Lake Country Co-op Bursary Application

Thank you for your interest in applying for 1 of 3 $2,500.00 annual Lake Country Co-op Student Bursaries. The following are the eligibility requirements to be considered:

Must be a grade 12 student graduating in 2025 and enrolled in full-time studies at a University, Post-Secondary Institution, or Technical Institute for the fall 2025 term.

Must be a permanent resident in the Lake Country Co-op trading area and be a Lake Country Co-op Member (parent/guardian membership will be accepted).

Must be willing to allow Lake Country Co-op to use submissions for advertising purposes.

If selected, the bursary money will be forwarded after successful completion of the fall semester and confirmation of enrollment in the second semester of studies.

Applicants will be evaluated based on involvement in school and community activites, as well as the successful completion of grade 12, and acceptance in post secondary studies.

In order to be considered, your application requires the completion of the questions herein as well as a written essay and a video submission to be uploaded to this form.

Written Essay Question: What can Lake Country Co-op do to better serve the youth of our communities and encourage their involvement in the local Co-op? (minimum 200 words)

Video Question: What positive impact has Lake Country Co-op had in your community? (additional points for creativity and individuality)

Lake Country Co-op will be accepting applications until April 30, 2025.

Name*

First NameLast Name

I am a grade 12 student enrolled in full-time studies at a post-secondary institution for the fall 2025 semester.*

YESNO

I am a permanent resident within the Lake Country Co-op trading area.*

YESNO

I am a Lake Country Co-op Member (parent/guardian membership accepted)*

YESNO

Co-op Number:

I give my permission for Lake Country Co-op to use my submissions for advertising purposes.*

YESNO

Unfortunately, due to your answers above, you are not eligible to apply for the Lake Country Co-op Bursary at this time.

Eligibility requirements include:

Must be a grade 12 student enrolled in full-time studies at a post-secondary institution in fall 2025.

Must be a Lake Country Co-op Member (parent/guardian membership accepted).

Must be willing to allow Lake Country Co-op to use written and video submissions for advertising purposes.

Please re-apply once all necessary criteria have been met.

Address*

Street Address

City

Postal / Zip Code

Which High School are you currently attending?*

Who is your high school principal?*

Which post-secondary institution do you plan to attend?*

What post-secondary education program do you intend to take?*

If selected, how will this Lake Country Co-op Bursary support your continued education?*

Please list your school and community involvement, and extracurricular activities (ex: volunteering, coaching, work experience, sports, etc.)*

I understand that by signing this agreement I am giving Lake Country Co-operative Association Limited permission to use any submitted content for promotional purposes.

Candidate Signature*

Candidate Email*

example@example.com

Candidate Phone Number*

SUPPLEMENTARY INFORMATION

All candidates must submit a written essay and video to be considered for the Lake Country Co-op Bursary.

Written Essay Question: What can Lake Country Co-op do to better serve the youth of our communities and encourage their involvement in the local Co-op? (minimum 200 words)*

Video Submission: What positive impact has Lake Country Co-op had in your community? (Additional points for creativity and individuality.)*

Lake Country Co-op Student Bursary Application

BURSARY ELIGIBILITY: