COMPLETED APPLICATIONS INCLUDING ALL REQUESTED DOCUMENTATION MUST BE RECEIVED NO LATER THAN May 28

Section I: Student Information

Section II:    College/University Information

Section III:   Military Service Information

NOTE:

Bursaries are open to students graduating from Grade 12, who are residents of the Kingston Peninsula and have a military family member.  Bursary letter will be presented at the graduation ceremonies.

Your transcript of marks must accompany this application.

 

 

BURSARY COMMITTEE, PENINSULA BRANCH 62
THE ROYAL CANADIAN LEGION 1356 ROUTE 845
CLIFTON ROYAL, NB E5S 2B9

or

E-Mailed to

contact@RCLNB62.ca

 

DEADLINE IS May 28. No exceptions - Postmarks do not count


 

 

(Please print clearly giving all information requested)

SECTION I -Student Information



Full Name:

 


Home Address:

 


 

 

 


 

 

 

 


Telephone #

FAX # e-mail


Your Mailing Address if not living at home while in school:



 

 

 

 


 

 

 


Date of Birth:

Day: ________ Month: ________ Year: ________


High School Attended

 


Date of Graduation

 


 

 


SECTION II -College/University Information



School Name:

 


Campus:

 


Address:

 


 

 

 


 

 

 


Phone:

 


What Year will you be in?

First: ____ Second: ____ Third: ____ Fourth: ____


Course of Studies you intend to follow:


 

 

 

 







 

 

SECTION III -Financial Information – (Must be completed)

 

 

If Dependent:

Father's Name: ______________________ Occupation: _____________

Gross Income: ________________

Mother’s Name: ______________________ Occupation: _____________

Gross Income: ________________

Number of persons supported by this income


 

Ages

 

 

 

 


If Self Supporting:

State personal income, including spouse: ________________ If living in a single parent home, list income alimony and support payments of supporting parent: __________________ Were you successful in applying for a student loan/grant? Yes: ________ No: ________
If Yes, what amount? ____________

SECTION IV -Military Service Information


Full Name:

 

 

 

 

Parent: _________ Grandparent: __________ Other:  ______________

Unit and Service #:

 

 

 

 

Enlistment Date: _______________ Discharge Date: ______________

Check as applicable

WWI: ____ WWII: ____ KOREA: _____ REGULAR: _____ RCMP ______

Is (was) either of your Parents or Grandparents ever a member of the Legion or Ladies Auxiliary

Parents: Yes: ___ No: ___ If yes, what Branch _______________________ Grandparents: Yes: ___ No: ___ If yes, what Branch ___________________

Signature of Applicant that all information is correct:

 

 

Signature of Parent or Guardian:

 

 


Note: Please include a letter, written by the student, outlining your educational aims and objectives, as well as a list of your extra-curricular activities. Application will not be accepted if this information is not included.

By your application for a Bursary, you confirm that all information is correct and you agree that you may be photographed and for the photo to be published. Agree that we may use your personal and non-personal information. For example, we may use personal information from your application to advise you of upcoming/future events, newsletters etc.