Student Emergency Fund Support Request

At Nipissing University, access is an important value, and we believe that personal finances should not be a limiting factor for our students. We know that from time to time, unexpected life challenges arise that create barriers for students to continue their studies. The Student Support Fund provides students with urgent financial assistance to help cover immediate, essential expenses because of an emergency.

What Costs Can the Student Support Fund Cover?

The following expenses may be eligible to be covered by the Student Support Fund (this list is not presumed to be complete):

Addressing housing insecurity because of an emergency
Exceptional life circumstances (e.g. illness in family, fire, flooding)
Family Crisis
Emergency drug prescriptions
Emergency Dentistry
Emergency Eyewear

What Costs Will the Student Support Fund Not Cover?

Under most circumstances, the following costs are not covered (this list is not presumed to be complete):

Vehicle insurance, vehicle payments, vehicle lease payments, vehicle license plates (for students who do not have to commute to study)
Car repairs
Cable television
Credit card debts
Exceptional long-distance charges
Internet connection fees

Tuition fees and University-related fees are not covered by the Student Support Fund. Students whose tuition fees are in arrears should contact the Student Financial Services Office directly to plan for repayment. Students are also encouraged to seek alternate government assistance funding where opportunities exist.

Eligibility Criteria

Students are eligible to apply for the Student Support Fund if you meet the following criteria:

Registered in courses during the semester that the application to receive funds through the Student Support Fund has been submitted
Demonstrated hardship or extenuating circumstances that have resulted in a financial crisis
Submission of application to the Student Support Fund and any requested supporting documents

Students are normally permitted financial support through the Student Support Fund once during their academic career at Nipissing University.

How to Apply

To apply, students complete the application form below. Supporting documentation will be submitted as evidence of the level of financial need in the form of outstanding bills, bank statements, book list, proof of income, and receipts. Students may also be given a brief interview.

How Will I Receive the Funding?

The Student Support Fund is issued in the form of a personal cheque. Students will need the ability to cash a cheque, or you will have to wait one to two weeks for the University to be able to set up direct deposit to your bank account. If you live out of the North Bay area, please be advised that if you receive a cheque, it will be mailed to you. You will need to allow this extra time for you to receive the funds.

Personal Information

Contact Information

Student First Name

Student Last Name

Student ID Number

Student Email Address

Home Telephone Number

Mobile Telephone Number

Mailing Address

Street Address (Line 1)

Street Address (Line 2)

City

Postal Code

Province

Residence Address (if applicable)

Residence Complex

Apartment Number

Suite Number

Student Information

Program of Study

Year of Study

Have you applied to receive funding through the Student Emergency Fund in the past?

Yes

Have you received funding through the Student Emergency Fund in the past?

Yes

Request Information

Please provide a description in detail of the circumstances that have led to your need to apply for the Student Emergency Fund. Please note you may be required to provide supporting documents (receipts, financial statements, bills etc).

Budget Statement

Once your application for the Student Emergency Fund has been received by Student Development and Services and reviewed by a Student Success Coordinator, you may need to provide an additional budget statement highlighting income sources and expenses in addition to having a discussion with a Student Success Coordinator.

Protection of Privacy

The personal information on this form is collected under the authority of the Nipissing University Act, 1992. It is related directly to and needed by the University to provide services to students in the course of their studies while at Nipissing University. If you have any questions or concerns about the collection, use and disclosure of this information please contact Student Development and Services at Nipissing University, 100 College Drive, North Bay ON, P1B 8L7, (705) 474-3450 ext. 4493.