Part 1 Personal Information – Part 2 Education Information – 1. Name Address with postal 2. code Contact telephone 3. Home Cell numbers 4. Email address Do you live with your 5. Yes No parents? How many children do 6. you support? 1. Name of last public school attended Highest grade completed before What year? 2. leaving the public school system Address Name Name and address of program you 3. will be attending in the fall of 2016 Address When do you expect to finish the 4. Date: program? Part 3 Your story – Tell your own learning story in 200-250 words on a separate sheet of paper. Use this opportunity to tell us why you need this bursary and remember to include the following information: why you returned to school some of the hardest things about going back some of the best things about going back what are your personal plans and/or what are your career goals Part 4 Financial Information Income and Expenses – – 1. Total monthly income
1. Name 2. Address with postal code 3. Contact telephone numbers Home Cell 4. Email address 5. Do you live with your parents? Yes No 6. How many children do you support? Part 1 – Personal Information Part 2 – Education Information 1. Name of last public school attended 2. Highest grade completed before leaving the public school system What year? Address 3. Name and address of program you will be attending in the fall of 2016 Name Address 4. When do you expect to finish the program? Date: Part 3 – Your story Tell your own learning story in 200-250 words on a separate sheet of paper. Use this opportunity to tell us why you need this bursary and remember to include the following information: why you returned to school some of the hardest things about going back some of the best things about going back what are your personal plans and/or what are your career goals Part 4 – Financial Information – Income and Expenses 1. Total monthly income
BursaryApp2016.docx