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2021-22 Halifax West High School
Scholarship / Bursary Application - Must be completed by April 14 / 2022
* Indicates required question
Email
*
Your email
Personal Information
Last Name
*
Your answer
First Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Home Address
*
Your answer
Schools Attended
Check all that apply (if you attended multiple schools)
Elementary Schools Attended
*
Atlantic Memorial
Burton Ettinger
Duc d'Anville
Fairview Heights
Grosvenor-Wentworth Park
Park West
Prospect Road
Rockingham
Terence Bay
Other:
Required
Junior High Schools Attended
*
Brookside
Clayton Park
Fairview
Park West
Other:
Required
Post Secondary Information
What Post Secondary School are you planning to attend?
*
Your answer
Have you been accepted?
*
Yes
Still waiting to hear
What program(s) have to applied to / been accepted to? (Business, Science, Arts, Carpentry)
*
Your answer
Do you have a part time job?
No
Yes
Clear selection
How many hours a week do you work?
Your answer
Do you plan on applying for a student loan?
Yes
No
Clear selection
Do you wish to be considered for Scholarship(s) / Bursary(s) that have financial need criteria? (you will be asked to provide additional information if you choose yes)
*
Yes
No
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