Harry deSwager Bursary Application Form Harry deSwager Bursary Application Form EmailThis field is for validation purposes and should be left unchanged.Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Email(Required) Date of Birth(Required) MM slash DD slash YYYY Dates of involvement with BBBS(Required)How many years were you involved? What years were you involved?What BBBS program(s) were you involved with?(Required)What was your involvement with BBBS?What role did you play in your match(es)? I am/was a Mentee I was a Mentee and Mentor Other Please list the secondary school(s) you have attended:(Required)Please list the school name, the grade you were enrolled there, and the dates you attended.Please list the post-secondary institutions you have applied to:(Required)Include the name of the university/college/school, the program you applied to, and whether you were accepted or not.What are your academic goals?(Required)How would this bursary support your learning and career goals, and how do you plan to use the funds?(Required)Please describe any work and/or volunteer experience you have had:(Required)Please list any other awards or honours you have received:(Required)Why do you believe mentoring is important?(Required)How has your experience with Big Brothers Big Sisters impacted you?(Required)Why should you be selected for this bursary?(Required)Applicant Signature(Required)I acknowledge that the information provided in this application is accurate and complete to the best of my knowledge. I understand that this application plays a key role in determining the bursary recipients. Parent/Guardian Signature (if Applicant is Under 19)I acknowledge that the information provided in this application is accurate and complete to the best of my knowledge. I understand that this application plays a key role in determining the bursary recipients. Please upload your current school transcriptsTranscripts can also be submitted via email with the subject line: Harry deSwager Application Documents to main.victoria@bigbrothersbigsisters.ca. Max. file size: 100 MB. Please upload one letter of support (teacher, instructor, or non-family personal reference)Letters of support can also be submitted via email with the subject line: Harry deSwager Application Documents to main.victoria@bigbrothersbigsisters.ca. Max. file size: 100 MB. (OPTIONAL) Please upload a personal letter of intentLetters of intent can also be submitted via email with the subject line: Harry deSwager Application Documents to main.victoria@bigbrothersbigsisters.ca. Max. file size: 100 MB.