A proof of attendance form will be sent to you after this scholarship application has been received by the committee.

Please fill out the application form below:

Name *
Name
Mailing Address *
Mailing Address
Phone *
Phone
Date of Birth *
Date of Birth
Date of Graduation *
Date of Graduation
Click to agree *
As required by the provisions of the Personal Information Protection Act, S.A. 2003, c.P-6.5 and the Freedom of Information and Protection of Privacy Act, R.S.A. 2000, c.F-25 our Society is required to obtain your consent for the collection, use and disclosure of any of your personal information. As a means of updating our donors and general public, our Society may periodically publish the name and personal photograph of the individual who received the scholarship, along with the high school they graduated from, the institution they are currently attending.