Plains Midstream Canada Bursary

Instructions

1. This award is open to:

Academic Upgrading students
Pre-Employment Trades
Apprenticeship Trades - Carpenter, Electrician, Welder

2. You must include a short written statement up to 500 words outlining what type of career you are pursuing, and how your courses will help you achieve this goal.

3. Please review all fields for accuracy and completion before submitting the application

4. Incomplete applications will not be considered for awarding

AWARD INFORMATION

Award: $1,000 (2)

Criteria:

Awarded to students in Academic Upgrading, Pre-Employment Trades, & Apprenticeship Trades
Demonstrate financial need.
In good academic standing.
Submit a short essay (up to 500 words) outlining
1. What type of career are you pursuing in Oil & Gas?
2. How will your courses help you achieve this goal?

Deadline for application is December 1 of the academic year.

Please note that it is the applicant’s responsibility to make sure that the required documentation is submitted for consideration.

General Applicant Information

NLC Student ID *

Birthdate *

Format: (mm/dd/yyyy)

Last Name *

First Name *

Middle Name

Street Address or Apt/Box Number *

Town/City *

Province

Postal Code *

Format (A1A-1A1)

Phone Number *

Format (XXX-XXX-XXXX)

Email *

Citizenship Status *

Canadian Citizen

Permanent Resident

Landed Immigrant

Name of Program Attending *

Program Start Date *

Additional Information (Optional):

Do you have heritage of any of the following (check box if it applies)

First Nation

Metis

Inuit

If yes, which Nation/Band, Treaty or Settlement:

Agreement to update NLC Student Record

By checking this box I agree to have my information I have provided (listed above) on this application to update my permanent student record with Northern Lakes College. (This does not include information listed in the financial/budget section.)

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

BUDGET INFORMATION

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

INCOME (monthly)

Part-time Earnings

Parental Support

Spouse's Income

Child Tax Benefit

Sponsor Living Allowance

Student Loans

Other Income

TOTAL INCOME

Please total your income filled out above here.

Educational Costs NOT covered by funding agency/sponsor:

Tuition

Other Fees

Books & Materials

Other Educational Expenses

EXPENSES (monthly)

Rent/Mortgage

Room/Board

Food/Groceries

Utilities

Child Care

Medical/Dental

Insurance

Transportation

Other (please describe below in comment field)

TOTAL EXPENSES

Please add total expenses here.

Explanation of "Other Expenses" and other comments:

Additional Information for Awards

Attach files: Essay *

You can upload your Essay here to attach to your application.

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.

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