The Royal Conservatory School. BURSARY ASSISTANCE PROGRAM SMART START Early Years Instruction APPLICATION FORM FOR THE 2016.

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1 The Royal Conservatory School BURSARY ASSISTANCE PROGRAM SMART START Early Years Instruction APPLICATION FORM FOR THE ACADEMIC YEAR Mail, fax, or hand your completed application to The Royal Conservatory School Registration Desk by 4:00 P.M. on September 7, 2016 The Royal Conservatory School 273 Bloor Street West, Toronto, ON M5S 1W2 Phone: Fax:

2 THE ROYAL CONSERVATORY SCHOOL BURSARY APPLICATION ELIGIBILITY In general bursaries are awarded through the RCS Subsidized Spaces Program. Assistance is based on gross household income, and awarded according to the following schedule: Gross Household Income Maximum Eligible Tuition Subsidy $60,000-$69,000 20% $50,000-$59,999 40% $40,000-$49,999 60% $30,000-$39,999 80% Under $30, % In determining awards, the Bursary Committee considers primarily family financial need, as well as such factors as temporary unemployment, emergencies, illnesses, and the total cost of music education. POLICIES I) Receipt of an application does not oblige the RCS to grant a bursary. II) Awards are final and are not subject to appeal. III) Bursary funds can only be used for the program for which the applicant requested financial assistance. IV) Bursary awards off-set RCS tuition only; funds may not be used towards supplemental fees, books, instruments, examinations or other costs associated with musical education at the RCS. V) Applicants are urged to register using the monthly payment plan, as bursary funds can only be deducted from tuition owing. VI) Bursaries are awarded for use in the Academic Year which begins September 10, VII) The RCS reserves the right to withdraw a bursary at any time if the behaviour exhibited by the student while at The RCM is deemed inappropriate by the Director of the RCS. APPLICATION DEADLINE Applications are due by 4:00 p.m. on September 7, See front cover for contact information. APPLICATION PACKAGE Incomplete applications will not be considered. Please complete the checklist on the final page. We do not contact applicants for missing information. RESULTS All complete applications will be reviewed by the Bursary Committee within one week of the formal application deadline. Only applicants receiving awards will be contacted. All unsuccessful applications will be held for the duration of the academic year and will be considered should any additional funding become available.

3 BURSARY APPLICATION FORM ACADEMIC YEAR RCM #: Date of Birth: (YYYY/MM/DD) Age: Name: Address: First Name Last Name Apt # Address Daytime telephone # Evening telephone # address Parent or Guardian if applicant is under 16 Telephone # Present music teacher: (if applicable) Name Telephone # address Have you previously applied for an RCS bursary? Are you currently a student at The Royal Conservatory School? Yes No Yes No If yes, which classes/lessons are you taking? Please list past awards for musical study: Year Amount Instrument/Program Source of Assistance (Award Name) Briefly state your musical goals and how a bursary would help achieve them:

4 Musical Education Information (Practical & Theoretical) Name of School (if applicable) Subject/Level RCM Exam Mark Teacher General Education Information (if applicable) Name of School(s) Years Attended Grade/Program Completed General Personal Information Bursary donors often like to know something about the recipients of their awards; please tell us about yourself. I have read and understood the terms of bursary application, and agree to comply with all policies of The Royal Conservatory School. Candidate s Signature Parent s/guardian s Signature (if under 16) Date

5 THE ROYAL CONSERVATORY SCHOOL BURSARY APPLICATION FINANCIAL INFORMATION FORM SECTION 1: PERSONAL INFORMATION: to be completed by the person or people who pay tuition that is, by the adult student applying for funding, or by all parent(s)/guardian(s) applying for funding on behalf of financially dependent student. Note: Families with multiple incomes must report the entire household income. Adult applicants (19 and over) must submit: personal information about yourself and your spouse. Financially dependent students (18 and younger) must submit: personal information about the parent(s) and or guardian(s). 1.1 Parent/Guardian #1 or Adult Applicant First Name Last Name Apt # Address Daytime telephone # Evening telephone # address 1.2 Marital Status: Single Married/Common-law Relationship Divorced Separated Widowed 1.3 Number of children 16 years and younger that you and your spouse (if applicable) support 1.4 Do you receive subsidized child care? Yes No 1.5 Parent/Guardian #2 or Spouse of Adult Applicant First Name Last Name Apt # Address Daytime telephone # Evening telephone # address 1.6 A letter stating why bursary assistance is required and outlining the efforts that are being made to meet financial needs must be attached and signed by the applicant and parent(s) or guardian(s). A letter explaining the applicant s need for bursary assistance is attached. YES NO

6 SECTION 2: EMPLOYMENT INFORMATION 2.1 Parent/Guardian #1 or Adult Applicant current employment status: Full-Time Self-employed Part-Time Unemployed If unemployed, list source(s) of government income/support. (e.g. Ontario Works, Ontario Disability Support Programs, Employment Insurance, etc.) 2.2 Parent/Guardian #2 or Spouse of Adult Applicant current employment status: Full-Time Self-employed Part-Time Unemployed If unemployed, list source(s) of government income/support. (e.g. Ontario Works, Ontario Disability Support Programs, Employment Insurance, etc.) 2.3 Provide your employment history by listing your jobs and the periods in which you received government assistance: (e.g., Ontario Disability Support Programs, Family Benefits, Ontario Works, or Employment Insurance). Start with your most recent position (attach a separate sheet if you need more space). Name of employer or source of government income City, province, and country in which you worked From To Month Year Month Year SECTION 3: INCOME INFORMATION 3.1 Estimated gross income for the current year Parent/Guardian #1 or Adult Applicant $ Parent/Guardian #2 or Spouse of Adult Applicant $ Include income from all sources, except GST rebates, Child Tax Benefits, assistance received through the federal Universal Child Care Benefit. Do not include pain and suffering awards, including WSIB Non-economic loss (NEL) awards, in amounts less than $100,000. Any amount over $100,000 is considered income in the period it was received. If payments are made for different incidents, the payments related to each incident are exempt up to $100, Type of government income expected to receive in the current year (if applicable) Unemployment Insurance Employment and Training Allowance Ontario Disability Support Program Loss of Earnings Benefits (WSIB) Ontario Works Other 3.3 Proof of Income Proof of income for Parent/Guardian #1 or Adult Applicant attached Proof of income for Parent/Guardian #2 or Spouse of Adult Applicant attached Proof of income must be provided for both Parent/Guardian #1 or Adult Applicant and Parent/Guardian #2 or Spouse of Adult Applicant (if applicable). Proof of income includes: Copies of pay stubs from Ontario Disability Support Program (ODSP) or Ontario Works (OW) (or a letter from a caseworker) Pay stubs from other government income such as Canada Pension Plan Disability Benefits, Loss of Earning Benefits (WSIB) or Employment and Training Allowance Copies of employment pay stubs, letters from employers confirming actual gross monthly income, or Notice of Assessment from most recent tax return. CHECKLIST Completed application form Completed financial information form Sections 1, 2 & 3 Letter explaining applicant s need for bursary assistance (section 1.6) Proof of income (section 3.3)