OTIP Bursary Program - Application form

To apply for the OTIP Bursary Program, complete the form below. If you need help completing the form, reach out to us at CommunityInvestment@otip.com.

* This field is required

Applicant (Student) Information

*First Name

*Last Name:

*Address:

*City/Town

*Province:

* Postal Code:

*Email

*Telephone Number:

( ) -

*How did you hear about OTIP’s Bursary Program?

If other, please specify:

Academic Information

To be eligible for the OTIP Bursary Program, you must be enrolled in a full-time or part-time post-secondary (college, university, skilled trades, or technology) program for the 2025-2026 academic year.

Name of post-secondary institution

Program or Course enrolled

OTIP Plan Member Information

To be eligible for the OTIP Bursary Program, you or your relative must be insured through an individual or group policy of an insurance plan or program offered by OTIP.

*Plan member first name

*Plan member last name

Type of Insurance

Plan or Policy Number

Authorization, Rules and Regulations

I will be a full-time or part-time post-secondary student for the upcoming academic year and declare that the information I have provided in support of my application for a bursary is true and correct.

I have read, understand, and agree to the OTIP Bursary Program rules and regulations.