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- Forms and Documentation 2012/13
- Forms and Documentation
Forms and Documentation 2012/13
Documentation Required For All Applicants 2012/13
Master Student Financial Assistance Agreement (MSFAA)
If you are applying for student financial assistance for the first time, a MSFAA will be sent to you once your application has been assessed and you are approved to receive an amount of student financial assistance.
Student’s Declaration, Consent and Signature Form 
(246 KB)
Fax, mail or drop off the form at our office at Coughlan College.
Canada Revenue Agency Signature Form (275 KB)
Mail the completed form or deliver a paper copy to Coughlan College—do NOT fax the form.
Income Confirmation Form (262 KB)
This form is required to confirm the income you earned during the pre-study period.
To receive your Up-front Provincial Grant and/or your next semester’s loans, this form must be submitted no earlier than the first day of classes and no later than the deadline (i.e. 8 weeks after the start of classes).
Fax, mail or drop off the form at our office at Coughlan College.
Other Forms 2012/13
Parents’ Declaration, Consent and Signature Form (232 KB)
This form is required if you are a dependant student. Fax, mail or drop off the form at our office at Coughlan College.
Spouse’s Declaration, Consent and Signature Form (237 KB)
This form is required if you are married or in a common-law relationship.
Fax, mail or drop off the form at our office at Coughlan College.
Program Cost Form (267 KB)
This form is required if you are attending an educational institution other than Memorial University, Marine Institute or College of the North Atlantic. The form must be completed by a representative of the educational institution you are attending. Fax, mail or drop off the form at our office at Coughlan College.
Student’s Consent to Release Personal Information Form (226 KB)
Privacy legislation limits with whom we can discuss your file.
This form is required if you consent to have the personal and financial information in your file shared. Fax, mail or drop off the form at our office at Coughlan College.
Reduced Course Load Request Form (410 KB)
This form is required if you are requesting an exemption from the requirement to carry 80% of a full course load. Fax, mail or drop off the form at our office at Coughlan College.
NL Skills Development Form (239 KB)
This form is required if you are receiving tuition, book allowances or a living allowance under the Newfoundland and Labrador Skills Development Program. The form must be completed by a representative from the Department of Human Resources Labour and Employment.
Employment Insurance Information Form (238 KB)
This form is required if you are receiving Employment Insurance benefits. The form must be completed by a Service Canada representative.
Verification of Permanent Disability Form (727 KB)
This form is required if you are applying as a student with a permanent disability. You must sign the consent portion of the form. The verification portion must be completed and signed by a qualified medical or educational assessor.
Medical Appeal Form (249 KB)
If you are requesting that your over-awards be set aside due to a medical withdrawal, this form must be completed by you and your doctor. Fax, mail or drop off the form at our office at Coughlan College.
Student/Parent Appeal Form - Tier One (251 KB)
This form is to be used if you wish to have your needs assessment reviewed. Fax, mail or drop off the form at our office at Coughlan College.
Application Form – Grant for Services and Equipment for Students with Permanent Disabilities (76 KB)
Students with permanent disabilities who have exceptional education-related costs associated with their disability (such as costs for hiring tutors, note-takers or interpreters, or costs for braille-related expenses or technical aids), may receive up to $8,000 per academic year. Once your application is processed, you will receive written notification of your eligibility. To be considered for this grant, you must submit the Verification of Permanent Disability Form when you apply for full-time assistance.
Fax, mail or drop off the form at our office at Coughlan College.
Documentation 2012/13
- Birth or Baptismal Certificate
- Canada Child Tax Benefit Confirmation
- Common-law Documentation
- Childcare Confirmation
- Disabled Dependants
- Extended Youth Care Agreement
- Information from (or Signature of) One Parent
- Confirmation of Successful Academic Performance
- Protected Person Status Documents
- Scholarship Verification
Birth or Baptismal Certificate
This is required for each dependant child if you are a single parent, married or living common law. Where applicable, the certificate must contain the names of both parents.
Fax, mail or drop off the form at our office at Coughlan College.
Canada Child Tax Benefit Confirmation
This is required if you are a single parent to confirm receipt of this benefit. You can obtain this form by calling the Canada Revenue Agency at 1-800-387-1193.
Fax, mail or drop off at our office at Coughlan College.
Common-law Documentation
If you are living in a common-law arrangement, you must submit a letter from an unbiased, unrelated third party who has personal knowledge of your living arrangements and who can confirm the date of cohabitation; confirmation from your landlord is not acceptable.
The third party must submit their contact information, occupation and their relationship to you; affidavits are not acceptable.
Fax, mail or drop off at our office at Coughlan College.
Childcare Confirmation
If you have a child(ren) aged 11 years or under listed as a dependant on your application and you are requesting reimbursement of childcare costs, you must submit a letter from the Department of Human Resources Labour and Employment or the Department of Health and Community Services verifying that you are not receiving a child-care subsidy from either department.
Your application will first be assessed without a childcare component and will be reassessed once this verification is received.
Fax, mail or drop off at our office at Coughlan College.
Disabled Dependants
If your disabled dependant(s) is 12 years of age or older, you must submit a letter from a physician confirming that daily care is required. You must also submit receipts verifying the amount claimed.
Fax, mail or drop off at our office at Coughlan College.
Extended Youth Care Agreement
If you receive funding from the Department of Health and Community Services via the Youth Services Agreement, you must provide a letter to confirm the amount of assistance.
Fax, mail or drop off at our office.
Information From (or Signature of) One Parent
Information from one parent may be accepted, depending on whether or not a relationship exists between the student and the other (absent) parent.
The parent with whom the student lives must submit an explanation of why the second parent’s information is not available. This explanation must demonstrate that there is no relationship between the student and the absent parent.
Note: The refusal of parent(s) to contribute to the cost of post-secondary education is not an acceptable reason to have parental contribution waived.
Fax, mail or drop off at our office at Coughlan College.
Confirmation of Successful Academic Performance
If, in a prior semester, you did not successfully complete either 60% of a full course load (for Canada Student Loans) or 80% of a full course load (for Newfoundland and Labrador Student Loans), you must confirm the successful completion of each subsequent semester in order to receive additional student financial assistance.
Fax, mail or drop off at our office at Coughlan College.
Protected Person Status Documents
This document is required if you are a protected person and must be valid for the entire study period.
Application for protected person status can be made through the Citizenship and Immigration Canada website at www.cic.gc.ca or through the Service Canada website at www.servicecanada.gc.ca 
.
Note: If you are designated as a protected person, you are required to obtain a temporary Social Insurance Number card also through Service Canada website at www.servicecanada.gc.ca .
Fax, mail or drop off the form at our office at Coughlan College.
Scholarship Verification
This is required if you are in receipt of a scholarship that is provided to you over more than one semester. (The source of the scholarship must provide the verification.) Unless otherwise confirmed, the full amount of the scholarship will be applied to your first semester of study.
Fax, mail or drop off the form at our office at Coughlan College.
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