Scholarship Application 2024-2025
Application Package & Information:
www.reymont.ca/scholarships
Personal Information
Full Legal Name
*
First Name, Middle Intial
Last/Family Name
Preferred Name (if applicable, to be printed on the scholarship diploma)
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Date of Birth
*
-
Year
-
Month
Day
Date Picker Icon
Sex
*
Male
Female
Citizenship
*
Canadian Citizen
Permanent Resident
Date Permanent Residence Status Received
*
-
Year
-
Month
Day
Date Picker Icon
Mailing Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Education and Study
Level of Study
*
Diploma
Certificate
Bachelors
Masters
Doctorate
Present University/College Name
*
Present University/College Address
*
Program
*
Year of Study
*
First
Second
Third
Fourth
Fifth
Other
Are you in an exchange program?
*
Yes
No
Please explain more details about your exchange program:
*
Previous Post-Secondary Education
Involvement in Student, Youth, and Volunteer Organizations
Maximum 3 - Please provide supporting documentation in Step 3
Involvement in Student, Youth, and Volunteer Organizations
Involvement in Polonia - Applicant
Maximum 3 - Please provide supporting documentation in Step 3
Involvement in Polonia - Applicant
Involvement in Polonia - Applicant's Parents or Grandparents
Maximum 3 - Please provide supporting documentation in Step 3
Involvement in Polonia - Applicant's Parents or Grandparents
Personal and Academic Accomplishments
Maximum 5 - Please provide supporting documentation in Step 3
Personal and Academic Accomplishments
Declaration and Submission
I declare that all information given above is true and correct
*
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