Bursary General Application Form

1. TAHLTAN STUDENT INFORMATION
Name of Bursary*
Legal Name*

First NameMiddle NameLast Name
Educational Institution*
Campus*
Student Number
Program of Study*
Start Date*

MonthDayYear
Date
Completion Date*

MonthDayYear
Date
YesNo
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
2. TAHLTAN ANCESTORY
YesNo
Band Name (if applicable)
Status Number (if applicable)
Full legal name of Tahltan parent(s)*
Full legal name of Tahltan grandparent (s)*
A cross section of Tahltan and industry volunteers will evaluate applications to determine award recipients. Applications need to provide the following:
1. Application
2. Proof of registration. Must be for this current school year, September 1, 2024 – August 31, 2025.
3. Most recent transcripts (if this is your first year, please provide a resume).
4. Budget outline.
5. Void Cheque
6. Letter of reference from a Tahltan member (optional)
To be eligible for a TCG bursary, the applicant must meet the following requirements:
1. Must be a registered member of the Tahltan Central Government.
2. Must be enrolled in an accredited education organization (proof may be requested).
3. Must be enrolled in this current calendar school year.
4. Must be a member of OnTrack.
5. Must be in good financial standing with all Tahltan organizations.

3. APPLICATION DETAILS
Education Objective*
Career Objective*
Community Involvement*
Cultural Activities*
Academic/Personal Achievement*
Proof of registration. Must be for this current school year, September 1, 2024 – August 31, 2025.*

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Most recent transcripts (if this is your first year, please provide a resume).*

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Budget outline (see link below)*

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Budget Sheet Template (PDF)
Void cheque*

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Letter of reference from a Tahltan member (optional).

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Should be Empty: