Barbara Sample Allatt Scholarship

Awarded to female student enrolled in trade,technical or career-based diploma or degree program ($1800).

Application deadline: April 15

ELIGIBILITY CRITERIA

Female student
Preference to students who have lived in the Eastern Townships for at least 3 years
Has been out of school for at least 1 year
Financial Need
Community Involvement

The following documentation should accompany the completed form:

Photocopy of latest transcript
Two(2) letters of reference from a teacher or employer
Proof of acceptance in a trade,technical or career-based diploma or degree program
Proof of Canadian citizenship or Permanent Resident Status. Photocopies are permitted

Decisions of the Scholarship Selection Committee are final.

All information will be treated in strictest confidence

Full Name*
Prefix First Last
Present Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Years at this address*
Permanant Address
- Same as present address
*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Years at this address*
Home Phone Number*
Cell Phone Number
Email Address*
I am a:*
- Canadian Citizen
- Perminant Resident
High School Name*
High School Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Years Attended*
Describe your intended course of study (institution, degree or diploma, field of study, length of program).*
Please explain your career goals:*
Describe your community involvement:*
Is there anything else you would l ike to tell us about yourself to help us s elect the successful applicant? This may include information about your personal circumstances.
Estimate your expenses for the next year (tuition, books, transportation, housing, child care, etc.)*
Click + icon to add more fields
Expense Estimate Cost ($)
Indicate your sources of support (personal savings, employment insurance benefits, manpower training measure, part - time income, parents or relatives, spouse or p artner, loans, bursaries, etc.)**
Click + icon to add more fields
Income Source Estimate Income ($)
Copy of proof of Canadian citizenship or Permanent Resident status*
This can be a copy of a passport, birth certificate, PR Card, etc.
We are currently only accepting PDF copies of the files.
Max file size: 2MB
Accepted file types: pdf.
Copy of latest transcript*
We are currently only accepting PDF copies of the files.
Max file size: 2MB
Accepted file types: pdf.
Two signed letters of reference from a teacher or employer attesting to your potential to work in your chosen field and your language skill
We are currently only accepting PDF copies of the files.
Max file size: 2MB
NOTE: These documents can be sent directly via email to [email protected] from the teacher or employer.
Drop files here or

Accepted file types: pdf.
- Check this box if your teacher or employer will contact the foundation directly via email or if the document will be mailed.
Terms and agreement*
I certify that the information in this application is accurate and complete, to the best of my knowledge. If selected, I agree to have my name and place of study published on the CFUW Sherbrooke & District internet web site (cfuwsherbrooke.org),on Lampe Foundation website (www.lampefoundation.org) and on Lampe Foundation Facebook page.
- I agree to the terms and certify all all the above information is correct.
Name
This field is for validation purposes and should be left unchanged.

Expense	Estimate Cost ($)

Income Source	Estimate Income ($)

Barbara Sample Allatt Scholarship

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