LCBO Spirit of Inclusion Initiative Award Application Form

This form has been designed to assess whether or not you are eligible for financial assistance through the LCBO Spirit of Inclusion Initiative. The following courses/programs are part of this initiative:

If you are already enrolled or have an active student ID number, ensure your SIN (Social Insurance Number) is accurate in your student account (STU-VIEW) before completing this form.

Note: Items marked with an asterisk (*) must be completed.

Personal Information
Status for Study in Canada
Contact Information
Academic Information
Eligibility Information
How do you identify as a person from a diverse background?
(Check all that apply.)
Personal Written Statements
Student Budget

Please indicate your budget below. This budget should reflect the average resources and costs associated with studying at George Brown College during the academic year from September to April. Please ensure that all sections are completed.

Financial Resources Amount ($)

Personal Savings (prior to study period)

Parental or Spousal Contribution (includes all contributions to any of your expenses)

Scholarships and Bursaries (includes any Continuing Education bursary funds)

Loans (i.e. bank line of credit, other family members)

Government Assistance (e.g. Social Services, EI, ODSP, OW, OSAP, DIAND)

Monthly Employment Income

(calculate the income acquired in one average month within the academic year between September and April)

Total Resources
$ 0.00
Estimated Expenses Amount ($)

Tuition and Academic Fees

Books and Related Supplies

Monthly Housing (e.g. rent, mortgage, home insurance, maintenance fees)

(calculate the cost of one average month within the academic year between September and April)

Monthly Utilities (e.g. water, electricity, gas, phone, cable, internet)

(calculate the cost of one average month within the academic year between September and April)

Monthly Food (e.g. groceries, dining)

(calculate the cost of one average month within the academic year between September and April)

Monthly Transportation (e.g. public transit, automobile payments, automobile insurance, gas)

(calculate the cost of one average month within the academic year between September and April)

Monthly Personal and Miscellaneous (e.g. clothing, personal care, medication, uncovered medical expenses, childcare)

(calculate the cost of one average month within the academic year between September and April)

Total Expenses
$ 0.00
Terms of Assessment

You will be contacted within one week (excluding college closures) after you submit this form to let you know if you have qualified to have your course/program fee(s) covered.

Declaration
Sign above.
Privacy Policy

General Collection Notice: George Brown Polytechnic (the “institution”) collects personal information under the authority of the Ontario Colleges of Applied Arts and Technology Act and in accordance with the Freedom of Information and Protection of Privacy Act. The institution collects personal information for the purposes of administering its statutory objects/powers, programs, and activities and to carry out other services and functions. The institution will secure personal information and use for such purposes as set out in the George Brown Polytechnic Notice of Collection. If you have any questions about the collection, use, and disclosure of personal information at the institution, please visit the institution-wide Privacy Policy page. You may also contact the Privacy Office via email at privacy@georgebrown.ca.