Osotf Financial Needs Assessment Form Page 4

Less Tax

Child care

Total net income

Medical/Dental

OSAP/UTAPS

Clothing

Savings

Others (specify)

Total

Include expenses for your spouse/partner, if applicable.

If your graduate department provides a guaranteed stipend (i.e. supervisor’s stipend), you should include

that amount as a resource in your budget. Please note that the needs-assessment we perform may be used

either to locate particular sources of funding for that stipend, and/or to augment the total amount of

funding you will receive.

Additional Information:

If there are additional details that you wish to provide, please use the space below. Outstanding student

loans may be listed below.

For Office Use Only:

Approved / Not approved

Signature

Date

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Parent category: Financial