EALP-Fillable (E)

CFPAF – APPLICATION FOR EDUCATION ASSISTANCE FORM
CAPFC – DEMANDE DE PRÊT D’ÉTUDES
PERSONAL DATA – RENSEIGNEMENTS PERSONNELS
Surname / Nom
Given names / Prénoms
Rank / Grade
Service Number / No. de service
Home Phone / Téléphone domicile Work Phone /Téléphone bureau
Address / Adresse
Spouse's surname and given names / Nom et prénom du (de la) conjoint(e)
City / Ville
Province
Ext / Poste
Postal Code / Code postal
QUALIFYING MILITARY SERVICE DATA – SERVICE MILITAIRE DONNANT DROIT AU PRÊT
Surname / Nom
Given names / Prénoms
Rank / Grade
(dd-mm-yy)
Enrolment Date / Date d’enrôlement
Service Number / No. de Service
Release Date / Date de libération
(dd-mm-yy)
FINANCIAL DATA – RENSEIGNEMENTS FINANCIERS
Applicant’s Gross Income
Revenu brut du (de la) requérant(e)
Spouse’s Gross Income
Revenu brut du (de la) conjoint(e)
$
Total Gross Income
Revenu brut total
$
Other Factors / Autres facteurs
$
Payments requested (X)
Mensualités demandées
INFORMATION ON STUDENT – RENSEIGNEMENTS CONCERNANT L’ÉTUDIANT (E)
Surname / Nom
Relationship
to Applicant
Lien de parenté
Given names / Prénoms
Date of Birth
Date de
naissance
(dd-mm-yy)
Course period
Période du cours
From
Du
To
Au
(dd-mm-yy)
Amount requested
Montant du prêt
Institution
Course title – Titre du cours
(12)
(24)
(36)
(48)
$
(dd-mm-yy)
For CFPAF accounting office use / Pour l'usage du bureau de la comptabilité de la CAPFC
Int. Rate
Taux d’intérêt
As of
À compter du
Amount
Montant
Balance of outstanding loan
Solde du prêt précédent
%
$
New loan
Nouveau prêt
%
$
New loan balance
Nouveau solde du prêt
%
$
Monthly Pmt
Pmt mensuel
Initials
Ini tiales
$
DECLARATION AND AUTHORIZATION BY APPLICANT
FOR OFFICE USE ONLY
RÉSERVÉ A L’USAGE DU BUREAU
I do hereby apply for an education assistance loan under the terms specified by the NPP Board of Directors and make the following
declaration:
a. all information given on this application is complete and true in every respect; and
b. the funds for which I am applying will be used for the education of the students indicated in this application.
c. I authorize SISIP Financial Services/CFPAF to gather only the necessary information for the object of the file from any person or
organization that has personal information relating to me, such as universities, colleges and credit rating agencies. I also authorize
SISIP Financial Services/CFPAF to disclose only the necessary personal information it has on me to the same persons and organizations.
Date
The information provided on this form is protected from unauthorized disclosure under Canada’s Privacy Act and is available to you upon
written request.
Amount Approved
DÉCLARATION ET AUTORISATION PAR LE (LA) REQUÉRANT(E)
Par la présente, je demande un prêt d’études en vertu des conditions précisées par le conseil d’administration des BNP et j’atteste que :
a. tous les renseignements indiqués sur cette demande sont complets et véridiques à tout égard; et
b. le prêt que je demande servira à payer le coût des études de(s) l’étudiant(e)(s) mentionné(e)(s) dans la présente demande.
Approved by
c. J’autorise expressément les Services financiers du RARM/CAPFC à ne recueillir que les seuls renseignements personnels nécessaires à
l’objet du dossier auprès des personnes ou organismes qui ont des renseignements personnels me concernant, tel que les universités, les
collèges et les agences decrédit. J’autorise aussi les Services financiers du RARM/CAPFC à ne communiquer que les seuls
renseignements personnels nécessaires qu’elle possède sur mon compte à ces mêmes personnes et organismes.
La Loi canadienne sur la protection des renseignements personnels protège les renseignements donnés sur cette formule contre une
divulgation non autorisée. Vous pouvez consulter ces renseignements après en avoir fait la demande par écrit.
SIGNATURE
APPLICANT / REQUÉRANT (E)
(CFPAF - EALP 03/08)
(DATE)
SPOUSE / CONJOINT (E)
PROTECTED /
(WHEN COMPLETED)
(DATE)
PROTÉGÉ
(UNE FOIS REMPLI)
(CAPFC - PPE 03/08)
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General
Personal Data
The Education Assistance Loan Program (EALP) is operated under the
auspices of the Non Public Property (NPP) Board of Directors of the
Canadian Forces. The amount of funds available to support the program is
established by the Board on an annual basis. Consequently, the size of the
loans made under the program is limited by the amount of funds available.
In addition, consideration for a loan is contingent upon the applicant
meeting specified criteria.
The loan applicant, the person with the qualifying service or the
widow/widower or the orphan of the person with the qualifying service,
completes this section and is the person responsible to repay the loan.
Aim
1. Detail the member's military service.
The aim of the Education Assistance Loan Program is to encourage and
assist members, former members and recognized dependents of the
Canadian Forces, Regular Component, in obtaining post-secondary
education.
2. If retired, released or deceased, include a copy of the Discharge
Certificate, or Record of Service documentation.
Loan
Report the expected "gross annual income" of the household for the current
year. Provide copies for a full month of pay and/or pension stubs for your
spouse. Former members, provide copies of pay and pension stubs for your
own income for a complete month.
Loans are made to and repaid by the applicant.
A loan is awarded only for the current scholastic year in the amounts as
determined annually. There is no limit on the number of applications per
family; however, there is a lifetime maximum of $16, 000 per student. There
must be only one applicant per student and there can be only one loan per
student in any 12 month period.
MOVING? Include your new or any temporary address.
Qualifying Military Service Data
Financial Data
Please note: T4 Slips and/or Tax Assessments are not acceptable as proof
of income, with the exception of those who are self-employed.
Loans are payable to the applicant by direct deposit.
Other factors: you may wish to include extraordinary factors that impact
upon your ability to repay a loan, such as medical problems, disabilities,
divorce, free room and board, etc. (use a separate sheet if required)
Repayment
Information on Student
Successful loan applicants will be required to repay the loan over 12, 24, 36
or 48 months in monthly instalments. When a subsequent loan is approved
for the same student, the CFPAF will combine the principal balances of
both loans, repayable over the term of the new loan, at a harmonized rate.
Effective 1 Jun 2003, the interest rate on education loans was increased by
the NPP Board of Directors from 2% to 3% and a new loan will no longer be
subject to deferred payments while an outstanding loan balance is in effect.
Detail the particulars of the Student for whom the assistance is requested.
Repayment by serving members will be made by monthly pay allotment.
Repayment by former members will be made by pre-authorized debit.
(Payment by postdated cheques may be arranged if payment by preauthorized debit is not possible).
The loan repayment will commence the month following the issuance of
funds.
Application Criteria
In order to be eligible for a loan under this program ALL of the following
criteria must be met:
a. the applicant must have served in the Canadian Army, Regular, after
1 October 1946, or have one year service in the Canadian Forces, Regular
Component, or be the widow/widower/dependent of a former member with
service as mentioned above;
b. the applicant must be capable of repaying the loan without imposing
personal financial distress and/or compromising the security of CFPAF
assets; and
c. the student for whom the funds will be used must be registered in a fulltime program at a recognized post-secondary institution or an adult retraining centre. CF subsidized programs, such as UTPNCM, ROTP, etc.,
are not qualifying programs for an EALP loan.
Note: The CFPAF office will demand proof of full-time acceptance
before issuing the funds.
Dependents Defined
Definition of Dependent: The word "dependent" means spouses,
widows/widowers, children and grandchildren up to the age of 18 years,
each of whom are, or were, dependent upon the earnings of an eligible
member or former member. In addition, children over the age 18 who have
been in continuous, full-time attendance at college/university or vocational
training, may be classed as dependents up to the age of 27.
Spouses who have remarried, children who have left school and entered
the work force, children who have married, children who have reached the
age of 27, regardless of whether they have remained students, are not
considered to be dependents.
General Points
• COMPLETE ALL BLOCK SECTIONS
• Incomplete and/or inaccurate applications will be returned
• Print legibly
Declaration and Authorization
• Please read and sign.
• The signatures of both spouses are required
(if applicable).
Mail Application
Repayment Schedule
Submit the completed
documentation to:
Amount
12
months
24
months
36
months
48
months
$1,200.00
$ 101.63
$ 51.58
$ 34.90
$ 26.56
$1,500.00
$ 127.04
$ 64.47
$ 43.62
$ 33.20
$2,000.00
$ 169.39
$ 85.96
$ 58.16
$ 44.27
Telephone:
$2,500.00
$ 211.73
$ 107.45
$ 72.70
$ 55.34
$3,000.00
$ 254.08
$ 128.94
$ 87.24
$ 66.40
Fax:
Email:
$3,500.00
$ 296.43
$ 150.43
$ 101.78
$ 77.47
$4,000.00
$ 338.77
$ 171.92
$ 116.32
$ 88.54
application
CFPAF
4210 Labelle Street
Ottawa ON K1A 0K1
888-753-9828
613-943-8756
613-996-4207
[email protected]
form
and
any
other
relevant