PCFLL Bursary Application

PCFLL Bursary Application

Thank-you for your application for the Pacific Coast Field Lacrosse League annual $2,000 bursary for graduating Grade 12 students. In order to be eligible, you must have been registered in PCFLL Youth or Women's U18 for the 2024-2025 season. Please ensure you have all documentation required as you will not be able to revise your submission after completing this form.
Player Full / Legal Name*

First NameLast Name
Player Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth*

MonthDayYear
Date
Player Phone Number*

Area CodePhone Number
Player E-mail*
Lacrosse email (if different from above)
example@example.com

Please tell us about your immediate post-secondary plans.*
Academics
Please upload a current grades transcript (grades 11 & 12)*

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Field Lacrosse Volunteering History
I have volunteered as (select all that apply):

Women's OfficialYouth OfficialWomen's CoachYouth CoachOther
Tell us about being a Women's Official, including when you started / finished and the level of Field Lacrosse you officiate.*
Tell us about being a Youth Official, including when you started / finished and the level of Field Lacrosse you officiate.*
Tell us about being a Women's Coach, including when you started / finished and the level of Field Lacrosse you coach.*
Tell us about being a Youth Coach, including when you started / finished and the level of Field Lacrosse you coach.*
Tell us about other ways you contribute to the Field Lacrosse community.*

Interests and Activities Outside of Lacrosse

We'd like to find out about some of your other interests. Please tell us about other school clubs and activities, community involvement, and employment that you take part in. We're looking for the name of the organization or club, the number of hours per week and the number of years that you volunteered. If you are or were employed, list the company, hours per week and length of time. Attach a resume or CV if you'd prefer (not necessary to do both).
Please check all of the types of service you would like to tell us about.

School Activities (non-sports)Community ServiceAwards & HonoursEmployment
School Activities / Offices Held 1: (not sports)
School Activities / Offices Held 2: (not sports)
School Activities / Offices Held 3: (not sports)
School Activities / Offices Held 3: (not sports)
Community Service / Volunteer Activities 1 (outside of school)
Community Service / Volunteer Activities 2 (outside of school)
Community Service / Volunteer Activities 3 (outside of school)
School / Community Awards and Honors (no matter how small) 1
School / Community Awards and Honors (no matter how small) 2
School / Community Awards and Honors (no matter how small) 3
EMPLOYMENT 1: List past and present work and length of time employed.
EMPLOYMENT 2: List past and present work and length of time employed.
EMPLOYMENT 3: List past and present work and length of time employed.
Travel Experience or Unusual Experiences (study abroad, etc.)
Resume / CV upload

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References

Please upload a minimum of two letters community member of reference for your application: coaches, your association Head Coach or President, parents of players you coach, your association Head Official, etc. One letter may be from a non-lacrosse reference, teachers, community leaders, etc. At least one should be from a lacrosse community member.
Reference 1*

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Reference 2*

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Please tell us anything else we should know about you.*
Should be Empty:

PCFLL Bursary Application

Academics

Field Lacrosse Playing History

Field Lacrosse Volunteering History

Interests and Activities Outside of Lacrosse

References