Fall 2021 - Winter 2022 Work Study 
Program Eligibility Form
. . . . to be eligible for a part-time position on campus with the STUDENT WORK STUDY PROGRAM, please complete and return the attached budget form, for approval, to the:
Academic & Career Success Centre
Learning Resource Commons, First Floor, North Campus
STUDENT WORK STUDY PROGRAM REGISTRATION

NAME: 	STUDENT NUMBER        	

PROGRAM:                                                                                               PHONE: (	)                           SEMESTER: 	

Job postings are available on: ghworks.guelphhumber.ca

use your Humber credentials and log onto: CareerConnect account from 
 http://careers.humber.ca/student-services.php

•   For assistance see career Services staff in Academic & Career Success
     office LRC 1st floor or GH108

IMPORTANT:  Keep this original form to be photocopied and given to hiring 
                          Faculties or Departments as proof of Work Study eligibility.

Hiring Department:  Please see link for Processing Student Employee Contracts at 

http://careers.humber.ca/faculty-services.php

Office Use Only:
Eligible for work/study Fall 2021 - Winter 2022	  Yes	D

No	D

Authorized:  	

Date:  	

** This student is entitled to work only 24 hours per week as he/she is in full-time studies during the Fall/Winter Semester.

(Please Print)

Guelph Humber students working for Humber STUDENT APPLICATION

WORK STUDY PROGRAM
(Fall 2021 - Winter 2022)

Last Name:	First:	Phone #:  	
Address:			City:	Province:         Postal Code: 	 Student #		e-mail:      	 

Citizenship:	Canadian q      OR     Permanent Resident q

Academic Program Name:    								 Current Semester	1 q	2 q	3 q	4 q	5 q	6 q	7 q	8 q
Are you taking 100% of Course Load?  (i.e. 6 out of 6 courses)  YES q
If not, what percentage? (i.e. 5/6 = 80%, 4/6 = 60%)	 	

Are you receiving OSAP assistance September - May?	 Yes q	Total Entitlement 		No q

Budget details MUST be completed
                                               Based on period from (September 2021 - May 2022)

YOUR EXPENSES	YOUR INCOME
Tuition	$ 		Savings (not total earnings)	$  	
Books/supplies	$ 		(May   2021 to August 2021)
Rent	per month x 8   =	$ 		Income (September 2021-May 2022)	
Food	per month x 8   =	$ 		OSAP total	$  	
Other expenses (personal, medical,		Part Time Job, outside College	$  		
laundry, transportation, telephone, etc.)		Other, ie. Spouse’s	$  		
 	 per month x 8  =	$  		Income, Gov. Benefits		

TOTAL EXPENSES:	$ 		TOTAL INCOME	$  	
TOTAL EXPENSES minus TOTAL INCOME:	$	 ARE YOU RECEIVING ANY OTHER GOVERNMENT FUNDING?	YES q   OR	NO q
DECLARATION BY STUDENT:

I certify that to the best of my knowledge the information on this page is true and correct, that I require additional funds to complete my studies. I HAVE NOT PREVIOUSLY DEFAULTED ON A STUDENT LOAN. 
My academic progress is satisfactory and I agree to notify the Financial Aid Manager in writing, of any change in my academic or financial status during my study period
"In accordance with Section 39(2) of the Freedom of information and Protection of Privacy Act. This is to advise you that the personal information collected on this form will be used for the proper administration of the Ontario Work Study Plan, and that the Ministry of Colleges and Universities is hereby authorized to disclose such information for the purposes of determining grants and loans to any educational institution, the federal government and its collection agencies, other ministries of the Ontario government, other educational authorities both inside and outside the Province of Ontario and financial institutions with which you may have an OSAP loan. This information is collected under the legal authority of Ministry of Colleges and Universities Act. R.S.O., 1980,c, 272 and regulations". Questions about this collection should be directed to the Director, Student Support Branch, P.O. Box 4500. Thunder Bay, Ontario, P7B 6G9. Telephone - (807) 343-7260.

Date	Student Signature
Approval Date:	/	/  	

Approved by