StudentBursaryW07rev02_0 - Fall Session Please cancel my...

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Student Peer Assistance Bursaries All students (including Open Studies and Visiting students) are asked to make a tax deductible donation to the Student Peer Assistance Bursary program. In each of the Fall and Winter session students and $7.00 for part-time students. The monies raised will be used to provide bursaries to students in proven financial need, with grade point average used as a secondary criteria. The donation is not refundable after the deadline for payment of fees. If you wish to cancel or raise the amount of your donation please complete the following: THIS FORM MUST BE RECEIVED AT THE SERVICE STOP BY 4:30PM ON THE DEADLINE FOR PAYING FEES (MLB Lobby or fax (403) 289-1253)
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Unformatted text preview: Fall Session Please cancel my donation. Please increase my donation to $______________ Winter Session Please cancel my donation. Please increase my donation to $______________ _____________________________________ _________________________ Full Name (Please Print Clearly) ID Number _____________________________________ _________________________ Signature Date Please do not submit this form to the Service Stop (Enrolment Services) until you register in at least 1 course for the session(s) indicated above. Forms submitted without registration or with incomplete or illegible information will not be processed. Student Contribution Change of Donation Form Enrolment Services - Revised: July 2007...
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