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Canada's Private Sector Union

Please complete all sections carefully. Incomplete or inaccurate application forms are subject to disqualification.

To qualify for the UFCW Canada - BDM Scholarship program you must be an active UFCW Canada member in good standing or a dependent/spouse of active UFCW Canada member in good standing. Eligible candidates cannot have won the BDM scholarship before.

The student must also be enrolled (or will be enrolled on September 30) and attending full-time studies at an accredited Canadian college or university.

APPLICANT (STUDENT) INFORMATION:

Is applicant (student) a member of UFCW Canada? *

YesNo

The applicant (student) is a: *

UFCW Canada Local: *

Employed at: *

(workplace/location)

First Name: *

Last Name: *

Permanent Address: *

City: *

Province: *

Postal Code: *

Phone: *

Cell:

Email: *

Enrolled at (Canadian post-secondary institution): *

Name of program: *

Year of my program: *

MEMBER INFORMATION:

Member of UFCW Canada Local: *

Member's First Name: *

Member's Last Name: *

Member is employed at: *

(workplace/location)

I hereby confirm that all information submitted herewith is true and complete, and that I have never been a recipient of this scholarship in the past.

DEADLINE FOR APPLICATIONS: SEPTEMBER 30

Verification

Canada's Private Sector Union

UFCW Canada - BDM Scholarships: Official Application

APPLICANT (STUDENT) INFORMATION:

MEMBER INFORMATION:

DEADLINE FOR APPLICATIONS: SEPTEMBER 30