2024 bursary

PONTIAC BURSARIES - 2024 APPLICATION FORM

Pontiac Bursaries provide financial assistance as an incentive to post-secondary education for full time students originally from the Pontiac area. Bursaries are awarded through the generous contributions of local individuals, businesses and organizations.

APPLICATION DEADLINE: Friday, June 7, 2024

CONTACT INFORMATION
www.pontiacscholarshipfund.ca
Jaime Christie-Stewart
(819) 921-3508
info@pontiacscholarshipfund.ca

ELIGIBILITY CRITERIA
Applicants must be from the MRC Pontiac or the Municipality of Pontiac and be registered in a full time post-secondary program for the 2024-2025 school year

APPLICATION INSTRUCTIONS

-Complete the application form and submit
-Submit all other documents directly or via email to info@pontiacscholarshipfund.ca
-You can save at any time and resume later by clicking on the SAVE button of each section.

Other documents that are required:
1. Students currently in Secondary V - Secondary IV transcript and Secondary V most recent report card;
2. Students currently in college, university, or professional training - most recent transcripts;
3. Copies of 2023 T4 or Relevé 1 or Notice of Assessment (for student, as well as parents and/or spouse);
4. Proof of registration for upcoming 2024-2025 school year.
While it is preferred that you submit your application and all necessary documents directly, we realize that this might not be possible for everyone. If necessary, please send by email to info@pontiacscholarshipfund.ca or by mail to:

Pontiac Bursaries
c/o 100 Victoria Ave.
General Delivery
Shawville, QC JOX 2Y0

There are 37 bursaries available in the amount of $1,000. Some are individually sponsored, while others are contributed by multiple donors. You will be considered for all bursaries that apply to your situation. There is a maximum of 1 bursary awarded per recipient. Bursaries are awarded according to financial need and the specifications below:

Agriculture or Agri-Business

Pontiac Agricultural Society

Business, Finance, Accounting or Economics

Shawville Rotary Club
Promutuel Insurance

Health Care

Uniprix-Ahmad Hassan Pharmacy x 5
Dr. Thomas C. O'Neill and Jane Cuthbertson-O'Neill (Nursing)
Society of Rural Physicians of Canada
Ron Lacroix x 2 (Nursing)

Electrical Power Discipline / Engineering

Services Hydro-Pontiac Inc.
Tankcon

Carpentry/trades

Dr Lucie Mutchmore
Laura Stewart, in memory of Terry Proulx

University level studies

Dr. Maurice & France Lamarche

Toursim / Hospitality

MRC Pontiac

Financial need

Robert and Suzette Pelletier
Michel Caron

Financial need, cont'd

W.J. Hayes and Sons Funeral Homes
André Fortin, MNA Pontiac
Shawville Lions Club
Mountainview Turfgrass Specialists
Slipper Sisters
Municipality of L'Isle-aux-Allumettes
Kathy & Gordie Black
Gail Sullivan, in memory of Helen Morris
Club Quad Pontiac
Century 21 Élite, Équipe Melissa Bittle and Jarod Croghan
Lavigne Family, in memory of Claire & Victor Lavigne
Municipality of Mansfield
Blue Heron Landscaping; WA Hodgins Home Hardware; Cartrites Restaurant; Municipality of Shawville; PME Inter Notaire;
Keith Fraser Cartage; Renfrew Eye Clinic, Dr. Morgan Welburn; RH Nugent;Familiprix Marc Aufranc; Me Nancy Suominen
Municipality of Thorne; Municipality of Litchfield; Municipality of Otter Lake; Municipality of Rapides des Joachims; Oktoberfest Ladysmith
Trépanier & Raffoul Notaire Inc.; Pontiac Journal; Knights of Columbus Fort Coulonge; Pavlina Zhivkov Pharmacie
Municipality of Chichester; Municipality of Sheenboro;TEC Floor Coverings

Section 1 - Applicant Information
First name*
Last name*
Permanent address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Address while at school (if different than permanent address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone number*
Email*
example@example.com
Date of birth*

MonthDayYear

Section 2 - Your Family
Do you have any dependent children?*
How many of your dependents are over 18 years old:
Under 18 years old:
If applicable, please enter the full name of your spouse/partner
Parent 1/guardian's name: (First name/Last Name)
Address (if different than your permanent address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent 2/guardian's name: (First name/Last Name)
Address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Number of children in the care of your parent(s)/guardian(s) - INCLUDING yourself
Of these dependent children, how many are in the following levels of school (including yourself)
Elementary
High School
College / Professional / Trade
University

Section 3 - Education
This Fall...
What school will you be attending this Fall?*
Located in what town/city?*
What year of total number of years of program? (Ex 1 of 3)*
Diploma/program (Ex Diploma, Business Administration or Masters, Nursing, etc)*
Upload proof of registration for upcoming Fall semester/term

Cancelof
High School
What high school did you graduate / are you graduating from?*
City/Town*
Graduating Year*
If you are currently in Secondary V, please upload your Secondary IV year end transcript as well as your most recent Secondary V report card.

Cancelof
If you are already in post secondary education, please upload your most recent transcript.

Cancelof
Other post secondary education information (provide year(s), school, diploma, program)

Section 4 - Income
Income of parent 1 for 2023 (line 199 of QC income tax return)
Income of parent 2 for 2023 (line 199 of QC income tax return)
Income of spouse for 2023 (line 199 of QC income tax return)
Your income for 2023 (line 199 of QC income tax return)
Please attach all T4s or Relevés or Notice of Assessment for each person

Cancelof

Section 5 - Budget
Applicant's Financial Forecast (May 1, 2024 to April 30, 2025)
Employment Revenue
Loan from Ministry of Education
Bursary from Ministry of Education
Other scholarships / bursaries
Contribution from parents
Other Income
Applicant's Projected Expenses (September 1, 2024 to April 30, 2025)
Tuition
Transportation to School
Accomodations
Food, utilities, internet
Books
Other expenses

Section 6 - Additional Questions

All applicants must complete questions 1 and 2
QUESTION 1: How will your studies help you play an active role in the socio-economic development of the Pontiac region?*
QUESTION 2: Describe your financial needs and explain why you are applying for this scholarship? Please indicate if you are a mature student returning to school.*

Please do not forget to attach the required documents to your application or submit them separately by email to info@pontiacscholarshipfund.ca no later than Friday, June 7, 2023.

Only those who are awarded a bursary will be contacted. Please note that should you be awarded a bursary, you or a representative from your family must be present at the awards ceremony to receive the financial award. Details for the ceremony will be provided.

Should you be awarded a bursary and decide not to attend school in the fall, the bursary must be returned the Pontiac Scholarship Fund.
By checking this box, you hereby declare that all information given within and/or documents submitted to be true and exact.

I declare the above statement to be true and exact.
Should be Empty:

Section 1 - Applicant Information

Section 2 - Your Family

Section 3 - Education

This Fall...

High School

Section 4 - Income

Section 5 - Budget

Applicant's Financial Forecast (May 1, 2024 to April 30, 2025)

Applicant's Projected Expenses (September 1, 2024 to April 30, 2025)

Section 6 - Additional Questions