Nominee Info & Financials 2024 Academic Year
Your Information
Legal First Name(s)
Legal Middle Name(s)
Legal Last Name(s)
Date of Birth
2005 / 10 / 01 (YYYY/MM/DD)
Country of Citizenship
Household Information
In the following sections, you will need to report on your household and their financial circumstances. Please start by completing this
section for your parents/ legal guardians (if applicable).
Parent/Guardian Disclosure
○ I have a parent/guardian(s)
○ I do not have a parent/guardian
Parent/Guardian(s) Marital Status
○ Married
○ Separated/divorced
○ Widowed
○ Single Parent/Guardian
○ Other, please specify...
If your parents are separated or divorced, both your custodial and noncustodial parents must provide separate financial
information for their income, expenses, and assets. Has either parent/guardian remarried?
○ Custodial Parent
○ Noncustodial Parent
○ Both
○ Neither
Are you able to provide separate financial information for each parent/guardian?
○ Yes
○ No
If not, please provide an explanation:
Parent / Guardian #1
Full Name
Age
Education
Please select the highest level of education this parent/guardian has completed:
○ High school diploma
○ Technical college diploma
○ University/College degree
○ Masters/PhD degree
○ Other, please specify...
Employment of parent/guardian
• Employed Full-Time
• Employed Part-Time
• Self-employed
• Not employed, but looking for work
• Not employed and not looking for work
• Homemaker
• Retired
• Student
If employed, please enter occupation/profession of this parent/guardian below. If they are a business owner, please specify the type
of business or industry classification in the employer field.
Occupation
Employer/company name
Add a Second Parent/Guardian?
○ Yes
○ No
Parent / Guardian #2
Full Name
Age
Education
Please select the highest level of education this parent/guardian has completed:
○ High school diploma
○ Technical college diploma
○ University/College degree
○ Masters/PhD degree
○ Other, please specify...
Employment of parent/guardian
• Employed Full-Time
• Employed Part-Time
• Self-employed
• Not employed, but looking for work
• Not employed and not looking for work
• Homemaker
• Retired
• Student
If employed, please enter occupation/profession of this parent/guardian below. If they are a business owner, please specify the type
of business or industry classification in the employer field.
Occupation
Employer/Company name
Additional Information
(Optional) If needed, please provide any additional relevant information/explanations regarding the information entered above.
Household Information - Financials
On this page, you will be reporting your household's income, expenses, wealth and assets. You must complete all of the financial
tables below. Enter "0" if you have nothing to report for the columns below, or it does not apply to you. To determine Canadian dollar
equivalency, you may reference an exchange calculator.
Currency Exchange
Please provide the current exchange rate of your country’s currency to the Canadian dollar (CAD) below.(To convert currencies visit
www.xe.com )Examples: $1.00 USD = 1.32 CAD 1 INR (Indian Rupee) = 0.017 CADIn the first box below you would enter "US
dollar" or "rupee"In the second box you would enter "1.32" or "0.017"
Your country's unit of currency (e.g: rupee, euro, USD, peso, etc.)
1 unit of currency = $ CAD
Annual Household Income
Please complete the form below using the annual figures for the period of January 2023-December 2023 in Canadian dollars. Use
the "other" category line below to account for all other sources of income such as non-taxable income and benefits, living allowances
provided by third parties, and income from other members of the household. All sections must have a response entered.
Complete this section for yourself if you do not have parents/guardians. Enter 0 for any category that does not apply to you, or where
no
funding exists.
Parent/Guardian #1 (Canadian $) Parent/Guardian #2 (Canadian $)
Annual Gross Income
Pension
Interest/Dividends/Annuity
Rental Income
Family Business Income
Other income (specify below)
Additional Comments - Income
If you entered 0 in the "Other" category above, you may enter N/A below. Otherwise, please provide further details on other incomes
included above.
Annual Household Expenses
Please complete the form below using the annual figures for the period of January 2023-December 2023 in Canadian dollars.If you
wish to combine your families' (both parents/guardians) wealth/assets and borrowed amounts into one total, you may enter these
monetary values in the first two columns (parent/guardian 1) only, and 0 for the last two columns (parent/guardian 2).If your
parents/guardians are separated/divorced, please enter values in the Parent/Guardian 2 columns as well. All sections must have a
response entered. Complete this section for yourself if you do not have parents/guardians. Enter 0 for any category that does not
apply to you, or no funding exists.
Parent/Guardian #1 (Canadian $) Parent/Guardian #2 (Canadian $)
Rent or mortgage payment
Food
Utilities (electricity, water, phone,
etc)
Clothing & household needs
Education
Medical expenses
Insurance (home/life/etc)
Auto and/or transportation costs
Entertainment & vacation
Taxes
Other (specify below)
Additional Comments - Expenses
If you entered 0 in the "Other" category above, you may enter N/A below. Otherwise, please provide further details.
Household Wealth/Assets
Enter 0 for any categories that do not apply to you or no funding exists in that category.
Please indicate your household’s total wealth below including the value of assets such as property, buildings, investments (stocks,
bonds), savings, pensions, etc. Please report in Canadian dollar equivalency.
If you wish to combine your families' (both parents/guardians) wealth/assets and borrowed amounts into one total, you may enter
these monetary values in the first two columns (parent/guardian 1) only, and 0 for the last two columns (parent/guardian 2).
If your parents/guardians are separated/divorced, please enter values in the Parent/Guardian 2 columns as well. Enter 0 for any
categories that do not apply to you or no funding exists in that category.
Please use the scroll bar at the bottom of this table to scroll to the right if your internet browser does not allow you to view all 4
columns in full view. All columns must have a numerical value entered.
Present Value CAD$ Amount Present Value CAD$ Amount
(Household or Borrowed/Owed CAD$ (Household or Borrowed/Owed CAD$
Parent/Guardian 1 (Household or Parent/Guardian 2 (Household or
Parent/Guardian 1 Parent/Guardian 2
Family home
Other land & buildings
Business
Cash/savings
Investments (stocks,
bonds, etc.)
Retirement savings
Other (specify below)
Additional Comments - Household Wealth/Assets
If you entered 0 in the "Other" category above, you may enter N/A below. Otherwise, please provide further details.
Household Information - Dependants
In this section, please provide us with the following details about your family's dependants. Start by completing the form for yourself,
then add additional dependants as needed. Only dependants that are currently enrolled (or are enrolling for the upcoming year) in
school/post-secondary should be added below.
Dependant (Nominee) Name
Please enter your own information first, then add additional dependants (up to 4 additional dependants).
Age
Name of School/University/College (currently attending)
City of School/University/College
Country of School / University / College
Annual cost of attendance for 2022-2023 (report in Canadian dollar equivalency)
Annual amount paid by family (report in Canadian dollar equivalency)
Annual value of scholarships provided by the school / university / college (report in Canadian dollar equivalency)
Start date at this school / university / college (MM/YYYY)
End/graduation date at this school / university / college (MM/YYYY)
Would you like to add another dependant?
□ Yes
□ No, I'm done
□ Sources of Financial Support
Use the form below to report the expected amount of annual support towards your educational costs for each year of your degree
program.Do NOT list other awards or scholarships from UBC. UBC scholarships cannot be combined; only one UBC scholarship or
award can be held at any one time.Please enter "0" if there is no expected amount for that year.
Sources of Support
Please use the scrollbar at the bottom of this table to scroll to the right if your internet browser does not allow you to view all columns
(2024-2025 to 2027-2028) in full view. All columns must have a numerical value entered.
Projected Support Projected Support Projected Support
Support for 2024-2025
2027-2028 (CAD)
($ CAD) 2025-2026 (CAD) 2026-2027 (CAD)
Family savings or
earnings
Family income from
investments, rental
property, etc.
Repayable loan from
government/agency/bank
Non-repayable loan from
government/agency
Other (funding from
relatives, friends,
scholarship, etc.
Specify below)
Other Funding
Please describe other sources of funding you will be receiving. Enter "N/A" if you entered "$0" for this category above
Do you have a source of emergency funds once you arrive in Canada?
○ Yes
○ No
Name source(s) of available support to you for emergency funding:
Amount Available ($ CAD)
Do you plan to remain in Canada during the summer?
○ Yes
○ No
Do you plan to attend summer school?
○ Yes
○ No
Name source(s) of available support to you during the summer:
Amount Available ($ CAD)
Estimate of Costs
Approximate Costs of Education & Attendance for 2024-2025 (September – April) Please follow the instructions to use the UBC
Cost Calculator linked below to determine your cost of attendance (education and living) for the 2024-2025 academic year:Cost
calculator: https://you.ubc.ca/financial-planning/cost/Select your campus and programSelect the appropriate option for
CitizenshipSelect the appropriate option for “Where is your permanent home?”Select "On-campus-single room" option for "Where will
you be living during the school year? All scholars will be assigned single rooms in UBC Residence. Please select this option for an
accurate reflection of your costs.Leave the "Will you have financial support?" box blank to ensure that your sources of financial
support are not being double counted in the calculator and on this form. The calculator will provide you with the educational cost
amount to enter below. Enter the amount from the "Grand Total" in the space below.** International student tuition fees are set by
UBC’s Board of Governors, and are subject to an annual review.**The 2024-2025 tuition fees have not yet been determined and the
figures in the calculator are based on the previous year.
Vantage One Applicants – the costs noted in the cost calculator for Vantage One are for your first year only. From year two
onwards, your tuition assessment will be under your Bachelor degree program.
Declaration of Financial Need
To determine your level of financial need, UBC will look at the costs of your program as estimated below in relation to the contribution
you and your family can make towards these costs based on estimations provided in this application. Your net total financial need will
be calculated after you complete the steps below. Please review for accuracy.
Cost of attendance
The cost of education and living expenses at UBC ranges from approximately $60000 - $84000 CAD per year. The estimation
provided for your degree option should fall within this range. Follow the instructions above to calculate the grand total of your
first year living and education costs using the UBC cost calculator link. Once you have your estimation, enter the figure below
(do NOT use commas when entering the dollar amount).
Minus
Total support available as estimated:
Total amount of financial assistance needed.
This calculation is based on the total support available minus the cost of attendance
Note on costs: Some costs are not included in the calculation of financial need for the International Scholars Award. However,
these are costs that you and your family need to consider when planning your budget for study in Canada. These include, but are not
limited to the following expenses:
• The travel expenses for your arrival to Canada;
• Fees for a Canadian Study Permit (visa);
• Any medical clearances (examination or certificate fees) that may be required by Canadian immigration;
• Cost of living while staying in Canada during the summer months instead of returning home
(Optional) Additional Comments & Information
You may use this section to share any additional information, or any special circumstances that have impacted or may continue to
impact your household, finances, or academic history/education. (Word count max: 200)
UBC Admissions Application
Nominees must complete their UBC Admissions application by December 1, 2023 to be considered for this award program. To
match your award application to your UBC account, provide your EducationPlannerBC (EPBC) application reference number in the
section below. (Your EPBC reference number will be available to you as soon as you complete your profile and select UBC as your
institution on the EducationPlannerBC application portal). Click here for instructions on how to find your EPBC reference number.
□ I am able to provide my EPBC Reference number and will complete the admissions application by December 1.
EducationPlannerBC Reference Number (9 digits):
/ / (YYYY/MM/DD)
2024 International Scholars Program
Essays & Extracurriculars
The purpose of this section is to give the Selection Committee a well-rounded picture of who you are as an individual and as a
student. Please note that some questions in this section may be similar to questions in the online Application for Admission to UBC.
You may choose to use the same or similar answers or stories in both submissions, but you are encouraged to make use of the extra
word count or space allowed here.
Extracurricular Activities and/or Community Involvement
Describe up to five of your most recent, significant extracurricular activities and/or community involvement, including: the name
of the organization/schoolthe start and end dates (month and year) of the activitynumber of hours per weekthe nature of your role
within these activities, and some specific details about each activityYou may use the same activities and descriptions as in the
‘Personal Profile’ section of your Admission Application.
Activity #1
Name of the Organization/School
Type of Activity
(example: volunteering, student club, sports, etc. )
Start Date
Are you currently participating in this activity?
○ Yes
○ No
End Date
# of hours Hours per
• Week
How many hours do/did you • Month
participate in this activity? • Year
Please provide specific details of the activity and your involvement with the activity/organization
□ Add another extracurricular activity and/or community involvement
Significant Awards or Achievements
Describe up to three significant awards or honours that you have recently received that demonstrate your leadership skills,
academic, artistic or sporting excellence, and/or contributions to your community.
Achievement #1
Name of the award/achievement
Reason for the award/achievement
Name of the organization/school
Date awarded (MM/YY)
□ Add another achievement
□ Tell us which activity, award, or achievement was the most meaningful and why.
(Maximum 100 words)
The purpose of this section is to give the Selection Committee a well-rounded picture of who you are as an individual and as a
student. Please note that some questions in this section may be similar to questions in the online Application for Admission to UBC.
You may choose to use the same or similar answers or stories in both submissions, but you are encouraged to make use of the extra
word count or space allowed here.
Your Story
Please describe a topic of importance to you, and how it is a reflection of who you are. Why is this topic important to you? (Maximum
300 words)
The International Scholars program takes pride in its community. Describe how you contribute to the well-being of a community that
is most important to you. What have you learnt from your experiences? (Maximum 300 words)
Optional question: The International Scholars Program includes awards that recognize outstanding international undergraduate
students from impoverished or war-torn areas who have achieved academic excellence under challenging circumstances and
hardship, and who would be unable to attend university without significant financial assistance. Do you meet this criteria? Your
answer will not impact the application.
○ Yes
○ No
Briefly describe the challenges and circumstances that would qualify you for this award. Some examples of hardship may include
circumstances such as:
• Part of an internally displaced population.
• Currently reside or have resided in a refugee camp
• From a region of conflict or war-torn area
• Potentially have had education disrupted due to world events
• Facing significant economic challenges due to regional conflict or warHaving to move due to safety concerns due to global
events
Situations such as a change in academic curriculum, change in language of instruction, or moving countries would not typically
qualify. (Maximum 150 words).
Your Vision
How do you envision your chosen program of study at UBC helping you reach your long-term career and personal goals? What
drives you to achieve your goals? (Maximum 200 words)
Optional: UBC’s collective vision strives to inspire the local and global community to advance sustainability and climate change goals,
and shape a campus environment that supports human well-being and equity and inclusion. How does your vision and your chosen
program of study relate to this? We are interested in hearing from students who share these interests as they relate to UBC’s vision.
This question is optional and there will be no impact to your application if left blank. (Maximum 200 words)
