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Scholarship Application

    Applicant's Information
  1. Please select only ONE Scholarship:(*)


    Please select a Scholarship!
  2. First & Middle Name(s):(*)
    Please enter your first name!
  3. Last Name:(*)
    Please enter your last name!
  4. Address:(*)
    Please enter your Address i.e. 1 Street name
  5. City:(*)
    Please enter your city name!
  6. Postal Code:(*)
    Please enter your postal code! i.e. N2N 2N2
  7. Email:(*)
    Please provide your email address!
  8. Phone Number:(*)
    Please provide telephone number i.e.4161234567
  9. Cell Number:
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  10. Citizenship Status:(*)
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  11. What is your Date of Birth?(*)
    / / Please select a valid date!
  12. Are you married?(*)
    Please select!
  13. Are you a Single Parent?(*)
    Please select!
  14. Are you currently on Social Assistance?(*)
    Please select!
  15.  
    Academic Information
  1. Are you currently Registered Full-time in A Post Secondary Institute?(*)
    Please select Yes or No!
  2. Which Program are you Registered in or wish to attend?
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  3. Which Semester are you currently registered in?
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  4. What is your Current GPA (if applicable)?
    Invalid Input
  5. Name of the specific program or course taken (i.e. I.B, O.S.S.D, etc):
    Invalid Input
  6. Date attended:
    Invalid Input
  7. Please provide Program Coordinator's Name, Email and Telephone Number:
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  8. Which program do you wish to attend?
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  9. Have you been ever suspended or been on Academic Suspension from school?(*)
    Please select!
  10.  
    Family and Financial Information
  1. Please Indicate Family’s Net Income Range:





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  2. How many family members are dependent on your parent's income (including yourself)?
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  3. How many siblings do you have?
    Invalid Input
  4. Are any of your siblings currently enrolled in a post-secondary school?
    Invalid Input
  5. Have your parents attended a post-secondary school?
    Invalid Input
  6. What is the highest level of education your parents have received?
    Invalid Input
  7. Other Details
  8. How many languages you can speak?
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  9. International Experiences:
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  10. Awards:
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  11. Community Involvement:(*)
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  12. Describe in less than 250 words why you should receive this scholarship:
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  13. How did you hear about this scholarship?
    Invalid Input
  14. I have read the Scholarship Terms and Conditions and agree to be bound by them.*(*)

    Invalid Input
  15. Please enter the text:(*)
    Please enter the text:
      RefreshIncorrect text!
  16.