The Kelvern Celtic Society is pleased to announce the establishment of a STUDENT BURSARY effective September, 2015. The Kelvern Bursary will be awarded to a student entering a post-secondary institution in September of 2015. Deadline For Applying. This application should be forwarded by May 15 2015 to the Kelvern Celtic Society mailing address (See below) Qualification. 1. An applicant must be or have been a member of the Kelvern Celtic Society. OR 2. Failing that, he/she must be able to verify a close relationship to a present or former member of the Society. Note to Applicant. Please complete the following form. Print or key in the pertinent information. Surname_____________________________________________________ First Name___________________________________________________ Middle Name_________________________________________________ DoB (D,M,Y) ________________________________________________ Address______________________________________________________ City_________________________________________________________ Postal Code___________________________________________________ Telephone_____________________________________________________ E-Mail_______________________________________________________ Page 1 of 3 Current secondary school___________________________________________ Location__________________________________________________________ Preferred (likely) post-secondary institution.______________________ _____ _________________________________________________________________ Location_________________________________________________________ Course of study___________________________________________________ What are your career goals? ________________________________________ _________________________________________________________________ _________________________________________________________________ In what way might this course of study help to prepare you for that career?_______________________________________________________ ____ _________________________________________________________________ _________________________________________________________________ Please identify your affiliation with the Kelvern Celtic Society. Are you currently a member? _______________________________________ Were you a member? ____________ In what year(s)?_______________ _____ In what member group did you participate? For example, the Kelowna Pipe Band._______________________________________________ _________ Page 2 of 3 If you answered “NO” to the above questions, please identify a relative who is/was a Kelvern member. ________________________________ Please provide contact information for that person for the purpose of verification. Name, address, phone, e-mail etc._________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Should you require further information, please contact either: Alan Stonehouse, Treasurer, [email protected] or Paul Munroe, President, [email protected] Please submit your application to the emails above or mail to: Box 20127, Towne Centre Mall, Kelowna, BC V1Y 9H2 Page 3 of 3
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