| University College U of T

First Name*

Surname*

Student Number*

Program 1 (Specialist/Major/Minor)

Example: Specialist in English

Program 2 (Specialist/Major/Minor)

Example: Major in Mathematics

Program 3 (Specialist/Major/Minor)

Example: Minor in Computer Science

Current CGPA:*

Legal Status at U of T*

Do You Currently Live in a U of T Residence?*

Are you currently receiving student loans?*

Have you received a grant from UC in the current academic year?

Are you currently pursuing language courses or programs at U of T?

Have you or has anyone in your family ever served in the Canadian Armed Forces?

Do you have an interest in journalism?

Are you involved in the Hart House Debating Club?

If you have been involved in the college, university, or local community, briefly describe your involvement/achievements (200 words maximum):

UC Awards Profile