NLCSA Bursary Application: Northern Lakes College

Instructions:

Applications can be submitted before or on the deadline date.
You must be registered full-time or part-time in a credit course/program.
Please complete only one application form.
IMPORTANT: Read the award criteria to check your eligibility.
The Selection Committee will not consider incomplete applications.
Budget section must be completed.

DEADLINE: May 9, 2025

AWARD INFORMATION

NLCSA Financial Needs Bursary

Award: $400

Criteria:

Must be a student of NLC and attending their program - all credit programs are eligible (Academic Upgrading and all Post-Secondary programs).
Be in financial need.
Have not yet received an NLCSA Financial Needs Bursary this current academic year.

Please note that it is the applicant’s responsibility to ensure that all of the application information is completed for consideration.

Students may only receive this bursary once per academic year.

NLCSA Shirley Kellington - Shining Light Award

Award: $450

Criteria:

Full-time or part-time student in Academic Upgrading or Trades program, in good academic standing and demonstrating three of the following criteria:
- Demonstrate hard work and achievement in their program
- Exceptional spirit with volunteerism and helping other students
- Has caring nature towards instructors, students and student community
- Goes the extra mile in volunteerism, employment and/or other activities involved in

Please note that it is the applicant’s responsibility to ensure that all of the application information is completed for consideration.

Deadline May 9, 2025 *

Please check the boxes for the award/bursary you would like to be considered for.

Financial Needs Bursary

Shirley Kellington Shining Light Award

General Applicant Information

Birthdate *

Format: (mm/dd/yyyy)

Street Address or Apt/Box Number *

Postal Code *

Format (A1A-1A1)

Phone Number *

Format (XXX-XXX-XXXX)

Name of Program Attending *

Program Start Date *

FINANCIAL INFORMATION

How is your tuition being paid for (check one): *

Student Loan

Sponsor

Self-Paying

Other

Marital Status (check one) *

Single

Married/Common-law

Number of Dependants *

4 or more

Age Range of Children

Check all that apply.

0 to 5

6 to 12

13 to 18

Name of Sponsor/Agency assisting with education costs/ living allowance

INCOME (monthly)

If no income enter $0 in field

Part-time Earnings *

Alberta Works/Foundational Learning Assistance *

Sponsor Living Allowance *

Employment Insurance *

TOTAL INCOME *

Please total your income filled out above here.

Educational Costs NOT covered by funding agency/sponsor:

If no education costs enter $0

Other Educational Expenses *

EXPENSES (monthly)

If no expense enter $0

Phone (cell and/or landline) *

Credit cards/loans *

Other (please describe below in comment field) *

TOTAL EXPENSES *

Please add total expenses here.

Explanation of "Other Expenses" and other comments:

DESCRIPTION OF FINANCIAL NEED *

Please provide information on the circumstances that have led to this request for assistance.

Attach Files: Essay - required for the Shirley Kellington Award

Choose File No file chosen

The maximum total size of all files in a single form submission is 1 GB.

Attach files: Reference letter - required for the Shirley Kellington Award

Choose File No file chosen

The maximum total size of all files in a single form submission is 1 GB.

Applicant Declaration

I have read and understand the instructions, and declare that:

All information provided is true and complete and I understand it is subject to verification. I will immediately notify Northern Lakes College if there are any changes to the information I have provided in this application and I understand that it will be used in determining my eligibility for this award. I also grant permission for my name and contact information to be released to the award donor(s) if I am a recipient of this award.

Agree with Applicant Declaration *

Yes

Date of Declaration *

Information provided by the student on the award application may be shared with award donors.

The personal information that you provide to Northern Lakes College is collected under the authority of the Post-Secondary Learning Act, Section 65, the Income Tax Act (Canada), and Section 33(c) the Freedom of Information and Protection of Privacy Act (Alberta) ("FOIPPA"), and is protected under Part 2 of the latter act. This information will be used and disclosed for the purposes including determining eligibility for awards issued by Northern Lakes College. Collected personal information is protected from unauthorized access, collection, use, and disclosure in accordance with FOIPPA and may be reviewed subject to the provisions of the Act. If you have any questions about the collection of this information, contact the Student Awards Administrator, 780-849-8723, awards@northernlakescollege.ca or FOIP Coordinator, 780-751-3259, foipcoordinator@northernlakescollege.ca or 1201 Main Street SE Slave Lake, AB T0G 2A3.

Please note that it is the applicant’s responsibility to ensure that all documentation and the full application (all boxes filled in that are applicable) are received in the Student Awards office for consideration by the deadline.

NLCSA Bursary Application