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Academy
Scholarship Form
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:
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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:
Academy
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