Request for Review: Student Fixed Contribution

Transcription

1 Ministry of Advanced Education and Skills Development Student Financial Assistance Branch Request for Review: Student Fixed Contribution Purpose Use this form to request a review of your expected financial contribution used in the assessment of your OSAP Application for Full-time Students. Required Documentation You must provide documentation to support your review request. The type of documentation required is outlined in each section. Note: You and your spouse (if applicable) must sign and date any letters you provide with this review request. Include your name and student number on all documentation provided. You may be required to provide additional documentation based on the information you provide with this request. Where to Send this Form If you re going to a school in Ontario: Send this completed form and your required document(s) to your school s Financial Aid Office. If you re going to a school outside of Ontario: Send this completed form and your required document(s) to: Student Financial Assistance Branch, Ministry of Advanced Education and Skills Development, P.O. Box 4500, 189 Red River Road, 4th Floor, Thunder Bay, ON P7B 6G9. Deadline This form and all required documents must be received by your financial aid office or the ministry no later than 40 days before the end of your study period. Questions? If you re going to a school in Ontario: Contact the financial aid office at your school. If you re going to a school outside of Ontario: Contact the ministry at: Student Financial Assistance Branch, Ministry of Advanced Education and Skills Development, P.O. Box 4500, 189 Red River Road, 4th Floor, Thunder Bay, ON P7B 6G9. General inquiry telephone service is available Monday to Friday, 8:30 AM - 4:30 PM (Eastern Standard Time) Telephone: Toll-free in North America: OSAP-411 ( ) Telephone Device for the Deaf (TDD):

2 Section A: Student s Information Social Insurance Number: Ontario Education Number (OEN), if assigned: Last name: First name: Student s Mailing Address Street number and name, rural route, or post office box: Apartment: Street number and name, rural route, or post office box: Province or state: City, town, or post office: Postal code or zip code: Country: Area code and telephone number: Information about Student s School and Program What is the name of the school you plan to attend or are currently attending for your study period? Student number at your school: What are the start and end dates of your study period? From: To: Month Year Month Year 2

3 Section B: Pre-Study Period Activities and Income Enter income and earning amounts in dollars only. Do not enter cents or use periods or commas. 1. Have you submitted a Request for Review: Adjust Income Contribution Due to Lack of Employment? Yes go to Section C. No go to question #2. 2. Did you work during your pre-study period? Yes go to question #3. No go to question #6. Note: Your pre-study period is one of the following (whichever is fewer weeks): The 16 weeks immediately before the start of your study period; or The number of weeks from the end of your last period of full-time high school or postsecondary studies and the start of your study period. 3. What is the total number of weeks you worked during your pre-study period? 4. What were the average hours per week that you worked during your pre-study period? 5. What was your total gross income during your pre-study period? 6. Select the FIRST statement that applied to you for your pre-study period. There were less than four weeks between my last full-time study period and my current study period. If your last study period was at a different school than your current study period: You must provide either transcripts or a signed statement from the institution you were attending that confirms you were enrolled and attending full-time studies during your pre-study period. It must include your study period start and end date at the school and the percentage of course load that you were enrolled in. 3

4 I had an illness, medical condition, or injury that prevented me from working. A letter indicating the reason(s) that you were unable to work. A certificate from your physician outlining the nature of your illness, medical condition, or injury, and the period of time it prevented you from working. If you had to leave your previous job due to illness, medical condition or injury: A copy of the Record of Employment issued by your employer showing reason for separation as Code D (illness or injury). I have a disability that prevented me from working. A medical certificate to substantiate your disability and your inability to work because of the disability. I stayed at home to care for a parent who requires care due to a disability or medical condition. A letter indicating the reason(s) that you were unable to work during your entire pre-study period. A letter from the family physician indicating that your parent needs daily care due to a disability or medical condition and the nature and amount of the daily care required. I was enrolled in full-time studies or training (e.g., high school, academic upgrading, English/ French as a Second Language studies or postsecondary preparatory programs). A signed statement from the institution you were attending during your pre-study period confirming that you were enrolled in and attended studies or training full-time (minimum 20 hours per week) during your pre-study period. It must include your study period start and end dates and the hours per week of classroom and/or training provided. I was in a full-time (at least 20 hours per week) unpaid placement or internship that was not eligible for OSAP consideration. A letter from an individual at the organization who is authorized to confirm the number of hours per week that you worked at the organization, when you worked with the organization (e.g., the start date and end date) and confirming that you did not get paid for the hours worked. The letter must also include the: Name and address of the organization; and Name, position, and contact information for the individual signing the letter. 4

5 I worked full-time (at least 30 hours per week) in a volunteer position. A letter from an individual at the organization who is authorized to confirm the number of hours per week that you worked at the organization, when you worked with the organization (e.g., the start date and end date) and confirming that you did not get paid for the hours worked. The letter must also include the: Name and address of the organization; Registered charity number or not-for-profit corporation number (if organization is not a registered charity); and Name, position, and contact information for the individual signing the letter. I could not find a job for my pre-study period. A letter indicating the reason(s) you were unable to find a job for your pre-study period. A detailed summary of your job search for your entire pre-study period, including a list of prospective employers that you contacted. Documentation must show that you actively looked for all types of work and salary ranges. In lieu of a summary of the job search history, you can provide official proof of registration with an employment agency, including date of registration. Section C: Study Period Employment 7. Are you working or do you plan to be working during your study period? 8. How much have you earned (gross wages plus tips and gratuities) to date in your study period? None of the above statements applied to me. Enter amounts in dollars only. Do not enter cents or use periods or commas. If the amount is not applicable or negative, enter (0). Yes go to question #8. No go to question # How much do you expect to earn (gross wages plus tips and gratuities) in the remainder of your study period? 5

6 10. Select the FIRST statement that applies to you for your current study period. I have an injury, disability or medical condition that prevents me from working during my study period. A letter from your physician or your school s Office for Students with Disabilities recommending that you should not work during your study period and/or take a reduced course load for medical or disability-related reasons. I cannot consider employment during my study period for academic reasons. A letter explaining the reason(s) why you cannot work while enrolled in postsecondary studies; and If you are taking less than the maximum number of credits/courses per semester for your program (i.e., less than 100% of a full course load), provide a letter from your program advisor recommending you take a reduced course load during your current study period due to academic reasons. I was working earlier in my study period but am no longer working. A letter indicating the reason(s) why you are no longer working. Your letter must also include the number of weeks you worked during your current study period, the average number of hours per week that you worked at your job and your average hourly earnings (gross wages plus tips and gratuities). I have been unable to find a job in my current study period. A letter indicating the reason(s) you were unable to find a job in your current study period. A detailed summary of your job search for your study period to date, including a list of prospective employers that you contacted. Documentation must show that you actively looked for all types of work and salary ranges. In lieu of a summary of the job search history, you can provide official proof of registration with an employment agency, including date of registration. None of the above statements applied to me. Section D: Savings and Other Financial Assets Proof of your bank account balance(s) (and those of your spouse, if applicable) as of your asset valuation date (e.g., 16 weeks before the start of your study period. For example, if your studies started on Sept 8, 2016, then provide your information as at May 19, 2016). Examples of documentation may include paper or Pdf bank statements, or screen shots of on-line bank account information. A copy of your (and your spouse s, if applicable) Canada Revenue Agency 2015 Notice of Assessment (or 2015 Notice of Reassessment if applicable). A copy of your 2015 Schedule T1 from your tax return (e.g., the copy submitted to the Canada Revenue Agency). If you reported on your OSAP application amounts from a Scholarship Trust or Educational Assistance Payments from an RESP, documentation showing the amount remaining in the account. 6

7 11. Do you (or your spouse, if applicable) have any savings, including Tax-Free Savings Accounts, or other financial assets (e.g., RESPs, Scholarship Trust fund, bonds, stocks, term deposits, GICs, mutual funds)? Yes go to question #12. No go to Section E. 12. Indicate type(s) and amounts of your (and your spouse, if applicable) savings and other financial assets. Enter amounts in dollars only. Do not enter cents or use periods or commas. Amount in bank accounts as of asset valuation date Scholarship Trust Fund or Registered Educational Savings Plans (RESPs) Tax-Free Savings Accounts Other assets (bonds, stocks, term deposits, GICs, mutual funds) Section E: Declarations Student Declaration I understand that if my review request is accepted, my OSAP application will be re-assessed based on the information I have provided for this review. I will be bound by the Declarations I signed on my OSAP Application for Full-Time Students. Signature: Date: Month Day Year Your personal information will be used to administer and finance the Ontario Student Assistance Program (OSAP) as set out in the notice of Collection and Use of Personal Information on your OSAP application form and in accordance with the consents you signed on your OSAP application form. The Ministry of Training, Colleges and Universities administers and finances OSAP under the legal authority set out on your OSAP application form. If you have any questions about the collection, use and disclosure of your personal information, contact the Director, Student Financial Assistance Branch, Ministry of Training, Colleges and Universities, PO Box 4500, 189 Red River Road, Thunder Bay, ON P7B 6G9; (807)