Intro

Bursary Awards

Applicants Information
First Name
Last Name
Date of Birth
Month - Day - Year
Social Insurance #
Address
City or Town
Postal Code
Email
Phone
Phone Number
Preferred Method of Contact

Email Text Phone
Current School
School Address
What year of Secondary Education are you currently in?
GivePermission

I hereby grant permission to the Devon General Hospital Foundation Bursary Committee to contact my secondary school to request further information about me if they see fit.
PublicAward

If I am successful in receiving a bursary, I give permission for the Foundation to make public my award.
Parent or guardian full name, if under 18 years of age
Education Information
What year did you graduate from High School?
Grade Average
Expected post secondary school
Program of Study
What year will you graduate from your program of study
List school activities / sports you have been involved in?
What volunteering have you done related to healthcare
What volunteer activities have you been involved in?
Provide examples of how you demonstrated leadership
List part time employment if applicable
Attach an essay of approximately 250 words of why you should receive this bursary
Filename
Size
Process
Status
Choose File
Max: 4MB - File Type: PDF, DOC, DOCX
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