Tillotson Foundation Health Award (VTC)

Lampe Foundation CFUW Sherbrooke & District offers awards to local male or female Vocational Training Centre students who intend to practice in the Eastern Townships.

$1000 for Health Assistance Nursing Care
$500 for Institutional and Home Assistance

Priority will be given to students from the MRC of Coaticook or surrounding area.

Application deadline: November 15.

ELIGIBILITY CRITERIA

Full-time student, having completed 2 to 4 months in one of the above 3 programs
Canadian citizen or permanent resident
Living in MRC Coaticook or surrounding area.
Financial need
Ability to work in both French and English
Community Involvement

The following documentation will be required to complete the form. These documents can be scans or clear high quality photos:

Copy of latest transcript
A signed letter of reference from a teacher or employer attesting to your potential to work in your chosen field and your language skill.
Note: This document can be sent directly via email to the foundation from the teacher or employer. This document may also be mailed via Canada Post directly to the Lampe Foundation. The address is on the form.
Proof of Canadian citizenship or Permanent Resident Status.

These awards are contingent upon the applicant remaining in the Vocational Training Center program and seeking employment in the Eastern Townships upon graduation.

Decisions of the Scholarship Selection Committee are final.

If there is something in the application you do not understand, ask your teacher for help.

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*
Other Education
Click + icon to add more fields
Institution Diploma / degree Years
In which program are you studying?*
- Health Assistance Nursing Care
- Home Care Assistance
- Assistance in Health C are Facilities
Date you started the program
Date Format: DD slash MM slash YYYY
Please explain your career goals:*
Estimate your expenses for the next year (tuition, books, transportation, housing, child care, etc.)*
Click + icon to add more fields
Expense Estimate Cost ($)
Total
Indicate your sources of support (personal savings, employment insurance benefits, manpower training measure, part - time income, parents or relatives, spouse or p artner, loans, bursaries, etc.)*
Click + icon to add more fields
Income Source Estimate Income ($)
Total
Is there anything else you would like to tell us about yourself to help us select the successful applicant?
Describe your community involvement:
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.
A signed letter 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: This document can be sent directly via email to the foundation from the teacher or employer. This document may also be mailed via Canada Post directly to the Lampe Foundation. The address is on the form.
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.
Email
This field is for validation purposes and should be left unchanged.

Institution	Diploma / degree	Years

Expense	Estimate Cost ($)

Income Source	Estimate Income ($)

Tillotson Foundation Health Award (VTC)

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