• Emergency Loan Fund Application Form •

For technical issues related to the form contact internal@yugsa.ca

This form must be completed in our office with our Student Services Coordinator or other YUGSA representatives.

Guidelines 1. The Emergency Loan Fund is available to full members of the York University Graduate Students’ Association (YUGSA) who will be enrolled for at least one term past the term of application. 2. Members from associate member organizations are eligible only if such a possibility has been granted under their associate member agreement.

3. The maximum loan is $350 and must be paid in full before access to new funds.

4. The following must be provided in order to be eligible for an Emergency Loan: a) Valid YU Card. b) Documentation demonstrating current graduate student registration status at York University. c) Post-dated cheque(s) payable to "YUGSA Inc." covering the full amount of the loan (cheques cannot be of a value of less than $50). e) A promissory note, signed on this application, specifying terms of repayment. 5. It is the responsibility of the borrower to contact the YUGSA if the borrower runs into financial difficulties that render them incapable of repaying the loan within the specified repayment schedule. 6. When a loan is outstanding it is the responsibility of the borrower to provide the YUGSA with updated contact information if recorded contact information changes.

7. A loan will be considered to be in default when a borrower has made no good faith effort to repay their loan. Generally, this shall be considered to be the case when (per YUGSA's Standing Order 4 - Emergency Loan Fund, Article 10 (January 2011):

a) No updated repayment plan has been made within two (2) weeks of notification of a returned cheque;

b) The borrower is more than two (2) months behind on a repayment plan; or

c) The borrower has made no repayment of any amount within six (6) months of the start of the loan or has not made a payment on an existing loan within six (6) months.

Failure to maintain good standing will result in loss of eligibility for other YUGSA funds and services. Please direct questions regarding funding to finance@yugsa.ca

Applicant's Information

Name *

First Name Last Name

Student Number *

Department *

(Write department name if not in the list)

Program *

Ph.D. Masters

Year of Study *

Status *

International Student Domestic Student

Phone Number *

Area Code Phone Number

E-Mail Address (York account preferred) *

Street Address *

Apt. #

City/Town *

Province / Territory *

Postal Code *

Supporting Documents

Select File

Date of Application

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Please do NOT submit hardcopy prints of this application or supporting documents (with the exception of the original cheques) to our office.

Original cheques must be provided to the YUGSA staff member or executive at the time of application.

This section must be carefully read and signed by the applicant

I have read, understand, and approve of the guidelines in this document and certify that on this date of the application (shown above) I borrowed the dollar amount awarded as shown in below section from the York University Graduate Students’ Association (YUGSA). This money is repayable to the York University Graduate Students’ Association in installments upon demand after the dates of individual post-dated cheques provided to YUGSA.

Type your full name and sign this agreement digitally below. *

YUGSA Staff/Executive *

OFFICE USE ONLY (Not to be filled by applicant)

Amount Awarded *

Issued Cheque Number *

Student's ELF #

General Notes

Installment Plan *

Installment 1

Due Date *

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Cheque Number *

Installment 1 Notes

Installment 2

Due Date *

Date Date Picker Icon

Cheque Number *

Installment 2 Notes

Installment 3

Due Date *

Date Date Picker Icon

Cheque Number *

Installment 3 Notes

Installment 4

Due Date *

Date Date Picker Icon

Cheque Number *

Installment 4 Notes

Installment 5

Due Date *

Date Date Picker Icon

Cheque Number *

Installment 5 Notes

Installment 6

Due Date *

Date Date Picker Icon

Cheque Number *

Installment 6 Notes

Installment 7

Due Date *

Date Date Picker Icon

Cheque Number *

Installment 7 Notes