Form-Summer -Salaries-and-or -Annual-Ticket -Allowance.pdf

TO BE COMPLETED BY STUDENTName of Student: _________________________________ Institution: _____________________________________Mobile telephone: _________________________________ Home telephone: ________________________________Annual Ticket Allowance--SummerAre you eligible to apply for the annual ticket allowance of $2529.39 USD: Yes NoHave you previously received a ticket allowance? Yes NoIf you answered yes, please indicate the date of your last ticket allowance ______________________ _______________MonthYearEstimated date of departure to Kuwait: _____________________ Estimated date of return to Canada: ________________________Please indicate which month you would like your ticket allowance deposited: ____________________________________________* Note: Allowances are deposited on the 1 st day of the month onlyPlease note that approval of the ticket allowance can only be confirmed upon receipt of the grades for the winter term.Summer Salaries (July and August)Have you met your requirements during this academic year? Yes NoHow many credits have you completed during this academic year? Fall: ________ Winter: ________Do you intend on taking courses during the spring/summer? Yes NoIf you plan on taking courses during the spring/summer, please complete the following course details:Course # Course Name Credit Value University Date____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________If you are taking courses at a university other than your home institution, a “Letter of Permission” must be attached to thisrequest.Please note that if ticket allowance and/or summer salaries are paid to you in advance of meeting the courserequirements and, if you do not meet the requirements in the end, you will be required to repay the cost of the ticketallowance and/or the summer salaries._____________________________________Signature of Student_____________________________DateTo be Completed by CBIESummer Salaries Approved: _________________________________ Ticket Allowance Approved: ______________________________________Comments: ______________________________________________________________________________________________________________Ticket Allowance and Summer Salaries 2