Bursary Summary Form

SOA Bursary Summary Form

Deadline September 30 of each year
PLEASE REVIEW THE BURSARY PROGRAM CRITERIA BEFORE COMPLETING

Program Criteria Link

Organization Information - Section One
Applicant Information*

Name

Street Address/Box Number

CityPostal Code

Email Address
Phone Number*
Please enter a valid phone number.
Date of Birth*

MonthDayYear
SOA Member Group in Which you Participate
see program criteria
School
Grade
Instrument
Instrument Teacher Name
Current Level on your Instrument/OR Conservatory and Grade/OR Name of Most Difficult Piece Performed
e.g. completed Suzuki book#/RCM

Organizational Information - Section Two
Project Name*
Project Location*
Project Start Date*

MonthDayYear
Date
Project End Date*

MonthDayYear
Date

Project Information
Which goals did you achieve as a result of attending the activity?*
Tell us about the ways that the project met your expectations.*
What expectations were not met? What would you change about the project?
What was the best part of the project?
Please upload a completed copy of brochures or project information (if available).

Cancelof

Actual Project Costs
Application Fee
Transportation
Tuition
Accomodation
Other (please specify)
Total
If you received other financial assistance for this project, please give details.
SOA Bursary awarded
By affixing my signature to this application,
- I have read and understand the Bursary Program criteria, and I am in compliance with the program's eligibility requirments.
- I delare that the statements and information contained in this application are accurate and complete.
- I understand that this application may not be funded or may not be funded to the full amount requested.
- If funded, I agree to submit a Summary Report form to the SOA by September 30 of each year. I understand that this is required in order to receive the final payment of the Bursary.
- I agree to acknowledge the financial support of the SOA, SaskCulture and teh Saskatchewan Lotteries Trust Fund whenever possible.
- I authorize the SOA ro publicly release my name, home community, project description and the amount of the approved bursary.
- I agree to provide photography for SOA reports and applications if available.
- I accnt the conditios of the programand agree to diregt all questions concerning the results of this application to the SOA.
- I understand that funds granted to me by the SOA are to be used solely for the purpose described herein, and any funds not used for this purpose shall be returned.
Please arrange for your teacher or ensemble director to directly email the executive director at ed@saskorchestras.com to endorse this application.
Signature*

Clear
Date

MonthDayYear
Date
Please verify that you are human*
Should be Empty:

SOA Bursary Summary Form

Organization Information - Section One

Organizational Information - Section Two

Project Information

Actual Project Costs