VICTORIA DIOCESAN CATHOLIC WOMEN’S LEAGUE BURSARY, “In Memory of Freda Smith” ($750)
APPLICATION FORM
Student’s Name: ______________________________________________________ _______
Home Address: ____________________________________________________ __________
_______________________________________________ (Postal Code) ___
Email Address: Phone Number: ( )________________________
Mailing Address: (while at school, if different) __________________ ____________________
Name of School attending___________________________ _____________________________
School Address____________________________________________________(Postal Code)________ ____
Father’s Name ______________________ __Mother’s Name ______________________ ______ Family Combined Income Range (Check one) ___$20,000 to $40,000;____$40,000 to $60,000;
_____$60,000 to $80,000; ____$80,000 to $100,000 $100,000+
List ages of dependent children (including student)_______________________ _____
_____________________________________________________________________________
Parish Church (participating at)____________________________________________________
Name of Parish Pastor
Signature of Parish Pastor_________________________________________________________
Signature of Parent(s)Father_____________________ __ Mother______ _ Date________________________
Please Attach:
(1)A transcript of your Secondary School marks to date.
(2)A Narrative Essay telling us about yourself…(Composition: make it interesting. This will tell us about you. Tell us about your family, your interests, your successes, your parish and community involvement and your future goals.) Send completed application to:
Ms Marta Wright #303 – 320 Selby St. Nanaimo, BC V9R 2R5 wrigm1256@outlook.com 250-667-7448 (Revised May 2024)