Bursary Application - Casera Credit Union

Bursary Application Bursaries in the amount of $750.00 will be awarded to graduating students from schools participating in the Casera Credit Union bursary program. To qualify, these individuals will be entering either a post-secondary educational, professional, trade or vocational institution or be enrolling in an apprenticeship program. Bursaries will be awarded on the basis of educational achievement, involvement in community and school activities/programs, and financial need.

APPLICATION CHECKLIST This page signed by applicant Personal Information Financial Information Estimated Source of Funds Estimated Expenses Additional Financial Considerations Tell Us About Yourself Your Future Plans Things You’ve Done 2 Reference Statements – signed by the person providing reference (at least one reference by a teacher) Acknowledgement by Principal or Designate – signed by principal or designate Full transcript of your High School record, including term marks to date Please submit completed applications by March 15, 2017 to: Serena Streilein Casera Credit Union 1300 Plessis Road Winnipeg, MB R2C 2Y6 [email protected]

Date:

Signature of Applicant:

PERSONAL INFORMATION Name: Address: Phone Number:

Email:

Collegiate Graduating From:

FINANCIAL INFORMATION Financial planning is a very important part of the planning process for postsecondary education. Take the time to complete the following section with the information you have available at this time. Please note that the Total Estimated Funds must equal the Total Estimated Expenses. ESTIMATED SOURCE OF FUNDS Employment Earnings:

$

Other Bursaries or Scholarships:

$

Student Loans:

$

Other Sources (specify):

$

Total Estimated Funds:

$

ESTIMATED EXPENSES Tuition and Fees:

$

Books/Supplies:

$

Housing:

$

Transportation:

$

Other (specify):

$

Total Estimated Expenses:

$

ADDITIONAL FINANCIAL CONSIDERATIONS Gross Family Income:

Under $50,000

Over $50,000 2

TELL US ABOUT YOURSELF YOUR FUTURE PLANS Tell us about your interests in one or more industry or academic field you’d like to pursue. If you have a specific career in mind, share it with us. What qualities or skills do you possess that you feel would be a benefit to the industry/field you have an interest in? If you know what type of accreditation you’d like to work towards, whether it be an apprenticeship, a degree, a diploma or something else, we’d love to hear!

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TELL US ABOUT YOURSELF THINGS YOU’VE DONE Tell us about activities or programs you’ve been a part of during the last four years, along with any work experience. We’d like to hear about community or school activities/programs such as sports, drama, volunteer work, peer tutoring, church programs or volunteering, awards or skills competitions, and lots more. Briefly describe your experience of being involved in one or more activities/programs and what you gained from it.

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REFERENCE STATEMENT See attached reference letter or if no letter attached; Please have the person completing reference statement complete the following questions and date and sign the bottom of form. Name of applicant: How do you know the applicant? Evaluation of applicant’s work and capacities:

Evaluation of the applicant’s achievements and potential:

Evaluation of applicant’s general character revealed in your association with him/her:

Name: Signature:

Date:

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REFERENCE STATEMENT Please have the person completing reference statement complete the following questions and date and sign the bottom of form. Name of applicant: How do you know the applicant? Evaluation of applicant’s work and capacities:

Evaluation of the applicant’s achievements and potential:

Evaluation of applicant’s general character revealed in your association with him/her:

Name: Signature:

Date:

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ACKNOWLEDGEMENT BY PRINCIPAL OR DESIGNATE This form is to be completed and signed by the Principal or designate acknowledging review of the application and any submitted documentation.

Name of applicant: I have reviewed this application and have no additional information/comments to provide. I wish to provide the following comments for consideration by the Bursary Review Committee in its deliberations:

Name of Principal or Designate: Signature:

Date:

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