Bursary Form 2026-2027
Please ensure that you've completed the form entirely and uploaded all documents required for your claim. Should you have questions about the process, reach out to any of the executive for support.
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Contact Information
Form to be filled out by student. Bursaries will be mailed to the address provided below.
Student's Name
*
First Name
Last Name
Student's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Student's Email
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Year of High School Graduation
*
Post-Secondary Institution you Attend:
*
Relation to Cumberland Local Member:
*
Member's Name
*
First Name
Last Name
Teaching Status
*
Please Select
Permanent
Probationary
Term
Site
*
Please Select
Advocate District School
Amherst Regional High School
Chignecto Family Office
Cumberland North Academy
Cyrus Eaton Elementary School
E. B. Chandler Jr. High School
Northport Consolidated Elementary School
Oxford Regional Education Centre
Parrsboro Regional Elementary School
Parrsboro Regional High School
Pugwash District High School
River Hebert District School
Spring Street Academy
Springhill Elementary School
Springhill Jr./Sr. High School
Wallace Consolidated Elementary School
West Highlands Elementary School
Upload Proof of Enrollment here:
*
Browse Files
Drag and drop files here
Choose a file
Proof must be dated after September 1.
Cancel
of
Signature
*
Date of Claim
*
-
Year
-
Month
Day
4 digit year, 2 digit month, 2 digit day
Date
Submit
Should be Empty: