Village of Pemberton Bursary

School Activity Participation

Please list and describe your school related activities and participation. Be specific and provide dates.

Extracurricular Activities & Participation

Please list and describe your extracurricular activities and participation in the community, including any volunteer work, sports teams, art and music activities etc. Please be specific and indicate if the activity is a one-time experience or an on-going commitment.

Academic Awards

Post-Secondary Plans

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Village of Pemberton Bursary

The Village of Pemberton Bursary is a financial award of $2000, which recognizes students who demonstrate outstanding citizenship, leadership, volunteerism and who intend to pursue post secondary education. The award considers financial need in order to provide assistance and encouragement to promising young students challenged by the costs of education.

Personal Information you provide on this form is collected under section 26 of the Freedom of Information and Protection of Privacy Act and will be used only for the purpose of responding to your bursary application.

Your personal information will not be released except in accordance with the Freedom of Information and Protection of Privacy Act. Questions about the collection of your personal information may be referred to the Manager of Corporate & Legislative Services.