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Bursary Application Form
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Which bursary are you applying for?
*
Academic
Vocational
Sports
Arts
Do you have, or will you have, funding from other sources for this type of training?
*
Yes
No
If YES, please state the source of the funding:
Please select
Government grant
Private company
Father
Mother
Guardian
Grandparent
Personal savings
Other
Required if you selected "Yes". Failure to fill in this section may affect the committee's final decision.
If you selected OTHER as the source of funding, please specify:
Required if you selected "Other". Failure to fill in this section may affect the committee's final decision.
Please state the amount (CAD$) of the funding:
Name:
*
First
Last
Date of Birth:
*
mm/dd/yyyy
Email:
*
Email
Confirm Email
Home Address:
*
City:
*
Province:
*
Postal Code:
*
Country:
*
Telephone Number:
*
Dependents:
*
Yes
No
Example: Children, elderly parents, etc.
Number of Dependents:
Required if you selected "Yes". Failure to fill in this section may affect the committee's final decision.
Marital Status:
*
Please select
Married
Single
Divorced
Widowed
Are you employed?
*
Yes
No
Total Annual Gross Income (CAD$):
Required if you selected "Yes". Failure to fill in this section may affect the committee's final decision. Evidence must be uploaded at the end of the application.
Name of Employer:
*
Required if you selected "Yes". Failure to fill in this section may affect the Committee's final decision.
Workplace Address (street, city, province, postal code, country):
Required if you selected "Yes". Failure to fill in this section may affect the committee's final decision.
Are you a student?
*
Yes
No
If you are a MINOR, please have your parents or your legal guardian complete the section(s) below.
Mother's Name:
First
Last
Home Address:
City:
Province:
Postal Code:
Country:
Citizenship:
Telephone Number:
Email:
Email
Confirm Email
Maritual Status:
Please select
Married
Single
Divorced
Widowed
Is she employed?
Yes
No
Total Annual Gross Income (CAD$):
Required if you selected "Yes". Failure to fill in this section may affect the Committee's final decision. Should you be short-listed, you will be asked to provide proof of gross income.
Name of Employer:
Required if you selected "Yes". Failure to fill in this section may affect the committee's final decision.
Workplace Address (street, city, province, postal code, country):
Required if you selected "Yes". Failure to fill in this section may affect the committee's final decision.
Is she a student?
Yes
No
Father's Name:
First
Last
Home Address:
City:
Province:
Postal Code:
Country:
Citizenship:
Telephone Number:
Email:
Email
Confirm Email
Marital Status:
Please select
Married
Single
Divorced
Widowed
Is he employed?
Yes
No
Total Annual Gross Income (CAD$):
Required if you selected "Yes". Failure to fill in this section may affect the Committee's final decision. Should you be short-listed, you will be asked to provide proof of gross income.
Name of Employer:
Required if you selected "Yes". Failure to fill in this section may affect the committee's final decision.
Workplace Address (street, city, province, postal code, country):
Required if you selected "Yes". Failure to fill in this section may affect the committee's final decision.
Is he a student?
Yes
No
Guardian's Name:
First
Last
Home Address:
City:
Province:
Postal Code:
Country:
Citizenship:
Telephone Number:
Email:
Email
Confirm Email
Marital Status:
Please select
Married
Single
Divorced
Widowed
Is he/she employed?
Yes
No
Total Annual Gross Income (CAD$):
Required if you selected "Yes". Failure to fill in this section may affect the Committee's final decision. Should you be short-listed, you will be asked to provide proof of gross income.
Name of Employer:
Required if you selected "Yes". Failure to fill in this section may affect the Committee's final decision.
Workplace Address (street, city, province, postal code, country):
Required if you selected "Yes". Failure to fill in this section may affect the Committee's final decision.
Is he/she a student?
Yes
No
ABOUT YOUR STUDIES: Which term(s) are you applying for?
Please select
Fall
Winter
Spring
Summer
Educational Institution:
Please select
First Choice
Second Choice
Third Choice
Studies:
CEGEP
Undergraduate
Graduate
Vocational
Sports
Arts
Which year of studies will you be entering? (First year, last year, etc.)
Field of Study
Duration of studies (ex. one semester, one year, etc.) this bursary will cover:
Faculty/Department:
Major:
Number of terms:
Selected Value:
1
Assuming each year is 3 terms (fall, winter, summer)
If this application pertains to a SPORT, please identify the type of Sport:
First Sport
Second Sport
Third Sport
Describe your past Involvement in this Sport:
Institution:
Program:
Year(s):
If a team sport, indicate position you will play:
First/Last Name of Coach:
Name of Educational Institution or Sports Association:
Tuition/Training Fees per season:
If this application pertains to the ARTS, please select the discipline:
Contemporary Applied Arts (Ex. Carving, Furniture, Glass, Jewellery, Sculpting, etc.)
Creative Writing
Dance
Media Arts
Music
Visual Arts
Theatre
Other
Institution:
Program:
Year(s):
First/Last name of Mentor/Instructor:
Supporting Documents Checklist- Should you be short-listed and invited to an interview, you will be asked to show originals or certified copies of the documents below. Please ensure that you have them.
Birth Certificate or Copy ID/Passport
Medicare or driver's license
Proof of Greek descent (ex. Birth Certificate of Greek parent or Greek grand-parent)
Proof of Total Annual Gross of Applicant (i.e Income Tax Assessment)
Proof of Total Annual Gross of parent or guardian if applicable (i.e Income Tax Assessment)
Monthly Budget (income & expenses)
Proof of Studies/ Training
(Ex. Academic Transcripts, Letter of Admission, Sports or Arts Membership, etc.)
LETTER OF INTENT -Please explain your reasons for studying/practicing your chosen field and indicate your future aspirations. (Max. 300 words)
IF YOU HAVE ANY QUESTIONS, PLEASE EMAIL US AT: bursary.hlbs2@gmail.com
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