1Application Instructions2Summary of Application Components3Contact Information4Self Declaration5Education Details6Financial Assistance Calculator7Canada Post Summer Internships8Grants9Scholarships10Questionnaire HiddenEnable Grants Yes HiddenEnable Scholarships Yes Application Instructions Please note: You will be unable to click next on any part of this application until all required fields visible on each screen are completed. If unable to complete the application in one sitting, click the save and continue later link at the bottom of the page. A link to your partially complete application will be sent to the email address you input on the contact info screen of this application. Click the link in the email sent to you to resume your application. Please keep your application link somewhere safe as we are unable to resend it. If you have any questions while completing your application, you can contact the financial assistance programs team at etes@neads.ca. Summary of Application Components This application includes the following components: Provide your contact information. Answer self-declaration questions on topics such as type of disability, gender, Indigenity, race/ethnicity, sexual orientation, etc. Provide information on the school/program you are enrolled in or accepted to. Complete the NEADS Financial Assistance Calculator Indicate whether you are interested in opportunities for students with disabilities offered by Canada Post. Grants- identify the grant type you are applying for. Please note, you can only apply for one type of grant per semester. Scholarships- identify the scholarships you are applying for, respond to short answer questions (as applicable), complete the good academic good standing form, and provide the name and email address of an academic or community reference. This step ONLY applies when partner funded scholarships are available. Answer one short answer question. Documentation Please check the boxes below to confirm you understand that if you are selected as a recipient, you will be required to provide the following documents:Proof of disability(Required)Accepted forms of disability documentation include: A letter from your student accommodations/accessibility centre saying you receive services and have fulfilled their documentation requirements. Documentation from a medical professional e.g. hearing test results. Proof of disability support benefits or federal or provincial financial assistance for students with disabilities (e.g. a copy of your Canada Grant for Students with Permanent Disabilities) funding summary. I agree to provide proof of disability Proof of financial need(Required)Copy of OSAP federal/provincial funding summary) I agree to provide proof of financial need Proof of enrolment(Required)Acceptable proof includes: Proof of enrolment letter from your school’s registrars office, or an acceptance letter. Copies of timetables, tuition statements etc. are not acceptable proof of enrolment. I agree to provide proof of enrolment Do you identify as a student living with a permanent disability?(Required) Yes No The financial assistance program is only available to students with disabilities. Pronouns (optional) Name(Required) First Last Email(Required) Email Confirm Email Phone Self Declaration Disclaimer: Data Usage for Research and Reporting This form contains information collected for the purpose of administration, evaluation of applications, and final reporting. For reporting, it will be aggregated and analyzed to draw insights, identify trends, and generate reports. Individual responses will be anonymized and de-identified.. Please answer the below self-identification questions, As part of NEADS commitment to equity, diversity, and inclusion, funding will be prioritized to multi-marginalized students with disabilities.Please identify the disability (or disabilities) you are living with. Please select all that apply.(Required) A seeing disability: A seeing disability affects vision, including total blindness, partial sight, and visual distortion. A hearing disability: A hearing disability affects ability to hear, including being hard of hearing, deafness or acoustic distortion. A speech disability: A speech disability affects ability to talk, including total speech loss, partial speech and speech distortion. A mobility disability: A mobility disability affects ability to move your body, including the required use of a wheelchair or a cane, or other issues impacting your mobility. Challenges with flexibility or dexterity: Challenges with flexibility or dexterity affects ability to move joints or perform motor tasks, especially with your hands. A mental health disability: A mental health disability affects psychology or behaviour, such as anxiety, depression or social / compulsive disorder or phobia or psychiatric illness. A sensory or environmental disability: A sensory or environmental disability affects sensitivity to light, sounds or other distractions, as well as allergens and other environmental sensitivities. A chronic health condition or pain: A chronic health condition or pain affects ability to function on a regular or episodic basis due to migraines, Crohn’s disease, colitis, fibromyalgia, multiple sclerosis, and other disabilities or health conditions. A cognitive disability: A cognitive disability affects ability to carry out tasks involving executive functioning, such as planning and organization, learning information, communication and memory, including autism spectrum disorder, attention deficit hyperactivity disorder and learning disabilities. An intellectual disability: An intellectual disability affects ability to learn and to adapt behaviour to different situations. Other Do you require attendant and personal care services? Yes No Prefer not to say Which gender do you identify with: Male Female Non-binary Gender-fluid: Prefer not to answer Other Do you identify as an Indigenous person? No First Nations Métis Inuit Other Do you Identify as a member of a racialized population or visible minority group? In Canada a racialized population/visible minority group refers to someone (other than Indigenous person) who is non-white in race, regardless of place of birth. Yes No Prefer not to answer Please select the relevant ethnicity group: Black Canadian Hispanic / Latino Caribbean Asian (South, East, West, North) African (South, East, West, North) Prefer not to say Other Please Select your primary Language: English French Spanish Mandarin Chinese Japanese Korean Punjabi Prefer not to answer Other Do you identify as part of the 2SLGBTQI+ community? Yes No Prefer not to answer How do you identify? Two Spirit Lesbian Gay Bisexual Transgender Queer Intersex Pansexual Prefer not to answer Other Do you have dependents? Yes No Prefer not to say High school students: Please input the post-secondary school you have been accepted to and the student number on your acceptance documentation.Post-secondary Institution name(Required) Student Number(Required) Year of Program(Required)Please use your “year standing”, not the number of years you have been attending.1st year2nd year3rd year4th year5th year6th year.Expected completion date of programMonth(Required)JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYear(Required)20232024202520262027202820292030203120322033Name of program(Required)Please use the program’s formal name e.g. Bachelor Science in Nursing. Type of degree(Required) Certificate/ diploma program Bachelors degree Masters program PHD CÉGEP Professional program e.g. veterinary school Select the field of study that best reflects what you are currently studying Economics/Business/Commerce Social Sciences Life Sciences Science/Technology/Engineering/Mathematics (STEM) Humanities and Fine Arts Law Other NEADS Financial Assistance Calculator Please provide an estimate on your expected costs and savings for the Winter 2024 semester. You can also use Fall 2023 semester costs and savings as part of your estimate if needed. Financial need will be determined based on the following calculation: total costs minus total savings = financial need. Please provide your estimated expenses and savings for the current semester. CostsTuition and Textbook fees: $0-$500 $500-$1000 $1,000-2,000 $2,000-3,000 $3,000-4,000 $4,000-5,000 $5,000-$7,500 $7,500-$10,000 $10,000-$15,000 $15,000-$20,000 $20,000-$25,000 $25,000-$30,000 Not applicable Assistive Technology: $0-$500 $500-$1000 $1,000-2,000 $2,000-3,000 $3,000-4,000 $4,000-5,000 $5,000-$7,500 $7,500-$10,000 $10,000-$15,000 $15,000-$20,000 $20,000-$25,000 $25,000-$30,000 Not applicable Computers and Tablets: $0-$500 $500-$1000 $1,000-2,000 $2,000-3,000 $3,000-4,000 $4,000-5,000 $5,000-$7,500 $7,500-$10,000 $10,000-$15,000 $15,000-$20,000 $20,000-$25,000 $25,000-$30,000 Not applicable Ergonomic Equipment $0-$500 $500-$1000 $1,000-2,000 $2,000-3,000 $3,000-4,000 $4,000-5,000 $5,000-$7,500 $7,500-$10,000 $10,000-$15,000 $15,000-$20,000 $20,000-$25,000 $25,000-$30,000 Not applicable Rent/Residence fees $0-$500 $500-$1000 $1,000-2,000 $2,000-3,000 $3,000-4,000 $4,000-5,000 $5,000-$7,500 $7,500-$10,000 $10,000-$15,000 $15,000-$20,000 $20,000-$25,000 $25,000-$30,000 Not applicable Groceries/Meal plan fees $0-$500 $500-$1000 $1,000-2,000 $2,000-3,000 $3,000-4,000 $4,000-5,000 $5,000-$7,500 $7,500-$10,000 $10,000-$15,000 $15,000-$20,000 $20,000-$25,000 $25,000-$30,000 Not applicable Mental Health and Wellness Services $0-$500 $500-$1000 $1,000-2,000 $2,000-3,000 $3,000-4,000 $4,000-5,000 $5,000-$7,500 $7,500-$10,000 $10,000-$15,000 $15,000-$20,000 $20,000-$25,000 $25,000-$30,000 Not applicable Learning Supports $0-$500 $500-$1000 $1,000-2,000 $2,000-3,000 $3,000-4,000 $4,000-5,000 $5,000-$7,500 $7,500-$10,000 $10,000-$15,000 $15,000-$20,000 $20,000-$25,000 $25,000-$30,000 Not applicable Medical Supplies $0-$500 $500-$1000 $1,000-2,000 $2,000-3,000 $3,000-4,000 $4,000-5,000 $5,000-$7,500 $7,500-$10,000 $10,000-$15,000 $15,000-$20,000 $20,000-$25,000 $25,000-$30,000 Not applicable Total amount of loans received through federal, provincial, and territorial sources, including but not limited to: Canada Student Loans Program and Provincial and Territorial Loans Program. $0-$500 $500-$1000 $1,000-2,000 $2,000-3,000 $3,000-4,000 $4,000-5,000 $5,000-$7,500 $7,500-$10,000 $10,000-$15,000 $15,000-$20,000 $20,000-$25,000 $25,000-$30,000 Not applicable HiddenCosts TotalSavingsScholarships, bursaries and awards $0-$500 $500-$1000 $1,000-2,000 $2,000-3,000 $3,000-4,000 $4,000-5,000 $5,000-$7,500 $7,500-$10,000 $10,000-$15,000 $15,000-$20,000 $20,000-$25,000 $25,000-$30,000 Not applicable Employment income $0-$500 $500-$1000 $1,000-2,000 $2,000-3,000 $3,000-4,000 $4,000-5,000 $5,000-$7,500 $7,500-$10,000 $10,000-$15,000 $15,000-$20,000 $20,000-$25,000 $25,000-$30,000 Not applicable Parental assistance $0-$500 $500-$1000 $1,000-2,000 $2,000-3,000 $3,000-4,000 $4,000-5,000 $5,000-$7,500 $7,500-$10,000 $10,000-$15,000 $15,000-$20,000 $20,000-$25,000 $25,000-$30,000 Not applicable Grants from federal, provincial, and territorial sources, including but not limited to: Canada Student Grant for Students with Disabilities, Canada Student Grant for Services and Equipment, Canada student loans program - severe permanent disability benefit, and provincial and territorial grants for students with disabilities $0-$500 $500-$1000 $1,000-2,000 $2,000-3,000 $3,000-4,000 $4,000-5,000 $5,000-$7,500 $7,500-$10,000 $10,000-$15,000 $15,000-$20,000 $20,000-$25,000 $25,000-$30,000 Not applicable HiddenTotal SavingsHiddenTotal Fees minus Savings (only being displayed right now to make sure the calculation is right) Canada Post Summer Internships As the number one parcel delivery company in Canada, Canada Post values diversity, strong leadership, growth and development, and is committed to fostering a safe, equitable and caring workforce culture. NEADS has partnered with Canada Post to coordinate more work opportunities for innovative students with disabilities. Please indicate below if you are interested in being considered for internship opportunities with Canada Post. Indicating yes does not guarantee you a job. Applicants who indicate yes may be invited to apply to Canada Post Summer Jobs using a specialized link and may be added to a short-list for priority review. All job hiring decisions lie under the discretion of Canada Post.Are you interested in being considered for Canada Post Summer Jobs?(Required) Yes No Do you wish to apply for grants? Yes No Which grant would you like to apply for? Please note, you can only apply for one type of grant each semester.(Required) $3,000 Tuition Fees Grant $2,000 Assistive Technology Grant (e.g. braille display, screenreader, voice recognition, prosthetics) $2,000 Computers & Tablets Grant $2,000 Ergonomic Equipment Grant e.g office chair, sit/stand desk, wheelchair seat cushion) $2,000 Rent Support Grant $2,000 for Food Security Grant $2,000 Mental Health & Wellness Services Grant (e.g. counselling, massage therapy) $2,000 for Learning Supports Grant (e.g. Psychological Assessments, ADHD coaching, tutoring $2,000 for Medical Supplies Grant (e.g. medications, wheelchairs, walkers, shower chairs). Do you wish to apply for scholarships? Yes No Canada Post AwardDo you wish to apply for the Canada Post Award (1 at $10,000). Yes No Canada Post award questions Describe your extra- curricular / community involvement / volunteer work on and/or off campus. What was your role and how did you advocate for yourself and/or others?Describe your education and career objective. What progress have you made to meet this objective?AMI Robert Pearson Memorial ScholarshipDo you wish to apply for the AMI Robert Pearson Memorial Scholarship (2 at $5,000, one for an anglophone and one for francophone studying in Canada). Yes No AMI Scholarship QuestionAMI's vision is to establish and support a voice for Canadians with disabilities, representing their interests, concerns and values through accessible media, reflection, and portrayal. Aside from adding closed captioning and described video, what changes would you make to ensure accessibility and inclusion across all media platforms? What advice would you offer to content creators and broadcasters to guarantee a more inclusive experience for all in front of and behind the camera?Other awards and scholarshipsDo you wish to apply for the Connor Clark & Lunn Financial Group Scholarship for Student in Business, Economics, or Science, Technology, Engineering, and Mathematics (1 at $5,000). Yes No Do you wish to apply for the (Title to be inserted) Memorial Scholarship for the Visually Impaired (1 at $1,000). Yes No Do you wish to apply for the Holly Bartlett Memorial Award (1 at $1,000) Yes No Do you wish to apply for the Christine Nieder Memorial Award (graduate students only) (1 at $1,000) Yes No Proof of Good Academic Standing The following form will be used to verify that students are passing their courses and are in good academic standing. Download or print the form and have it filled out by a guidance counsellor, principal, registrar department staff member, program coordinator, thesis supervisor, academic advisor, disability advisor, or learning strategist. This form must be submitted by the institutional staff member to etes@neads.ca by 5pm PT, pacific Time on Friday, February 16, 2024. Forms emailed after the above deadline will not be accepted. Without this form your application is incomplete and will be disqualified. Forms submitted by students will not be accepted. Download the Proof of Good Academic Standing documentReference Your reference should be an individual who is familiar with your academic history and/or work/volunteer/extracurricular experiences. They must not be a family member, friend or colleague. Only once you click submit at the end of your application will your reference be contacted. Your reference will receive an automated email that contains a reference form. It is not uncommon for this email to end up in the junk or spam folder, so you should touch base with your reference to let them know to look for the email. If your reference did not receive the email, send us an email at etes@neads.ca and we will resend it. ***Your reference must be submitted before the application deadline. Please factor in your reference having time to respond. Reference Name (first and last)(Required) Reference Email address(Required) Quality of Life question: How will this funding improve your quality of life and offset the barriers you face to accessing education as a student living with a disability?(Required)You are welcome to answer this question in the following formats: Write your response in the textbox below Create a video or audio recording. For this option, remember to include a shareable hyperlink in the textbox below (I.e. unlisted YouTube url, google drive). Please make sure to check your responses for spelling and grammatical errors.