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Summary: FACULTY OF SOCIAL WORK
LEGACY BURSARY
STATEMENT OF FINANCES
Marital Status ________________________________ Number of Dependents _________________
If you worked during the Past Year:
Employer (s) _______________________________ Type of Work __________________________
Full-time __________ Part-time ___________ Dates of Employment _________________________
Total Income _____________ Total Debts ____________ Monthly Payments ____________
ESTIMATED EXPENSES FOR FALL & WINTER
SEMESTERS
METHOD OF FINANCING
Tuition and Fees $ Parents $
Books & Supplies $ Relatives/Friends $
Housing & Food $ Child Support $
Utilities $ Savings $
Health Care $ Employment $
Recreation $ Student Loans $
Local Transportation $ Awards (Itemize) $
Transportation Home $ Other (Specify) $
Other (specify) $
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