Bursary and Scholarship Application

Brokenhead River Community Foundation

Bursary and Scholarship Application
* Applications must be submitted by May 31st.
Please check off the award(s) you are applying for. You may choose more than one. There may be more than one award per category and the monetary value may also vary from year to year. You may be asked to show financial need, if required. *

Brokenhead River Community Foundation Grade 12 Graduating Scholarship Ken Matchizen Memorial Scholarship Robert Rondeau Memorial Curling Scholarship Brokenhead River Community Foundation Bursaries Science Bursary Brokenhead-Thalberg North-Mars-Brokenhead East Bursary The Eric Lefko Memorial Bursary
Name: *

First Name Last Name
School: *
Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number: *
Please enter a valid phone number.
Email: *
example@example.com
Post Secondary School Plans: *
Course: *
Have you been pre-accepted? *

Yes No
Please upload a transcript of your marks: *

Cancel of

List all of the courses you are currently enrolled in for the 2nd Semester: *

Please tell us what your plans are for your post-secondary education and a career: *

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	Name of Organization	Role Served	Years Involved	Total Number of Volunteer Hours
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	Name of Organization	Role Served	Years Involved	Total Number of Volunteer Hours
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	Name of Organization	Role Served	Years Involved	Total Number of Volunteer Hours
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	Activity Name	Role Served	Years Involved	Total Number of Volunteer Hours
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	Activity Name	Role Served	Years Involved	Total Number of Volunteer Hours
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Brokenhead River Community Foundation