I hereby affirm that the information contained herein is true and correct. I hereby grant permission to the Kingstown Co-operative Credit Union Limited to verify such information.
I understand that receipt of this bursary is contingent on continued enrollment and providing proof of enrollment. Falsification of any information or failure to meet these requirements will result in the termination of my bursary and I will be obligated to return any bursary monies already received.
I hereby grant and assign the Kingstown Co-operative Credit Union Limited the right to use my biographical information, essay response, and my image to publicize my nomination and/or receipt of this award, and to promote the goals of the bursary, for editorial, trade, advertising or any other purpose and in any manner and medium, including website and internet promotion.
I also consent to have a copy of my application and all supporting materials retained indefinitely by the Kingstown Co-operative Credit Union Limited.