Declaration of Applicant:
I understand the terms and conditions and hereby make application for a Brokenhead River Community Foundation Scholarship and/or Bursary.
I hereby certify that the information given in this application is true and complete; that the Brokenhead River Community Foundation is authorized to verify the information contained herein with my educational institutions and other sources identified; and that I will notify the Foundation of any changes.
I understand that personal information is collected about me for the purpose of administering the Brokenhead River Community Foundation Scholarship and Bursary program and I agree to allow my name, picture, city/town of residence, institution of study, and future study plans to appear publicly if I receive a scholarship or bursary.