Scholarship Form




Student Information
First Name
Last Name:
Date of birth:
Grade entering in the fall of 2026:
Address:
City:
Province:
Postal Code:
Primary Phone:
Primary parent or legal guardian's email:

Student 2 Information
First Name:
Last Name:
Date of birth:
Grade entering in the fall of 2026:
Address:
City:
Province:
Postal Code:
Primary Phone:
Primary parent or legal guardian's email:

Student 3 Information
First Name:
Last Name:
Date of birth:
Grade entering in the fall of 2026:
Address:
City:
Province:
Postal Code:
Primary Phone:
Primary parent or legal guardian's email:

Parent or Legal Guardian Information
Family Status: 
# of Children in the household
Age(s):

Parent 1/Legal Guardian 1 Income Information
Name:
Occupation:
Employment Status
Employer:
Salary Income:
Other Income:
Federal and provincial government assistance:
Child Support:
Total Income:
Rent
Mortgage
Car Payments:
Utilities:
Groceries:
Child Care:
Transportation:
Other Expenses:
Total Expenses:

Parent 2/Legal Guardian 2 Income Information
Name:
Occupation:
Employment Status
Employer:
Salary Income:
Other income:
Federal and provincial government assistance:
Child Support:
Total Income:

Parent 2/Legal Guardian 2 Monthly Expenses
Rent:
Mortgage:
Car Payments
Utilities:
Groceries:
Child Care
Transportation:
Other Expenses:
Total Expenses:
Scholarship Amount Requested:
Reason for applying for scholarship:

Please note that the director of the Academy might reach out requesting supporting documents.
I (name) testify that the information provided is true, complete, and accurate to the best of my knowledge. 
Signature:
Date: