Student Bursary Application Sample Form
WINTER 2015
ECE BURSARY APPLICATION FORM
ECE Bursary Application Form – Fall 2014 Semester Page 1 of 3
Instructions:
Answer all questions in ink. Incomplete and/or illegible applications will not be accepted.
Applications that are missing supporting documentation will not be considered
Deadline for submission of bursary application forms is April 3, 2015. Application forms must be received at ECEBC
by the April 3, 2015 deadline. Applications received after the deadline will not be considered.
This bursary application form is four pages in length, please fill in all sections.
Include a copy of your approved/received registration form with this application.
Submit Winter 2015 transcript, showing grades for courses taken during the Winter 2015 semester (January to April
2015), to ECEBC by May 29, 2015. Winter 2015 transcripts received at ECEBC after May 29, 2015 will not be
considered.
Personal Information
Last Name: First Name:
Address: City:
Province: Postal Code: Phone:
E-mail:
The following three questions are for the purpose of collecting statistical information regarding the students supported
by the ECE Bursary fund. No personal information will be shared, and applicants’ privacy will be protected:
Do you identify yourself as an Aboriginal person; that is, First Nations, Métis or Inuit?
Yes
No
If you identify yourself as an Aboriginal person, are you First Nations, Métis or Inuit? _____________________________
Name of Institution: Campus:
-
-
Student ID Social Insurance Number
Program of Study: Full time / Part time:
From January to April 2015 how many courses are you enrolled in?
Both international and domestic students are eligible to apply for the ECE student bursary, however, proof of BC
residency must be submitted with your application. Without proof of BC residency, ECEBC is unable to consider your
application. Proof of BC residency includes a legible copy of your current BC driver’s license, BC ID, or BC hydro bill.
Please review our ECE Bursary information and criteria at www.ecebc.ca prior to filling out this form.
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