OHL Scholarship Room & Board Claim Form - Fall/Winter 2025-26 Only (Academic Year Scholars)

1

I understand that:* This field is required.

Eligibility: This benefit is available only to OHL graduates who meet the criteria outlined in their agreements. Room and Board eligibility will also be outlined in your Scholarship Activation Breakdown.

I am to pay my Room and Board upfront.

I will submit following the Claim Submission Periods: 1) Standard: April of the academic year

I must remain enrolled in at least 3 courses for each month I am claiming Room & Board.

How Reimbursement are Calculated: 1) OHL scholarship funds remaining after my tuition and fees are paid for the academic year, 2) Cost of a single room at my school's residence, 3) Largest available meal plan at my school. **If my school does not offer residence/meal plan, a standard average room and meal rate will be applied.

OHL will add the Meals Allowance after processing.

Late submissions will delay and may limit my reimbursement. Missing documentation will require a resubmission of the form. If documentation is unclear, additional documentation and resubmission will be requested.

All uploads must be in PDF format.

2

Has your Direct Deposit Information Changed since you opened your scholarship account/last updated your direct deposit?* This field is required.

Yes (or I haven't submitted a Reimbursement Claim yet), I will fill out the Scholarship Direct Deposit Update Form at https://form.jotform.com/260074923763056 BEFORE I submit this expense.

No

3

Full Legal Name* This field is required.

First Name

Middle Name

Last Name

4

Birth Date* This field is required.

Date

5

Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

6

Email* This field is required.If 18+, must be student email.

example@example.com

7

Phone Number

Area Code

Phone Number

8

Full School Name* This field is required.

9

Applicable Months:* This field is required.. Fall/Winter (Canadian) or Fall/Spring (American) are eligible for up to 8 months, *You must be enrolled in a minimum of 3 courses for the entire month to claim Room and Board during that month

August 2025 (American Schools)

September 2025

October 2025

November 2025

December 2025

January 2026

February 2026

March 2026

April 2026

10

Upload a PDF of your Signed & Dated Lease or Lease Letter* This field is required.Lease must be signed and dated by all tenants and landlord. Must indicate start and end dates of lease, amount per month, and utilities included. Landlord contact information and address must be included.

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Max. file size: 10.0MB

Upload a File

Template: https://chlohl-my.sharepoint.com/:w:/g/personal/jkuiken_ontariohockeyleague_com/IQARfyzOWJLkQ6FaB6Gw54uIAZFZ9MubcrZ5o1em7YiG8L4?e=Vn0Ler

11

Number of Tenants Splitting the Rent* This field is required.

12

If the amounts of tenants splitting the rent, is not even - provide detail, (amount and why)

13

Upload PDF proof of payment for rent* This field is required.

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Max. file size: 10.0MB

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14

Upload one PDF Receipt/Bill for Each Utility being claimed.ONLY CLAIM UTILITIES NOT INCLUDED IN MONTHLY RENT.

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Max. file size: 10.0MB

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15

Expenses Summary* This field is required.Eligible expenses include: Rent, Utilities: Gas, Hydro, Water, Wifi

16

For Expenses in Each Semester Claimed, upload a PDF of your Grade Summary/Transcript showing Final Fall & Final Winter (Spring in US) Grades.* This field is required.Must show your name/student ID on the document. Final marks required if semester has concluded.

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Max. file size: 10.0MB

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17

If you are attending school online and your schedule does not follow the typical post-secondary calendar, upload PDF of Official Documentation showing your Start and End Dates. Must show your name/student ID.

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Max. file size: 10.0MB

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18

Total Housing Expenses* This field is required.Not including Meals/Meal Plan amount to be added by OHL.

19

If you were requested to resubmit this form with missing/additional documentation, please upload it here:

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Max. file size: 10.0MB

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20

Terms and Conditions* This field is required.