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Chester Basin-New Ross-Chester Lions Club Application for Bursary
Two bursaries in the amount of $500 each may be awarded each year. A graduating student may apply if he/she resides in the area served by the CBNRC Lions Club, or is from our area and has transferred to another school, or is is a graduating student living in Nova Scotia and is a child or grandchild of a CBNRC Lion. Applications are to be submitted by May 30th. Name of Applicant:_________________________________________ Age:________ Parent(s) or Guardian(s):_________________________________________________ Address:______________________________________________________________ Name of School:________________________________________________________ Occupation of Parent(s) or Guardian(s): Father________________________________ Mother________________________________ Name of University or College you plan to attend:______________________________ Brief description of the program:____________________________________________ ______________________________________________________________________ How do you plan to finance your education:____________________________________ ______________________________________________________________________
Other relevant information: hobbies, special interests, extra curricular activities:_______
Please attach an official transcript from your Guidance Counsellor showing final marks for grades X and XI, as well as term marks for grade XII
Date:_____________ Applicant’s Signature:_______________________________
Date:_____________ Guidance Counsellor’s Signature:______________________
Date Received:__________________ Chairperson’s Signature:____________________
Revised 2004 |