Financial Aid Application Form

Course Fee Subsidies Application Form

Note:

The applicant should complete this form. If the applicant is under 18, a parent or guardian should complete this form for him/her.
All items on this form must be completed.
This form must be returned to Outward Bound® Hong Kong with the completed Enrolment Form.
The information given in this form is subject to investigation. Supporting documents of your financial status may be needed for checking purposes. Any wilful misrepresentation will lead to disqualification.

1. Family Income

Number of family members in the same household (including the applicant): ________

Name	Age	Relation	Occupation	Monthly Income	Total Annual Income
		Applicant



Total gross monthly family income:
Average monthly income per family member:

2. Housing (Please tick as appropriate)

Private Housing	Public Housing
Temporary Housing	Squatter Area
Other (please specify) _____________________Area: (sq. ft.) ________________
Rental Self-owned Purchased by instalment
Monthly rental paid:	$ ________________________
Monthly instalment paid:	$ ________________________
Monthly rental received: (if part of the house is sublet to another tenant)	$ ________________________

3. Declaration

I declare that the particulars given above are true and accurate. I understand that a false statement may lead to disqualification. I also understand that the information given in this form is subject to investigation and hereby authorize the Outward Bound Hong Kong to conduct home visits and to check my income with my employer(s).

____________________	x_____________________________________
Date	Signature of Applican or /Parent/Guardian ( for applicant under 18 )

If you have problems printing this form, try downloading the word document of this form instead for submission (use "Save Link As" or "Save As").