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Ron Pfau Memorial Scholarship Application

First Name

Last Name

Address

Town/City

Postal Code

Phone number

Email:

Social Insurance Number (SIN)

Last completed grade

Name of last school attended

Year last grade was completed

Have you attended more than one school?

Yes

Name of Post Secondary Institution

Location

Program of Studies

Name of Parent(s)

Please list all County of Grande Prairie addresses that you previously resided at.

Biography

Tell us about yourself, what your career plans are, what you have achieved already, and why you should be awarded this scholarship (things you should include are memberships in organizations, athletic or cultural achievements, significant projects you have participated in either school or career and volunteer/employment information).

All about you . . .

Where did you hear about this scholarship:

Protection of Privacy - Personal information is collected in accordance with Section 33(c) of the Alberta Freedom of Information and Protection of Privacy Act (the FOIP Act) and will be protected under Part 2 of that Act. It will be used for the purposes of administering the program or service for which the information is collected. Should you require further information about collection, use and disclosure of personal information, please contact the FOIP Coordinator at foip@countygp.ab.ca or call 780-532-9722.