Selkirk College Emergency Assistance Application

Selkirk College Emergency Assistance Application

The Selkirk College Emergency Assistance program is intended to support current Selkirk College students who may be experiencing unplanned and unexpected financial hardship in emergency situations.

You must indicate on the form:

- your current financial resources and
- a detailed breakdown of the unforeseen expense

Consideration for this funding will be determined through and analysis of demonstrated financial need and any supporting documentation you can provide.

Note to Canadian students: It is expected that Canadian students will have demonstrated that they have applied for all other available funding sources including student loans.

Note to International students: If you are a 1st year student on a study permit in Canada, you have already declared that you are able to financially sustain yourself through the Visa application process. Any applications will be reviewed against this criteria.

Examples of emergency costs:

1. Food
2. Unexpected travel expenses
3. Living expenses
4. Accessing high speed internet to complete online courses
5. Loss of income, ie: job layoff or reduced hours
6. Supports to enable the ability to study remotely

Eligibility criteria:

1. Full or part-time Selkirk College students who are currently enrolled for the Fall 2023 and/or Winter 2024 semesters.

2. Demonstrated financial distress as a direct result of unforeseen expenses.

Note:The emergency student relief fund is not intended as a "regular" source of income.

Name Name First Last
Student number
Selkirk College Email
What gender do you identify as?

What gender do you identify as? Female Male Non-Binary Prefer not to specify
Citizenship

Citizenship Canadian, permanent resident, landed immigrant, protected person International
Residency status

Residency status BC resident (living in BC for at least 12 continuous months without attending school) Out of province
Do you identify yourself as an Indigenous, Metis, or Inuit?

Do you identify yourself as an Indigenous, Metis, or Inuit? No Yes
Are you a Former Youth in Care?

Are you a Former Youth in Care? No Yes
Enrolment status

Are you enrolled in the Fall 2023 and/or Winter 2024 semesters?

Enrolment status

Are you enrolled in the Fall 2023 and/or Winter 2024 semesters? No Yes

Note: if you are not enrolled for Fall 2023 or Winter 2024, you are not eligible to apply for Selkirk College emergency funding.
Full-time or part-time study

Select one of the following that best describes your situation:

Full-time or part-time study

Select one of the following that best describes your situation: Full-time study (9 credits or more) Part-time study
Program

Select the program that you are currently enrolled.
Family situation

Family situation Single, living at home with your family or extended family Single, living on your own and paying rent Married/common-law Separated/divorced/widowed Single parent Other - please describe Other - please describe
Number of dependent children (under the age of 18 living at home):

Enter "0" if there are no dependent children.
If you have a spouse/common-law - what is their main activity right now?

If you have a spouse/common-law - what is their main activity right now? Working full-time or part-time Unemployed At home caring for dependent children Attending post-secondary studies Not applicable Other - please describe Other - please describe
Monthly Income

What is your monthly income for this month? If you are married/common-law include your TOTAL FAMILY MONTHLY INCOME.
Monthly Income (including spousal/common-law)

1. Employment income
2. Employment Insurance benefits
3. Social Assistance
4. Pension (retirement, disability, CPP, etc)
5. Alimony and/or child support (monthly amount)
6. Child tax credit/Universal child care benefit
7. Daycare subsidy
8. Income from assets, rental income, stocks, bonds, mutual funds
9. Sponsor funding, ie: First Nations Band, WCB, ICBC, etc (monthly amount)
10. Any other type of monthly income or support

Estimate if you do not know the exact amounts.

Enter "0" if you don't have any monthly income.
Currently, there are many sources of financial assistance for post-secondary students. In the box below, describe what supports you have applied for. If you have not applied for any supports, explain your reasoning for not applying.
Have you applied for a student loan?

Have you applied for a student loan? Yes No
If no - please provide reasons why you have not applied.
Current Financial Challenges

Please provide details including amounts. Example: food, unexpected travel, supports required to enable you to study remotely, etc.
Note: Selkirk College reserves the right to audit any award recipients at a later date if it is ever determined there is a need to do so.
Please provide a detailed description of your current financial circumstances and challenges.

Note: In order for your request to be assessed a detailed account of your current financial situation is required. Incomplete applications will not be considered.
Please provide a detailed explanation of your emergency situation, including associated expenses. An emergency situation is defined as a one-time situation that cannot be predicted, is not expected to be ongoing and results in unexpected undue hardship at that time.
What is the amount of funding you are asking assistance with?

What is the amount of funding you are asking assistance with? $250 $500 Other (Receipts must be provided if requesting reimbursement for a specific unexpected expense)
If you have any documents that can support your request, you can upload them here - for example: Record of Employment (ROE).

Attach Files

If you have problems uploading documents, please email them to FinancialAid@selkirk.ca. Your email should include your name, student number, and reference Selkirk College Emergency Assistance application.
If you have any documents that can support your request, you can upload them here. Up to 10 documents can be uploaded.

Attach Files

If you have problems uploading documents, please email them to FinancialAid@selkirk.ca. Your email should include your name, student number, and reference Selkirk College Emergency Assistance application.
Requirement to meet with a Selkirk College Counsellor

As part of the assessment of your application you will be required to meet with a counsellor.

Instructions on how to book an appointment are below.

Requirement to meet with a Selkirk College Counsellor

As part of the assessment of your application you will be required to meet with a counsellor.

Instructions on how to book an appointment are below. I agree to book an appointment with a Selkirk College Counsellor by following the instructions below.
Counsellor Booking Information
Mailing address

All bursary cheques will be mailed to the address on your student record unless otherwise indicated.

If you would like to pick up your cheque in person at the Financial Aid Office on the Castlegar campus please select the box below:

Mailing address

All bursary cheques will be mailed to the address on your student record unless otherwise indicated.

If you would like to pick up your cheque in person at the Financial Aid Office on the Castlegar campus please select the box below: Please hold my cheque for pick up at the Castlegar Campus I understand that, if approved, my cheque will be mailed to the mailing address listed in my student record
Declaration:

I declare that the information contained herein, all statements made in connection with this application, are true, correct and complete.

I understand that any misrepresentation or incomplete disclosure on or relating to this application may result in the cancellation of an award or repayment of an award.

I authorize Selkirk College to release my student record and student financial assistance record for review by Selkirk College’s awards selection committee, for the purpose of determining my eligibility for an award.

If I am the recipient of an award, I authorize the Financial Aid & Awards Office at Selkirk College to release the following information to the donor and/or Selkirk College Advancement Office, if requested: name, address, telephone number, information relevant to special requirements of award and background information from this application.

My email and mailing address is up-to-date on my student record.

I also understand that a T4A tax receipt will be issued for any accumulated bursaries, received from Selkirk College, that total over $500 during a calendar year.
I have read, understand, and agree to the above declaration requirements.
Thank you for taking the time to respond. You will receive a copy of your submission by email.

If you have any questions please contact Financial Aid at FinancialAid@selkirk.ca.