Elaine A. Small Bursary Form

Applicant's Name *

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone

Email *

Secondary School

College or University to be attended next year

Discipline/Program being studied

Acceptance Guaranteed

Your ultimate career aim?

Please upload a transcript of your secondary school grades

Click or drag a file to this area to upload.

Please upload a letter of recommendation from a teacher or academic counsellor

Click or drag a file to this area to upload.

Please upload a letter of recommendation from an instructor in the arts discipline you are planning to pursue

Click or drag a file to this area to upload.

Please upload a one page letter about yourself and why you want to pursue a career in the arts

Click or drag a file to this area to upload.

Confirmation

I agree to submit the required report to the QAC within the designated timeframe.