StellerStudents Application

1

Your Full Name* This field is required.

First Name

Last Name

2

Are you a member of StellerVista Credit Union?* This field is required.Only members are eligible for the StellerStudents program

YESNO

3

Email* This field is required.Approval notice and/or requests for more info will be sent by email

example@example.com

4

Phone Number* This field is required.

Please enter a valid phone number.

5

Which is your main branch?* This field is required.

Cranbrook

Fernie

Sparwood

Elkford

6

What program are you taking?* This field is required.

7

Why this program?* This field is required.

8

Which school are you attending and why?* This field is required.

9

How long is the program, and what year are you in?* This field is required.

10

What specifically would you use these funds for?* This field is required.The maximum award is $1500

Tuition and school fees

Text books

Equipment for program (computer, tools, etc)

Rent and living expenses

Mental health and recreation

Transportation

Other

11

Are you open to sharing your student journey story with us at a later date?* This field is required.We would love to follow up on the lives and journeys of our young members whenever possible

12

Are you willing to share any story or info about your scholarship online?* This field is required.Absolutely not a requirement, but if you are, let us know!

YESNO

13

Can you share how long you have lived in the East Kootenay area, and what your future living / work hopes are - once school is complete?* This field is required.

14

Please submit a very short summary on the value of living in / growing up in small town British Columbia - Maximum 500 words* This field is required.We will never share this publicly without your consent - though if selected, we may ask to do so :)

15

An open, anything goes, last chance to tell us why you are a great candidate for the award.

16

We generally post the name, alongside a photo, of all student award recipients. Are you OK with your information and photo being posted online?

YESNO