May/November Awards Application Form The intent of AUSU Scholarships, Awards, and Bursaries Program is to promote academic achievement and community spirit in the student population, as well as to supply aid to students with financial hardships. Applications for these awards are accepted in the 6 weeks prior to May 1 and November 1. Click here to view bursaries that are available year-round. Select Your Award:*Academic Achievement Scholarships (4, $1000 awards annually)AUSU Balanced Student Awards (4, $1000 awards annually)AUSU Bursaries (10, $1000 awards annually)AUSU #Igo2AU Award ($1000 each, $2000 total fund)AUSU Returning Student Awards (4, $1000 awards annually)Student Volunteer Awards (4, $1000 awards annually)Application InstructionsAcademic Achievement Scholarship Application Academic Achievement Scholarships reward excellence in scholarship by Athabasca University students. If you also require funding for emergency extensions, school related travel, or a computer, please review our other bursaries. Graduate students should contact the AU Graduate Students' Association by visiting www.augsa.com. Eligibility Criteria: Applicants need not be full-time or admitted to a program, but must be AUSU members at the application deadline. If you are currently enrolled in an open AU undergraduate course, you are an AUSU member. Membership begins on the start date of your course. Students must have completed at least 30 undergraduate credits at AU by the applicable deadline to be considered for this scholarship. Challenge and transfer credits are excluded. Applicants are required to submit a copy of their transcript to be eligible. The applicants with the highest GPA over the last 30 credits will be selected as the recipients of this award. The number of A+ grades (tallying A+ grades in 6-credit courses as two) will be used to break ties, followed by the number of AU credits completed, followed by the number of A grades (also tallying A grades in 6 credit courses as two). Members may only receive this award once. Where requirements detailed in this application conflict with AUSU Awards Policy, the awards policy shall prevail. Athabasca University has no jurisdiction over AUSU awards or vice versa. Award Distribution: Two $1000 awards are available at each awards application deadline (November 1 and May 1). Applications will be accepted up to 6 weeks before a deadline date. The award will be distributed by direct deposit in Canadian funds. Recipient must provide necessary banking information in order to receive the award. Winners will be required to complete a release form, including SIN. Application Procedures: Only completed applications received by the AUSU office will be considered. Incomplete or improperly completed applications will be destroyed upon receipt. If you require assistance filling out your application, please call our office at 1-855-497-7003. All applications and accompanying documentation will be kept strictly confidential. All required fields MUST be completed in order to submit your application form. The following information is required: this fully completed award application the AUSU Declaration of Applicant confirmation a PDF preview of your AU transcript (instructions below) Balanced Student Award Application Balanced Student Awards are intended to recognize and reward the scholastic effort of students who balance multiple commitments, including but not limited to, school, work, volunteerism, and family. If you also require funding for emergency extensions, school related travel, or a computer, please review our other bursaries. Graduate students should contact the AU Graduate Students' Association by visiting www.augsa.com. Eligibility Criteria: Applicants need not be full-time or admitted to a program, but must be AUSU members at the application deadline. If you are currently enrolled in an open AU undergraduate course, you are an AUSU member. Membership begins on the start date of your course. Applicants must have completed a minimum of 12 AU undergraduate credits (transfer and challenge credits excluded) and have a minimum GPA of 2.00 (C grade) over the last 12 AU credits. Preference may be given to those applicants with higher GPA. Applicants must write a short essay outlining how they balance their commitments, as well as submit a minimum of two reference letters, one of which may be of a personal nature. Members may only receive this award once. Where requirements detailed in this application conflict with AUSU Awards Policy, the awards policy shall prevail. Athabasca University has no jurisdiction over AUSU awards or vice versa. Award Distribution: Two $1000 awards are available at each awards application deadline (November 1 and May 1). Applications will be accepted up to 6 weeks before a deadline date. The award will be distributed by direct deposit in Canadian funds. Recipient must provide necessary banking information in order to receive the award. Winners will be required to complete a release form, including SIN. Application Procedures: Only completed applications received by the AUSU office will be considered. Incomplete or improperly completed applications will be destroyed upon receipt. If you require assistance filling out your application, please call our office at 1-855-497-7003. All applications and accompanying documentation will be kept strictly confidential. All required fields MUST be completed in order to submit your application form. The following information is required: this fully completed award application the AUSU Declaration of Applicant confirmation a PDF preview of your AU transcript (instructions below) Letters of reference (minimum of 2), only one of which may be of a personal nature (i.e., family member or friend) Bursary Application AUSU Bursaries are intended to aid members in financial need that may have exceptional life circumstances. If you also require funding for tuition and personal needs while in school, please review our other bursaries. Graduate students should contact the AU Graduate Students' Association by visiting www.augsa.com. Eligibility Criteria: Applicants need not be full-time or admitted to a program, but must be AUSU members at the application deadline. If you are currently enrolled in an open AU undergraduate course, you are an AUSU member. Membership begins on the start date of your course. Applicants must have completed a minimum of 12 AU undergraduate credits (transfer and challenge credits excluded) and have a minimum GPA of 2.00 (C grade) over the last 12 AU credits. Applicants must demonstrate financial need and all financial information must be current as of the date of the awards deadline. Additional circumstances such as disabilities, single parent/caregiver status, etc., may be taken into consideration. No member may receive the AUSU Bursary more than once per 12 month period. The award deadline will be used for making this determination. Where requirements detailed in this application conflict with AUSU Awards Policy, the awards policy shall prevail. Athabasca University has no jurisdiction over AUSU awards or vice versa. Award Distribution: Five awards of $1,000 each are awarded for each awards application deadline (November 1 and May 1). Applications will be accepted up to 6 weeks before a deadline date. The award will be distributed by direct deposit in Canadian funds. Recipient must provide necessary banking information in order to receive the award. Recipients' names are confidential and do not appear in winners' lists. Winners will be required to complete a release form, including SIN. Application Procedures: Only completed applications received by the AUSU office will be considered. Incomplete or improperly completed applications will be destroyed upon receipt. If you require assistance filling out your application, please call our office at 1-855-497-7003. All applications and accompanying documentation will be kept strictly confidential. All required fields MUST be completed in order to submit your application form. The following information is required: this fully completed bursary application the AUSU Declaration of Applicant confirmation a PDF preview of your AU transcript (instructions below) INCOME TAX: Canada Revenue Agency's Option "C" printout for the year prior to application (not a Notice of Assessment) (see below for more information) STUDENT LOANS: a federal or provincial student finance Notice of Assessment for the current term (if you receive government student loans) OTHER INCOME: an EI or Social Assistance Statement for the month of or prior to application (required if applicable) #Igo2AU Award Application AU is as diverse as its student membership. This award is designed to embrace diversity and allow students to express their passion for their pursuit of knowledge in the form of an open award. The #Igo2AU Award is intended to celebrate the concept of open enrolment and the flexibility of learning at AU. The #Igo2AU Award is intended to reflect the entire student population and collectively offer an award that encompasses the openness of AU's mission. This is an award pilot and will be re-evaluated by the Awards Committee at the end of the 2018 fiscal year to recommend any changes, discontinuance, or permanent adoption of this award. If you also require funding for tuition and personal needs while in school, please review our other bursaries. Graduate students should contact the AU Graduate Students' Association by visiting www.augsa.com. Eligibility Criteria: Applicants need not be full-time or admitted to a program, but must be AUSU members at the application deadline. If you are currently enrolled in an open AU undergraduate course, you are an AUSU member. Membership begins on the start date of your course. Applicants do not have to have completed any minimum number of credits. Members may only receive this award once. Applicants are required to submit a video up to 2 minutes long articulating personal experiences in any one, or a combination of the following areas: How does/has AU improve(d) their lives; What is it about AU that fuels their passion for learning; Why they chose AU; How does AU inspire them, and/or; What AU means to them. Preference may be given to those who demonstrate their connectedness between personal experiences and the uniqueness of AU, using the areas listed in the eligibility criteria in their video submission. Where requirements detailed in this application conflict with AUSU Awards Policy, the awards policy shall prevail. Athabasca University has no jurisdiction over AUSU awards or vice versa. Award Distribution: Four $1000 awards are available for the 2017-2018 fiscal year. One was granted during the November 2017 award cycle, and up to three will be granted during the May 2018 awards cycle. Applications will be accepted up to 6 weeks before a deadline date. The award will be distributed by direct deposit in Canadian funds. Recipient must provide necessary banking information in order to receive the award. Winners will be required to complete a release form, including SIN. Application Procedures: Only completed applications received by the AUSU office will be considered. Incomplete or improperly completed applications will be destroyed upon receipt. If you require assistance filling out your application, please call our office at 1-855-497-7003. All applications and accompanying documentation will be kept strictly confidential. All required fields MUST be completed in order to submit your application form. The following information is required: this fully completed award application the AUSU Declaration of Applicant confirmation a video up to 2 minutes long articulating personal experiences in any one, or a combination of the following areas: How does/has AU improve(d) your life; What is it about AU that fuels your passion for learning; Why you chose AU; How does AU inspire you, and/or; What AU means to you. Videos must be uploaded to YouTube either privately or publicly, and must include the hashtag #Igo2AU in the description. Returning Student Award Application Returning Student Awards are intended to recognize the challenges faced by students who return to university after two or more years away from any type of formal education. If you also require funding for emergency extensions, school related travel, or a computer, please review our other bursaries. Graduate students should contact the AU Graduate Students' Association by visiting www.augsa.com. Eligibility Criteria: Applicants need not be full-time or admitted to a program, but must be AUSU members at the application deadline. If you are currently enrolled in an open AU undergraduate course, you are an AUSU member. Membership begins on the start date of your course. Applicants must have completed a minimum of 12 AU undergraduate credits (transfer and challenge credits excluded) and have a minimum GPA of 2.00 (C grade) over the last 12 AU credits. Preference is given to students who have been away from school for longer periods of time, AU program students, and those who have overcome or are in the process of overcoming significant hardship in the pursuit of their education. These hardships should preferably be other than financial as AUSU bursaries are devoted to addressing those needs. Members may only receive this award once. Where requirements detailed in this application conflict with AUSU Awards Policy, the awards policy shall prevail. Athabasca University has no jurisdiction over AUSU awards or vice versa. Award Distribution: Two $1000 awards are available at each awards application deadline (November 1 and May 1). Applications will be accepted up to 6 weeks before a deadline date. The award will be distributed by direct deposit in Canadian funds. Recipient must provide necessary banking information in order to receive the award. Winners will be required to complete a release form, including SIN. Application Procedures: Only completed applications received by the AUSU office will be considered. Incomplete or improperly completed applications will be destroyed upon receipt. If you require assistance filling out your application, please call our office at 1-855-497-7003. All applications and accompanying documentation will be kept strictly confidential. All required fields MUST be completed in order to submit your application form. The following information is required: this fully completed award application the AUSU Declaration of Applicant confirmation a PDF preview of your AU transcript (instructions below) Single Parent Bursary Application The Single Parent Bursary is intended to aid members in financial need that are the sole primary care provider to one or more dependents under the age of 18. This is an award pilot and will be re-evaluated by the Awards Committee to recommend any changes, discontinuance or permanent adoption of this award. If you also require funding for emergency extensions, school related travel, or a computer, please review our other bursaries. Graduate students should contact the AU Graduate Students' Association by visiting www.augsa.com. Eligibility Criteria: Applicants need not be full-time, but must be AU program students and AUSU members at the time of application. If you are currently enrolled in an open AU undergraduate course, you are an AUSU member. Membership begins on the start date of your course. Applicants must have completed a minimum of 30 AU undergraduate credits (transfer and challenge credits excluded) and have a minimum GPA of 2.00 (C grade) over the last 30 AU credits. Members may only receive this award once. Members who have previously received the AUSU Overcoming Adversity or AUSU Bursary do not qualify for this award. Applicants must demonstrate financial need and all financial information must be current as of the date the application is submitted. Preference may be given to those with a higher GPA over the last 30 credits. Additional circumstances such as disabilities, age of dependents, or number of dependents may be taken into consideration. Members must also include at least one reference letter from a non-family member supporting their application. Where requirements detailed in this application conflict with AUSU Awards Policy, the awards policy shall prevail. Athabasca University has no jurisdiction over AUSU awards or vice versa. Award Distribution: One $1000 award is available at each awards application deadline in the 2017-2018 fiscal year (November 1 and May 1). Applications will be accepted up to 6 weeks before a deadline date. This is an award pilot and will be re-evaluated by the Awards Committee to recommend any changes, discontinuance or permanent adoption of this award. The award will be distributed by direct deposit in Canadian funds. Recipient must provide necessary banking information in order to receive the award. Recipients' names are confidential and do not appear in winners' lists. Winners will be required to complete a release form, including SIN. Application Procedures: Only completed applications received by the AUSU office will be considered. Incomplete or improperly completed applications will be destroyed upon receipt. If you require assistance filling out your application, please call our office at 1-855-497-7003. All applications and accompanying documentation will be kept strictly confidential. All required fields MUST be completed in order to submit your application form. The following information is required: this fully completed award application the AUSU Declaration of Applicant confirmation a PDF preview of your AU transcript (instructions below) INCOME TAX: Canada Revenue Agency's Option "C" printout for the year prior to application (not a Notice of Assessment) (see below for more information) STUDENT LOANS: a federal or provincial student finance Notice of Assessment for the current term (if you receive government student loans) OTHER INCOME: an EI or Social Assistance Statement for the month of or prior to application (required if applicable) At least one letter of reference from a non-family member supporting this application Student Volunteer Award Application Student Volunteer Awards are intended to recognize members who have made outstanding contributions to their community. This includes members who volunteer their time to AUSU, AU or to any other community or organization. If you also require funding for emergency extensions, school related travel, or a computer, please review our other bursaries. Graduate students should contact the AU Graduate Students' Association by visiting www.augsa.com. Eligibility Criteria: Applicants need not be full-time or admitted to a program, but must be AUSU members at the application deadline. If you are currently enrolled in an open AU undergraduate course, you are an AUSU member. Membership begins on the start date of your course. Applicants must have completed a minimum of 12 AU undergraduate credits (transfer and challenge credits excluded) and have a minimum GPA of 2.00 (C grade) over the last 12 AU credits. Members may be nominated by a volunteer supervisor, or may self-nominate as long as an appropriate volunteer reference is provided and information requested in the narrative is provided. Members may only receive this award once. Where requirements detailed in this application conflict with AUSU Awards Policy, the awards policy shall prevail. Athabasca University has no jurisdiction over AUSU awards or vice versa. Award Distribution: Two $1000 awards are available at each awards application deadline (November 1 and May 1). Applications will be accepted up to 6 weeks before a deadline date. The award will be distributed by direct deposit in Canadian funds. Recipient must provide necessary banking information in order to receive the award. Winners will be required to complete a release form, including SIN. Application Procedures: Only completed applications received by the AUSU office will be considered. Incomplete or improperly completed applications will be destroyed upon receipt. If you require assistance filling out your application, please call our office at 1-855-497-7003. All applications and accompanying documentation will be kept strictly confidential. All required fields MUST be completed in order to submit your application form. The following information is required: this fully completed award application the AUSU Declaration of Applicant confirmation a PDF preview of your AU transcript (instructions below) Letter(s) of reference from volunteer supervisor(s) Disabled Students or Cases of Dire Need Athabasca University has a department called "Access to Students with Disabilities" to facilitate the needs of students with challenges arising from permanent or temporary disabilities. If your situation can be attributed, in whole or in part, to a disability or a medical condition (including a learning disability or psychological disorder), you may also wish to check out the following link: http://asd.athabascau.ca/. If you require emergency funds for food or shelter, you may wish to contact your local social services agency or a food bank. Many cities have a crisis center than can provide emergency funding for food, shelter and important bills. You may also be able to negotiate with your student loans program for an early disbursement. Consult your yellow pages or contact AUSU for more information.Privacy and Data Collection All information requested on this form is collected to aid in processing your application for an AUSU bursary. All information is collected within the guidelines of the Alberta Personal Information and Protection Act. If you have any questions about the AUSU privacy policy or the data requested in these forms, please contact our privacy officer at AU Students' Union, 301 Energy Square, 10109 106 ST NW, Edmonton AB, T5J 3L7 or phone 1-855-497-7003 extension 1.Contacts AUSU Main Office [email protected] Tel. 1-855-497-7003 Ext. 1 Fax. 1-780-497-7003Personal InformationFull Name* First Last AU Student ID*(AU student IDs are 7 digits long)Home Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Email Address* Enter Email Confirm Email Home Phone*Alternate PhoneEligibilityHave you completed at least 30 AU credits?*Applicants must have completed a minimum of 30 AU undergraduate credits (transfer and challenge credits excluded) and have a minimum GPA of 2.00 (C grade) over the last 12 AU credits. YesNoHave you completed at least 12 AU credits?*Applicants must have completed a minimum of 12 AU undergraduate credits (transfer and challenge credits excluded) and have a minimum GPA of 2.00 (C grade) over the last 12 AU credits. YesNoShort Essay*Write as essay describing how you balance your education with other life commitments. Please specify your current commitments, their time requirements, and what a typical weekly schedule includes for you. MINIMUM 300 WORDS. NOTE: Failure to address the above points or minimum word count may result in your application being disqualified.Short Essay*Write an essay describing the challenges (specifically non-financial challenges) you faced in returning to school and how you overcame these challenges. Also include why you chose to return to your studies. MINIMUM 300 WORDS* NOTE: Failure to address the above points or the minimum word count may result in your application being disqualified.Short Essay*Please provide a narrative or point-form statement explaining how you or your nominee has provided service to his or her community or to students. Details about volunteer duties, the number of hours volunteered per week/month, and start/end dates of volunteer service must be provided. Include as much other relevant detail as possible, as the information you provide will form the primary basis of the Selection Committee's decision. You may be contacted by AUSU for further information in support of your nominee. Only AUSU Selection Committee will have access to the information you provide. MINIMUM 300 WORDS* NOTE: Failure to address the above points or minimum word count may result in your application being disqualified.Enrolment and Work InformationHave you completed at least 12 AU credits?*Applicants must have completed a minimum of 12 AU undergraduate credits (transfer and challenge credits excluded) and have a minimum GPA of 2.00 (C grade) over the last 12 AU credits. YesNoHave you completed at least 30 AU credits?*Applicants must have completed a minimum of 30 AU undergraduate credits (transfer and challenge credits excluded) and have a minimum GPA of 2.00 (C grade) over the last 30 AU credits. YesNoAre you employed?*Full-timePart-timeNot workingIs your employer paying any part of your tuition?*If yes, explain further under Monthly Resources.YesNoHave you received government student loans in the last four months, or for the next semester?*If yes, include your federal or provincial student finance Notice of Assessment for the current term.YesNoAre you on social assistance (EI or welfare)?*If yes, include your assistance income statement for the month prior to application.YesNoMonthly ExpensesAll fields are required, use totals for household. Rent or mortgage* Utilities (water, heat, cable, etc.)* Food / personal care* Clothing* Transportation* Childcare / babysitting* How many dependents do you have?*Additional expenses (archived) Only kept so that data from previous entries is not deleted. Consider deleting in between application cycles.Additional expenses*Please specify your additional expenses:*Total Monthly Expenses Price: $ 0.00 CAD Monthly ResourcesReport all household income. For student loans, take your total alottment of federal and provincial loans, grants, and bursaries, subtract the amount you paid in tuition for the semester, and divide the remainder by the total number of months you were funded for (typically 4 or 8). This number is your living allowance per funded month. Net personal income*Spousal / partner's income*Child support / alimony*Grants / scholarships*Other funding (student loans, etc.)*Additional income (CTB, etc.)*Please specify your additional income*Total Monthly Resources Price: $ 0.00 CAD Estimated Education Costs (for current semester)Tuition should include the total tuition you will pay for your current semester. If you are paying tuition at another post-secondary institution, please include that tuition cost in your calculation and explain the extra costs in the essay section below. Fees typically include exam invigilation fees at AU, but if you are attending another institution and have additional fees, please include those and explain what they are in the essay section below. Books at AU are included with tuition, so if you include anything here, please explain in the essay section below.Number of courses for current semester*Number of months in your upcoming semester*Tuition*Fees*Books / supplies / instruments*Total Education Costs Price: $ 0.00 CAD Financial SituationPlease explain your current financial need and steps you have taken to improve your financial situation. MINIMUM 300 WORDS**Failure to address the above points or the minimum word count may result in your application being disqualified.Prior EducationIn what year did you graduate or leave high school?*List each educational institution you have attended since leaving high school, INCLUDING Athabasca University.*Please include dates of attendance. (Click on the "plus" symbol at the end of the row to add another row.)InstitutionDates DependentsPlease enter the number of dependents (under age 18) for whom you are the sole care provider.*Please enter a value greater than or equal to 1.Please list the age of each of your dependents.*(The number of rows matches the number entered in the Number of Dependents field above.) Short EssayWrite an essay (300 words minimum) describing the challenges you have faced as a single parent attending university. Please also include an overview of your educational goals, and how this bursary will contribute to your ability to attain them.*Failure to address the above points or not meeting the minimum word count may result in your application being disqualified.Volunteer Supervisor InformationAre you nominating yourself?*If yes, please include at least one letter from a volunteer supervisor. Make note, the letter must be signed.YesNoVolunteer Supervisor Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Phone*Relationship to student*Supporting MaterialsUpload Your AU Transcript*The transcript must current. Transcripts more than 1 month old will not be accepted. Why do we ask for this? We ask for a transcript to determine if you are eligible for an AUSU bursary or award. Don't worry, this document is kept private and once your eligibility has been verified it is not used in deliberations except for awards where GPA is a key factor. AUSU bursaries are based on need, not academic performance. Awards may have minimum grade requirement. Click here for instructions how to obtain your AU transcript.Accepted file types: pdf, jpg, gif, png.Income Tax*Canada Revenue Agency's Option "C" printout (or "Statement of Income") for the year prior to application (NOT a Notice of Assessment). Why do we ask for this? We request tax information to determine your income for the year previous to your request for funding and we use standardized documents to ensure all members are assessed equally. The Option C printout from the Canada Revenue Agency includes a brief summary of your income information, and some extra information such as your marital status, whether you have claimed any spousal deductions, and whether you filed education benefits. We will not process your application without this form and do not accept a Revenue Canada Notice of Assessment. Click here for instructions how to obtain the Option C printout.Accepted file types: pdf, jpg, gif, png.Student Loans*Submit a scan or screenshot showing the details of your student loan funding for the current term (such as a "Notice of Assessment" or "Funding Summary"). This file must clearly show your name and the total amount of your funding.Accepted file types: pdf, jpg, gif, png.Other Income*Scan and upload your EI or Social Assistance Statement for the month of or prior to application. This file must clearly show your name and the total amount of your funding.Accepted file types: pdf, jpg, gif, png.Letters of Reference*Submit a minimum of two reference letters, one of which may be of a personal nature (i.e., from a friend or family member). Make note, the letters MUST CONTAIN THE SIGNATURE of the letter's author. Drop files here or Accepted file types: pdf, jpg, gif, png. Letter of Reference*Submit at least one reference letter from a non-family member supporting this application. Drop files here or Accepted file types: pdf, jpg, gif, png. Letter(s) from Volunteer Supervisor(s)*Submit at least one letter of reference. Drop files here or Accepted file types: pdf, jpg, gif, png. Video (up to 2 minutes long)*Please provide a link to your video in the box below. Instructions for adding a video to YouTube are online here. You can choose whether to make the video public or private, but you must include the hashtag "#Igo2AU" in the description. Do you agree to allow AUSU to share your video publicly, such as on our website, social media, e-newsletter, or any other platform AUSU deems appropriate?*If you answer no, AUSU will not share your video publicly outside of the AUSU awards committee. Yes, I release and discharge AUSU and its directors, officers, and employees, from any and all liability, including but not limited to invasion of privacy, copyright infringement, losses, damages, claims, lawsuits, directly or indirectly arising out of or in connection with the publication of the video in questionNoDeclaration of ApplicantI have read the instructions, and hereby make application for the AUSU ACADEMIC ACHIEVEMENT SCHOLARSHIP, and I declare that:I have read the instructions, and hereby make application for the AUSU BALANCED STUDENT AWARD BURSARY, and I declare that:I have read the instructions, and hereby make application for the AUSU BURSARY, and I declare that:I have read the instructions, and hereby make application for the AUSU #IGO2AU AWARD, and I declare that:I have read the instructions, and hereby make application for the AUSU SINGLE PARENT BURSARY, and I declare that:I have read the instructions, and hereby make application for the AUSU RETURNING STUDENT AWARD, and I declare that:I have read the instructions, and hereby make application for the AUSU STUDENT VOLUNTEER AWARD, and I declare that: I have answered all questions applicable to me and that all information is true and complete; I authorize Athabasca University Students’ Union to request and receive information pertaining to my enrollment status at Athabasca University; I authorize Athabasca University Students’ Union to request and receive information pertaining to my grades in relevant courses; I agree to release the above personal information to Athabasca University Students’ Union for the sole purpose of determining eligibility in the AUSU Scholarships, Bursaries and Awards Program; I understand that all application forms and personal information will be destroyed according to procedures outlined in the AUSU records management policy * I confirm that all of the above statements are true Next Steps After you click the Submit Application button, you will receive an email confirmation that your application was received. Applications will not be processed until the award deadline is reached. For applications requiring financial information, remember to retain a copy of your Option C as you might want to apply for another bursary this year! If the "Submit Application" button is not visible, it is because you have not completed the required number of AU credits to apply for this bursary. NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms. The form will be available 6 weeks prior to each application deadline of May 1 and November 1. This form requires JavaScript to function. Please enable JavaScript in your browser settings to complete the registration form. How to enable JavaScript in your browser.
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