Bursary

 

BURSARY AWARD APPLICATION

Full application must be completed for consideration

 

Personal Information

First Name: _________________   Last Name: ______________________________________

Mailing Address: _________________________ Town: ________________________________

Postal Code: ______________ E-mail Address: _______________________________________

Telephone #: _______________________  Date of Birth: ______________________________

Intended program of study: ______________________________________________________

Name of College/University you plan on attending: _____________________________________

What are your career goals? Use additional sheet if necessary. ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Academic Information

Please list the completed credits from your grade 12 year below:

Credit Completed (list name) Final Mark
   
   
   
   
   
   
   
   
   
   

 

 

 

Academic Information (continued)

Please provide a short summary of any extra-curricular activities you are involved in:

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Please provide details of community service activities you have completed for Gooderham or any other community area (attach separate sheet if necessary):

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

This application requires a 300 to 500 word essay, why are you applying for this bursary and what are your career goals:

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

I certify that the information provided on this application is, to the best of my knowledge, true and complete.

 

Signature: __________________________________ Date: _____________________