Financial Needs Assessment Form - University Of Toronto, Department Of Anthropology

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Department of Anthropology, Financial Needs Assessment Form
This form is used to assess financial need for grant, scholarship and award applications
made to the department when need is a criterion. The information requested should
reflect the current academic year (Sept-Sept) and your personal finances. This form must
be submitted with your application.
Applicant Name: _______________________________________________________
Degree Program: MA/MSc/PhD Year in Program____Subdiscipline:________________
Resources
Amount
Expenses
Amount
Scholarship and
Tuition (Paid and.or
Fellowship Awards
owed for current
(Specify which and
academic year).
their total, awards for
research expenses are
listed separately).
Research
Academic Association
Assistantship
Fees
Teaching
Books/academic
Assistantships
Supplies
Student Loans for
Rent/Mortgage &
current academic year
Utilities
Other income
Food/Household
Supplies
Transportation
Child Care
Medical/Dental
Clothing
Minus Tax Paid
Other (specify -
Research costs are to
be listed separately
below)
Total Income: (For
Total Expenses: (For
current academic
current academic
year)
year)
Savings
Balance of loans
outstanding
Research Awards
Research Expenses
(Specify which and
their total value)
Total Resources:
Total Debts:
(sum above)
Declaration: I hereby certify that the information provided on this application is, to the
best of my knowledge true and complete.
_________________________________________
__________________
Signature of Applicant
Date

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