Bursary Application Form

Applicant Details

First Name

Last Name

Marital Status
Single
Married
Divorced
Separated

Indigenous Status
First Nations
Métis
Inuit
Other

Specify Other Indigenous Status

Contact Details - (Your School Address)

Phone / Landline

Email*

Address

Contact Details - (Your Home Address)

Phone / Landline

Email (This will also be your username in the future)*

Address

Background Information

A brief introduction of yourself (limit - 500 characters)

Why did you choose this profession? (limit - 500 characters)

Will you be working in the Indigenous communities once your studies have been completed?

Yes

No

Have you received other scholarships and/or Bursaries?

Yes* (provide details)

No

References *It is mandatory to provide at least 2 references.

Refree (1)

Refree (2)

Documents Upload *Max file size limit is 4MB

Photo ID

Statement of Purpose (SOP)

Resume / CV