2020 ISSC Bursary Application Form

International Sailors' Society Canada

2020 ISSC Maritime Bursary Application
Section 1.

Personal Information
Applicant's Name *

First Name Middle Initial Last Name
Date of Birth:

Day Month Year
Date
Phone Number: *
E-mail Address:
Permanent Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Mailing Address (if different from above):

Street Address

Street Address Line 2

City State / Province

Zip Code Country
Section 2.

Educational Information
Class Status (2019-2020):

First Year Second Year Third Year Fourth Year Fifth Year Masters/Ph.D
College/University Registered (2019-2020):
Degree: *
Academic Major: *
List last educational institution/s attended:
Name of School:
Location:
Month & Year attended:
eg. 09-2007
Year Graduated:
eg. 2019
Name of School:
Location:
Month & Year attended:
eg. 09-2007
Year Graduated:
eg. 2019
Housing during academic year:

with parents in residence rented apartment
Section 3

Upload a recent passport sized photograph of yourself
Please upload a passport sized photograph of yourself:

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Section 4.

Supplemental Information
INCOMPLETE APPLICATIONS WHICH DO NOT CONTAIN ALL INFORMATION REQUIRED IN SECTION 4 WILL NOT BE CONSIDERED
The following items must be word-processed on separate sheets of paper. Please note the item number or question on the page (s):
1. List significant activities (e.g. community activities, school clubs/teams, service organizations, church groups and volunteer work) and academic honours attained while in high school and/or college in the last four (4) years.
2. List a summary of your hobbies, skills and athletic involvement.
3. List all scholarships awards
4. Provide a brief statement regarding your education and career goals.
5. Provide a brief statement describing your need for financial assistance for your post-secondary education. In addition please provide a budget detailing the following: tuition, books & supplies, transportation, room and board and other personal expenses.
6. List previous, present and intended (while in school, if any) employments.
7. Attach a photocopy of recent transcript or most recent marks. (We would prefer to see % marks as opposed to GPA or letter grades. Please ensure your name appears on your transcript.)
8. Provide proof of registration at an educational institution.
1. Upload your list of significant activities.

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2. Upload your list of hobbies.

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3. Upload your list of scholarship awards.

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4. Upload your statement of education and career goals.

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5. Upload your statement of need for financial assistance.

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6. Upload your list of previous, present and intended employments.

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7. Upload your recent transcript or most recent marks.

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8. Upload your proof of registration at an educational institution.

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Section 5.

Letters of Recommendation
Please submit at least two letters of recommendation to support your application. The names and positions of those from whom the Bursary Committee will receive recommendations should be listed below. You may submit the letters of recommendation with your completed application packet by uploading them using the buttons shown below or the recommender may forward them directly to the ISSC Bursary Committee Office. Letters of recommendation must be received prior to the deadline and may not be dated earlier than twelve months prior to the date of submission.
Name (Reference 1)

First Name Last Name
Name (Reference 2)

First Name Last Name
Organisation / Company Position
Reference 1
Organisation / Company Position
Reference 2
Upload Reference Letter 1

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Upload Reference Letter 2

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Section 6.

Signed Authorization / Certification
I hereby certify that the information contained in this application is true and correct to the best of my knowledge. I authorize the release of my grade transcript and the extent of my financial need to the Bursary Committee who request this information.
Signature of Applicant *

Clear
Date

Month Day Year
Date
Should be Empty:

International Sailors' Society Canada

Section 1.

Section 2.

Section 3

Section 4.

Section 5.

Section 6.