Entrance scholarship budget sheet

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Contact information

Student number: ex. V00123456

Last name:

First name:

Email:

Martial status:

Is your spouse a student at UVic:

Is your spouse studying at another institution? If so, please specify:

Number of dependent children:

While attending UVic, I will be living:

Study period:

Budget sheet

Total number months of study in the academic year:

Education expenses

Tuition:

Books:

Supplies:

Total education expenses:

Monthly expenses

Housing (rent/mortgage):

Food:

Utilities:

Household (laundry, cleaning etc):

Transportation:

Entertainment:

Medical/Dental/Optical:

Actual child care costs (before subsidy):

Other:

Total monthly expenses:

Total monthly expenses X Total number months of study:

Total expenses:

Education resources

Savings:

Awards (include any UVic entrance scholarships you have been offered):

Total education resources:

Monthly income

Part-Time earnings:

Sponsorships:

Orphan's benefits/CPP:

Family contribution (parents or other family members):

Spousal income/government assistance (net income from all sources):

Child care subsidy:

Canada Child Benefit (CCB):

Other:

Total monthly income:

Total monthly income X Total number months of study:

Total resources:

Budget Summary

Financial Need (Total Expenses - Total Resources):

I hereby declare that all information given above is complete and true in every respect, and that I have answered all questions applicable to me on this form. I further declare that I am willing to submit all statements for independent verification and audit and that I will submit any documentation necessary to substantiate my claimed income and expenses. I understand that an award granted on the basis of this application may be revoked if the information given above is untrue in any material respect.