2022 to 2024 - Member, Education Committee, U.W.I. Credit Union

Example: 2020 to 2024 - Brand Ambassador, U.W.I. Credit Union

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1 - Points for Involvement or Participation in U.W.I. Credit Union Activities Involvement in 1 activity = 1 point; Blank field = 0 points

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2 - Points for Involvement or Participation in U.W.I. Credit Union Activities Involvement in 1 activity = 1 point; Blank field = 0 points

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3 - Points for Involvement or Participation in U.W.I. Credit Union Activities Involvement in 1 activity = 1 point; Blank field = 0 points

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Total Points for Involvement or Participation in U.W.I. Credit Union Activities Involvement in more than 2 activities = 3 points; Involvement in 2 activities = 2 points; Involvement in 1 activity = 1 point; Blank field = 0 points

43

Involvement or Participation in Institutional, Community or Other ActivitiesList the dates and events of two (2) of the most recent Institutional, Community or Other activities that you were involved in, within the last five (5) years. If there was no involvement, leave the field BLANK - DO NOT ENTER ANY DATA

Example: 2023 to 2024: Student Liaison, BSc Programme ..., Department of ..., U.W.I ., St. Augustine

Example: 2022 to 2024: Member, Parents Teachers Association, ... Secondary School

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1 - Points for Involvement or Participation in Institutional, Community or Other ActivitiesInvolvement in 1 activity = 1 point; Blank field = 0 points

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2 - Points for Involvement or Participation in Institutional, Community or Other ActivitiesInvolvement in 1 activity = 1 point; Blank field = 0 points

46

Total Points for Involvement or Participation in Institutional, Community or Other ActivitiesInvolvement in 2 activities = 2 points; Involvement in 1 activity = 1 point; Blank field = 0 points

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Total Points for Assessment for the Award of U.W.I. BursariesThis field represents the maximum of Total Points (20) attained from:- Financial Need (10 points); Academic Merit (4 points); Involvement in Credit Union Activities (3 points); Involvement in Community, Institutional or Other Activities (2) points; Progress in programme (1 point)

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Unfortunately, you do qualify for consideration for one of U.W.I. Credit Union's Bursaries:

Brenda Fraser | Vibert Medford | Claude Mc Eachrane | Jill Thompson

Visit https://www.uwicu.tt/ for the Guidelines for the Award of U.W.I. Credit Union Bursaries

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Applicant's Disclaimer* This field is required.