Jaffari Education Board Scholarship Program

JA’FFARI EDUCATION BOARD Email: scholarships@jaffari.ca 9000 BATHUST STREET http://www.jaffari.org/JEB/ THORNHILL, ONTARIO Tel: 905-695-9786

In the Name of Allah, the Beneficent, the Merciful.

Imam Ali (AS) has said, "No wealth is more useful than intelligence and wisdom".

Preamble

To support our goal of enabling Shia Ithna-Asheri Muslims to become successful leaders in the community, we are pleased to present the Jaffari Education Board Scholarship Program.

The primary purpose of this program is to provide financial assistance for students who demonstrate a genuine financial need and are entering Canadian post-secondary accredited education institutions. A secondary goal is to encourage involvement in the Muslim community. This program honours applicants who require financial support for their academic studies, have demonstrated community involvement, high academic standing, good Akhlaq, and positive behaviour.

Applications are considered by the Scholarship Selection Committee based on criterion outlined in this document, and completion of the application form with supplementary documents.

Award winners will be notified by August 15, 2017. Insha’Allah.

Selection Criteria

Candidates must meet the following criteria in order to apply: • Member of the Shia Ithna-Asheri faith• Genuine financial need• Good academic standing• Demonstrated community involvement• Participation in extra-curricular activities• Admission to a Canadian Accredited Education Institution

The Fund

Up to $2000 will be given to successful applicants. Applicants may re-apply for the scholarship program.

Application Procedure

Applicants are required to obtain and complete in full, all necessary application forms in the document below. All completed applications must be submitted in the form of one original and one photocopy. Applicants will be interviewed by the Scholarship Selection Committee about their financial situation, academic performance, and extra-curricular achievements. Applications will be de-identified, and the Scholarship Selection Committee will score each one based on the application form, supplementary documents submitted, and performance in the interview.

Supplementary Documents:

Please attach to the completed application form, copies of the following documents (as applicable):

1. Copy of government issued ID or student visa2. High School (grade 12) or College/University transcripts as applicable, and any

other standardized test scores (SAT, ACT, GRE, TOEFL)3. Letter of admission to a Canadian Accredited Institution with full details of the

proposed course including the fees / other related costs4. Two References (academic or professional) for which the Scholarship Committee

may contact if deemed necessary5. Certificates of achievement in extra-curricular activities

All applications along with supporting documents must be submitted via mail to the Jamaat Office at 9000 Bathurst Street, Vaughan, Ontario, L4J 8A7, with the title of ‘JEB Scholarship Application’, or submitted via email to scholarships@jaffari.ca. All enquiries for additional information should be directed to scholarships@jaffari.ca. Any lobbying by or on behalf of the applicants may disqualify the applicant.

Deadline The deadline to submit completed applications along with all requested supporting documents is, June 30, 2017.

Terms and Conditions Scholarship Program

JA’FFARI EDUCATION BOARD 9000 BATHUST STREET

Email: scholarships@jaffari.ca http://www.jaffari.org/JEB/ Tel: 905-695-9786 THORNHILL, ONTARIO

a) The student may be asked to send the Scholarship Selection Committee an account of their scholastic results at the end of the academic year the scholarship is awarded. Students attending institutions which do not publish official transcripts are requested to obtain a written appreciation of their academic progress from an authority of the institution. JEB reserves the right to withhold or withdraw the grant amount approved, if the Scholarship Selection Committee considers the academic results of a recipient to be unsatisfactory. In the event that the recipient fails to report as required, the Scholarship Selection Committee reserves the right to request the required information directly from University authorities.

b) The recipient must commit to volunteering a minimum of fifty hours for a Muslim Organization, within one year of receiving their scholarship. Recipients will be required to submit a confirmation of service document to the Scholarship Selection Committee, as proof of completion.

c) The student’s parents or guardian must be prepared to disclose financial statements, detailing income and expenditure, including a T4 slip. If the student is married, the student’s spouse must be prepared to disclose such information. If the student is working, they must also disclose such information.

d) The Recipient must agree to have a criminal check done to avoid fraudulent claims.e) JEB requires the recipient to communicate to the Scholarship Selection Committee

an account of all other grants, stipends or other income not declared on the original application form, which they may receive before the scholarship is given.

f) JEB reserves the right to withhold or withdraw any amount given if the Scholarship Selection Committee receives formal notification from the institution involved that the conduct of the Recipient does not conform to acceptable norms.

g) On approval of the scholarship, the scholarship amount will be remitted by JEB to the financial institution specified by the recipient.

All rights reserved herein by JEB and the Scholarship Selection Committee shall be exercised in their discretion.

Part A – General Information Scholarship Program

JA’FFARI EDUCATION BOARD Email: scholarships@jaffari.ca 9000 BATHUST STREET http://www.jaffari.org/JEB/ THORNHILL, ONTARIO Tel: 905-695-9786

Personal Information

First/Given Name: Sur Name:

Date of birth: Gender: Male Female

Student Number (if attained from post-secondary school):

Current address:

City: Province: Postal Code:

Email: Phone: Citizenship:

Permanent address (if different from current):

City: Province/State: Postal Code:

Family’s country of residence:

Educational Background High School: Year Joined: Year completed:

College/University Name & Address:

Year Joined: Year completed:

License/Certificate/Diploma obtained:

Academic Results *Please attach your Transcripts for high school (if applicable) and post-secondary studies (ifapplicable) to your application*

About Yourself List your extra-curricular activities and achievements from the last five years. Describe in detail what your role was, and how it helped contribute to your community and environment (max 300 words). Please provide contact information for each of the different extra-curricular activities.

Explain how this grant will help you reach your personal, academic, and professional goals (max 250 words)

Describe your motivation behind pursuing this field of study (max 250 words).

As a part of the terms and conditions of this scholarship, you will be required to volunteer 50 hours of your time to a Muslim organization. This can include a charity, committee, or mosque volunteer group/board. Please specify which organization or initiative you plan on volunteering for, and why (max 250 words)

The Jaffari Education Board is an equal opportunity group, and respects the rights of individuals as outlined in the Ontario Human Rights Commission. Do you have any special circumstances you wish to highlight to the Scholarship Selection Committee? Please specify.

Canadian Accredited Educational Institute

Institute Name

Town/Country

Full address

Degree sought

Duration of program (months/yrs)

Program start date

Program end date

Admission notification received?

Reason for choosing the institute?

Tuition Fees (annual)

Part B – Financial Information Scholarship Program

JA’FFARI EDUCATION BOARD Email: scholarships@jaffari.ca 9000 BATHUST STREET http://www.jaffari.org/JEB/ THORNHILL, ONTARIO Tel: 905-695-9786

Financial Details

Student Status Single (Dependent) Single (Independent)

Married / Common Law Sole Support

Amount of Dependent Children

Ages of Dependent Children (if applicable)

Are you receiving OSAP funding or any other provincial aid for the present year?

If Yes, please enter which province you are received funding from

If Yes, please enter total OSAP funding received for present semester

If No, please provide a short description on why you are not OSAP eligible

Please describe your accommodations during school

Living with parents Residence

Living with relatives/friends

Other ___________________________________________

Have you received any scholarships as funding for this year?

If Yes, please describe dates and amount of funding received

Is this the first time you are applying for a JEB Scholarship?

If No, have you received the scholarship in the past? Please describe the dates and amount of funding received

Budget

Please fill in the budget below for the period: September 2017 – April 2018 Keep in mind this budget is based on your living conditions, not the conditions of your family or spouse

Income Expenses Source Amount ($ CAD) Source Amount ($ CAD)

Expected personal earnings during period

Tuition Fees

Expected earnings of spouse during period

Books/supplies

Expected parental assistance

Rent/Accommodation costs

Personal savings Utilities (Hydro, etc.)

Portion of equity and other liquid assets

Other accommodations (mortgage, insurance, property tax, maintenance, other)

Pension or annuity (please specify)

Cable + Telephone + Cellphone + Internet

Estimated investment / rental income

Food (self and family)

Income tax refund Clothing

Government income Laundry

Sponsorships Entertainment/Recreation

Scholarships Vacation/Travel

Student loans (please specify)

Personal care (haircuts, bathroom products)

Student line of credit Gas / Transportation

Private bank loans Car expenses (maintenance, insurance, etc.)

Support payments Insurance (life, medical, dental, etc.)

Education Savings Plans (RESPs, etc.)

Uninsured Medical / Dental costs

Other (please specify) Childcare Expenses

Tax pension payments

Incidental personal/family expenses

Interest and principal payments on loans

Other expenses (please specify (e.g. Day Care for children, exceptional medical)

TOTAL TOTAL

Tax Information

In order to confirm the information below, we require you to submit information to verify your family income. Please note that we take your privacy very seriously. There is a privacy statement at the end of the application that details more information and you may contact us if you have any questions.

You must provide:

• A copy of your parent(s)’ and/or spouse’s T4 slips to verify your family income• If your parent(s)’ and/or spouse’s source of income is foreign, please provide a recent confirmation

of income (pay stubs, letter from employer, etc.)• Ensure your parent(s) and/or spouse/partner sign at the end of the document

Parental Information

Number of dependents, including applicant:

Number of dependents in post-secondary school, including applicant

Parent 1 Parent 2

Line 150 on 2015 tax return __________________

Line 236 on 2015 tax return __________________

Line 150 on 2015 tax return __________________

Line 236 on 2015 tax return __________________

Other income (not reported on income tax – for example: non-taxable income, foreign income, lottery winnings, insurance payouts)

Other income (not reported on income tax – for example: non-taxable income, foreign income, lottery winnings, insurance payouts)

*Please provide your parent(s)’/guardian(s)’ T4 slips for proof of income

Spouse Information

If married and/or in a common-law relationship, please fill out the section below.

Name of spouse

Is your spouse a full-time student?

If yes, will your spouse be a full-time student for a minimum of 16 weeks?

If yes, please provide spouse’s educational institution and student number

Occupation of spouse

Will your spouse be living in Canada during your study period?

Spouse’s Income on Line 150 of 2015 income tax return

Spouse’s Income on Line 236 of 2015 income tax return

Spouse’s other income (not reported on income tax – for example: non-taxable income, foreign income,lottery winnings, insurance payouts)

*Please provide your parent(s)’/guardian(s)’ T4 slips for proof of income

Income Source

If the main source of parent(s)’ or spouse(s)’ income is from provincial social assistance, please specify:

Ontario Disability Support Program (Family Benefits for Disabled – Gains D)

General Welfare / Ontario Works

Family Benefits

Other – specify _________________________________

6. DECLARATION BY APPLICANT

The Jaffari Education Board and its Scholarship Program is committed to ensuring the privacy and confidentiality of its applicants. Information provided by applicants will be accessible but limited to the Scholarship Selection committee and its immediate affiliates only.

By signing below, I hereby acknowledge that the information provided in my application package is valid and free of any discrepancies. I understand that any falsified documents or misrepresentation may result in disqualification or revocation of the grant. I agree to abide by all terms and conditions stated in the form should my application be approved.

I, further take an oath in the name of my religion, Islam, that having received the grant, I will volunteer for the Muslim community. May the Almighty help me to keep my oath and to fulfill it for His pleasure.

Date: Signature:

Date: Signature of Parent/Guardian*:

Date: Signature of Spouse*:

*Signature only required if parent(s) and/or spouse’ financial information was disclosed, or the student is under the age of 18