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

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 2027-2028 academic year.

*First Name

*Last Name:

*Street Address

*City/Town

*Province:

* Postal Code:

*Telephone Number:
( ) -

*Email

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

If other, please specify:

Academic Information

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

Student Status

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.

Authorization, Rules and Regulations

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

OTIP collects and uses personal information to assess eligibility and administer the OTIP Bursary Program, including communicating with applicants and issuing awards. For selected recipients, additional information may be collected to process payments and meet tax reporting requirements. Participation is voluntary.  By submitting an application, you are providing your information for these purposes. For more information, please see OTIP’s Privacy Policy.