Ardoch
Algonquin First Nation
Bursary
and Scholarship Application
2007-2008
Name:
_________________________________ Birth
Date: ____________________
Address:________________________________________________________________________________________________________________________________________________________________________________________________________________
Phone: _____________________
E-Mail: _____________________________________
*Present School or Last
School Attended: _______________________________________
________________________________________________________________________________________________________________________________________________
*Present Grades (submit a
transcript with your application): ________________________
_______________________________________________________________________
*Postsecondary School to
Which You Are Applying: _____________________________
________________________________________________________________________________________________________________________________________________
*How Will a Bursary or
Scholarship Help You? __________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________
*How Will You Use the Funds
That You Receive? _______________________________
________________________________________________________________________________________________________________________________________________
*Are you Available to
Volunteer for Community Events or Fundraising Activities?
Yes: __________
No: ___________
Distance is a Problem: _____________
*If Distance is a Problem,
Are You Available to Work in Other Ways to Support the Community?
Yes: _________ No:
__________
*Can We Add You to Our
Community Volunteer E-Mail List? Yes______
No: ________
*Please Describe Your
Involvement in the Community Over the Past Year?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
*Do You Have Financial Need?
______________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
*Note: Be sure to e-mail
your application prior to May 1, 2007. You
may also fax your application to Membership: 1-613-375-6485.