IBEW Local 37 Bursary Application

BURSARY APPLICATION
APPLICATION DUE BY THE 4TH WEDNESDAY OF MAY.

NOTE: To be eligible for a Local 37 bursary, applicants must be a dependant child, or spouse, of a Local 37 member and be enrolled in a post secondary education program. The selection process will be conducted by random draw.

Successful applications will be required to provide proof of enrollment (i.e., letter from school confirming acceptance) into a post secondary education program. This signed letter is to include the seal of the school, if available, and submitted by October 31st of that year.

Applicants are eligible to receive only one bursary.
Name of Bursary Applicant *

First Name Last Name
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Name of IBEW Member *
Applicant's Relationship to IBEW Member *
Applicant's Career Goals *
(Include location, program name, type of program, dates offered)
Name of Post-Secondary Institution Applicant is Enroled In *
Agreement & Signature

I agree that this form is accurate to the best of my knowledge.
Please type your full name *
Signature (use computer mouse)

Clear
Date

Month Day Year
Enter the message as it's shown *
You may submit this form electronically by selecting the SUBMIT button, or you may select the PRINT FORM button to send it via:

- Email (info@ibew37.com)
- Fax (1-800-723-1226)
- Internal Mail (NB Power members)
Should be Empty:

BURSARY APPLICATION