CONDITIONS OF COLUMBIA POWER BURSARY

The Columbia Power Bursary Program (Bursary) can support one student per school who meets the following criteria:

The student has fulfilled high school graduation requirements;
The student will be enrolled in a recognized post-secondary institution within one year of graduating;
The student has been selected by a school award committee;
The student has demonstrated excellence in achievement during senior year; and
The student uses the Bursary towards the purchase of books or payment of tuition.

School Name *

School Contact Name *

Email *

Phone *

Student First Name *

Student Last Name *

Mailing Address *

City *

Province *

Postal Code *

Format: A1A 1A1 or a1a 1a1

Student Phone *

Student Email *

Did you review all applications and select recipients? *

Yes

No

How many graduates did you have? *

Classes with up to 25 students will be eligible to distribute one award.

You are eligible to distribute up to 1 award.

Classes with up to 26 - 75 students will be eligible to distribute two awards.

You are eligible to distribute up to 2 awards.

Classes with more than 75 students will be eligible to distribute three awards.

You are eligible to distribute up to 3 awards.

How many recipients did you select? *

Please enter the details of your graduation ceremony.

Are you having a Graduation Ceremony?

Yes

No

Date

Time

Location

Special Instructions for presenters

DECLARATION

1. I am authorized to submit this recipient list on behalf of the Basin Public Secondary School that is applying.
2. The information I have provided in this recipient list is true, accurate and complete in every way.
3. Columbia Basin Trust—and the people and organizations that represent it—has the right to approve or decline any application.
4. Columbia Basin Trust may reveal details about this application—including my name, the applying organization’s name and location, and the amount and type of funding—to the public, individuals or anyone else, as allowed by the Freedom of Information and Protection of Privacy Act (FOIPPA).
5. Personal information requested that may be in this application is collected under authority of section 26(c) of the Act and will be used for administrative and evaluative purposes related to the program. Any privacy questions may be directed to: FOIPPA Inquiries, Senior Manager, Information Services, Columbia Basin Trust, 1.800.505.8998, privacy@outrust.org.

I have read and agree to the declaration above. *

I Agree

Date

School Contact Name *

School Contact Title *