Forms

 

The Ladies Auxiliary to Royal Canadian Legion Branch 96 Bursary 

HISTORY:                 THE FIRST BURSARY EVER HANDED OUT BY THE LADIES AUXILIARY TO ROYAL CANADIAN LEGION BRANCH 96 WAS SHORTLY AFTER THE PASSING OF COMRADE JESSIE TOMPKINS (SEPTEMBER 25, 1968).  IT WAS NAMED THE JESSIE TOMPKINS MEMORIAL BURSARY IN HER MEMORY.   JESSIE TOMPKINS WAS PRESIDENT OF THE LADIES AUXILIARY FROM 1946 – 1953 AND WHO, THROUGH DEDICATED SERVICE TO THE AUXILIARY AND THE LEGION ROSE TO LADIES AUXILIARY PRESIDENT OF PROVINCIAL COMMAND.

                                   WHEN THE BURSARY WAS TO BE REVISED IN THE SPRING OF 2013 IT WAS VOTED TO RENAME IT THE “THE LADIES AUXILIARY TO ROYAL CANADIAN LEGION BRANCH 96 BURSARY”. 

GENERAL:                THE BURSARY IS DESIGNED TO ASSIST STUDENTS ENTERING OR CONTINUING POST SECONDARY EDUCATION, INCLUDING COURSES AND PROGRAMS OF TECHNICAL AND VOCATIONAL NATURE OUTSIDE OF AND BEYOND SECONDARY SCHOOL.  APPROVED BURSARY ASSISTANCE IS NOT BASED UPON SCHOLASTIC STANDINGS UNLESS THERE IS A TIE OR MORE THAN 2 APPLY.

ASSISTANCE:           THE MAXIMUM AMOUNT OF ASSISTANCE GRANTED SHALL BE *FIVE HUNDRED DOLLARS ($500.00) FOR ONE (1) YEAR.  AN APPLICANT MAY RE-APPLY FOR A SECOND YEAR BY COMPLETING A NEW APPLICATION AND SUBMITTING BY THE DEADLINE OF AUGUST 30TH.  APPLICATIONS MAY NOT RECEIVE MORE THAN TWO (2) BURSARIES FROM THE LADIES AUXILIARY TO BRANCH 96.

                                    *AMOUNT WILL DEPEND ON AUXILIARY FINANCES.

ELIGIBILITY:           ONLY SONS, DAUGHTERS, GRANDSONS AND GRANDDAUGHTERS OF LADIES AUXILIARY MEMBERS.

APPLICATIONS:     

A.  MAY BE OBTAINED FROM A MEMBER OF THE BURSARY  COMMITTEE OR BY CONTACTING THE SECRETARY OF THE LADIES AUXILIARY TO BRANCH 96

B.  RETURN THE COMPLETED APPLICATION TO A MEMBER OF THE BURSARY COMMITTEE, THE SECRETARY OF THE AUXILIARY, OR PLACE IN THE LADIES AUXILIARY MAIL BOX AT THE LEGION, OR MAIL TO “THE LADIES AUXILIARY TO BRANCH 96, ROYAL CANADIAN LEGION, P.O. BOX 1574, BROCKVILLE, ONT., K6V 6E6, ATT. BURSARY COMMITTEE.

C.  APPLICANTS WILL BE NOTIFIED AS TO THE DECISION OF THE LADIES AUXILIARY BURSARY COMMITTEE.  APPROVED BURSARIES WILL BE PRESENTED AT THE AUXILIARY CHRISTMAS PARTY.

 

 

 

As of March 2013

 

 

 

The Ladies Auxiliary to Branch 96

Royal Canadian Legion

Bursary

Location:  180 Park Street,                                                                Mailing Address:  Ladies Auxiliary to Branch 96,

Brockville, Ont.,                                                                                                                    Royal Canadian Legion,

Phone # –   613-345-0473                                                                                                   P.O. BOX 1574,

Fax #     –   613-345-5803                                                                                                   Brockville, Ont.,

e-mail – rclbranch96@bellnet.ca                                                                                      K6V 6E6

website – www.rclbrockville.wordpress.com

 

 

1.         APPLICANT’S NAME:__________________________________________________________

            (Please print)                          LAST NAME                                      FIRST NAME

                                                SIN #___________________  e-mail ______________________________

2.         A.  HOME ADDRESS:_________________________________________________________

                                                            NO. & STREET                                 CITY/TOWN

                                                ____________________________                _______________________

                                                            TELEPHONE #                                              POSTAL CODE

            B.  SCHOOL RESIDENCE:______________________________________________________

                        (if applicable)                          NO. & STREET                                 CITY/TOWN

                                                ____________________________                ________________________

                                                            TELEPHONE#                                               POSTAL CODE

3.         DATE OF BIRTH:______________________________

4.         PERSONAL STATUS: SINGLE______   MARRIED______  # OF DEPENDENTS__________

5.         NAME OF COURSE:____________________________________________________________

6.         LENGTH OF COURSE: YEARS___________________  MONTHS______________________

7.         NAME OF UNIVERSITY OR COLLEGE AND ADDRESS YOU WILL ATTEND:_________

            _____________________________________________________________________________

            (ATTACH PROOF OF ACCEPTANCE)

8.         WHAT YEAR OF THE COURSE OFFERED ARE YOU ENTERING: YEAR 1 2 3 4 (Circle)

9.         IDENTIFY DIPLOMA OR CERTIFICATE YOU WILL RECEIVE ON SUCCESSFUL

            COMPLETION OF THIS PROGRAMME:___________________________________________

10.       ESTIMATED EXPENSES:

            A.  TOTAL TUITION FEE PER YEAR OR SEMESTER: $________________________

            B.  BOOKS: $_______________  TOOLS OR INSTRUMENTS: $___________________

            C.  ROOM AND BOARD: $_____________________

            D.  OTHER: $___________________  FOR _________________________________________

 

 

 

                                                                                                                                    As of March 2013

 

 

 

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11.       ONTARIO STUDENT ASSISTANCE (OSAP) APPLIED FOR: YES________   NO________

            AMOUNT OF APPROVED LOAN: $____________  GRANT: $____________

NOTE: IF YOU HAVE NOT APPLIED FOR OSAP, YOU MUST ENTER AN EXPLANATION.

 

IF YOU HAVE BEEN REFUSED ASSISTANCE FROM OSAP OR YOU ARE INELIGIBLE TO APPLY, YOU MUST PROVIDE A LETTER FROM OSAP CONFIRMING YOUR INELIGIBILITY.

STUDENTS CHANGING COURSES WILL NOT BE CONSIDERED FOR ASSISTANCE UNDER THE BURSARY PROGRAM.

12.       ADDITIONAL INFORMATION RELATED TO THIS APPLICATION THAT YOU FEEL IS

            IMPORTANT: (To be completed by student) (Should more space be required please attach an

            additional sheet with your name and address at the top)        ___________________________________________________________________________________      __________________________________________________________________________________   _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

13.       NAME AND $ VALUE OF SCHOLARSHIPS AND/OR BURSARIES RECEIVED:

            $______________________                          $_____________________

14.       STUDENT’S INCOME: $____________________________

15.       STUDENT’S CONTRIBUTION TO COSTS: $_________________________

16.       SIGNATURE OF APPLICANT___________________________   DATE__________________

 

            SIGNATURE OF PARENT (GUARDIAN)_______________________  DATE_____________

I understand that a copy of my application with all the information (personal or otherwise) would be accessible only to members of the Bursary Committee(s) dealing with bursary awards.  I also understand that communication with my family may be necessary to clarify information in order to process my application.  Again, this information may only be discussed with the members of that committee, with a specific purpose of providing financial assistance towards my education supplement request.

Signature of student: ________________________________     Date: __________________

 

as of March 2013

 

 

 

 

The Ladies Auxiliary to Branch 96

Royal Canadian Legion

Bursary

BURSARY INFORMATION FORM

(TO BE COMPLETED BY PARENT(S)) 

 

1.   NAME OF APPLICANT:__________________________________________________________

            (Print)                                     FIRST NAME                                               LAST NAME

2.   NAME OF PARENT:______________________________________________________________

             (Print)                                    FIRST NAME                                               LAST NAME

3.   ADDRESS OF PARENT:__________________________________________________________

            (Print)                                     NO. & STREET                                 CITY/TOWN

                                                ____________________________                _______________________

                                                            TELEPHONE #                                              POSTAL CODE

4.   TOTAL GROSS INCOME OF PARENT(S):  $___________________________

5.   PARENT’S CONTRIBUTION TO STUDENT’S COSTS: $__________________

6.   # OF OTHER DEPENDANT CHILDREN IN POST SECONDARY EDUCATION:  ________

7.   TOTAL # OF CHILDREN IN FAMILY: __________

8.   ADDITIONAL INFORMATION RE FAMILY CIRCUMSTANCES WHICH YOU FEEL IS

      IMPORTANT IN RELATION TO THIS APPLICATION: ___________________________    ________________________________________________________________________________     ________________________________________________________________________________     ________________________________________________________________________________     ________________________________________________________________________________

(Should more space be required please attach an additional sheet with your name and address at the top

9.   LADIES AUXILIARY MEMBER UNDER WHOSE NAME THIS APPLICATION IS   

      PRESENTED:

      MOTHER’S NAME: _____________________________________

      GRANDMOTHER’S NAME: ______________________________

10.  SIGNATURE OF PARENT(S): ___________________________   DATE: ________________

                                                             ____________________________  DATE: ________________

 

                                                                                                                                    as of March 2013

 

                                                                                                                                                                                                                                                                       

 

FOR L.A. ONLY:  LADIES’ AUXILIARY MEMBERSHIP – Mark an X in one of the following:

Ladies Auxiliary Member _______  Auxiliary Member’s Son or Daughter __________  Grandchild  ____________

(Print) STUDENT’S FULL NAME:_______________________________________________________________________

NAME OF LADIES AUXILIARY MEMBER:_________________________ PARENT: ____  OR GRANDPARENT: ____

I certify that ______________________________________  is a current member in good standing.

AUTHORIZED SIGNATURE: __________________________   TITLE:________________________

Printed Authorized Signature: ____________________________  DATE:________________________

SIGNATURE OF MEMBERSHIP SECRETARY: __________________________________________

NOTE:  AUTHORIZED SIGNATURE IS THE PRESIDENT OR THE SECRETARY OF THE

LADIES AUXILIARY.