• Scholarship Application

    Scholarship Application

  • Personal Information:

  • Format: (000) 000-0000.
  • Birthdate:
     - -
    2 digit month, 2 digit day, 4 digit year

  • Blue Mountain Power Co-op Membership:

  • Are either of your parents, or legal guardian, a member in good standing of Blue Mountain Power Co-op?
  • Citzenship:

  • Note: Landed immigrants must include a photocopy of their immigration form, Visa students are not eligible

  • Do your parents currently live in Alberta?
  • Did your parents live in Alberta while you were in high school?
  • Image field 24

  • Proposed Post-Secondary Studies:

  • Entry Date for Program
     - -
    2 digit month, 2 digit day, 4 digit year

  • Secondary Education:

  • Date of Completion of High School
     - -
    2 digit month, 2 digit day, 4 digit year
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  • Declaration of Applicant:

    • I have read and understand the instructions, and declare that:
    • All information provided is true and complete, and I understand it is subject to audit;
    • I will be a student at the institution named for the period; and
    • I will immediately notify Blue Mountain Power Co-op in writing if I withdraw from studies before completing one semester of studies.

    I understand that if I receive a scholarship, I, or a member of my immediate family, will have the option to attend the next Blue Mountain Power Co-op Annual General Meeting to express a public thank you to the Membership and the Board of Directors.

    I authorize Blue Mountain Power Co-op to release my name and program of study if I receive a scholarship.

  • Date
     / /
    2 digit month, 2 digit day, 4 digit year
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  • Should be Empty: