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Indigenous scholarship application form

Please ensure you have all your documents and information ready before starting the application form as the page may time out and you could have issues submitting the application.

Personal information

Please enter your first name.
Please enter your middle initial.
Please enter your last name.
Please enter your street address
Please enter a city.

Please enter a valid postal code.

We’ll send a confirmation message to this email once the application form is submitted.

Please enter a valid email address.
Please enter a phone number including the area code.

Age:

Clear selection
Please select your age
Please enter your time lived in Alberta.

Please enter where did you hear about this scholarship?

Education information

Please enter your name of high school.
Please enter a city.

Please enter Date of high school completion.

Which post-secondary institution are you enrolled at?

Please enter location of post-secondary institution.
Please enter program name.
Please enter degree or diploma sought.
Please enter program name.

Other scholarships or funding

Please describe your financial need: Are you receiving scholarships, awards, bursaries or other funding?

0 / 2000 characters
Please describe your financial need: are you receiving scholarships, awards, bursaries or other funding?

Community involvement

Please describe your involvement in your community, including school sponsored events, organizations you have been a part of or any other experience. Please also include how you would like to give back to your community in the future.

0 / 2000 characters

Personal and educational goals

What are your personal and educational goals?

0 / 2000 characters

Meaning of education

What does education mean to you?

0 / 2000 characters

Use of funds

How would you use your funds if you were to receive the scholarship?

0 / 2000 characters

Is your application complete?

Before you submit, please ensure your application is complete with the items listed below.

Part 1

Within this application

Part 2

Additional pieces you must provide

Part 3

Submission

The total maximum file size is 21 MB.

Please submit your two letters of reference and letter confirming your enrolment to a post-secondary education institution.

Drag and drop files or

We accept images and documents.

Declaration of applicant

I have read and understand the instructions and declare that:

  1. All information provided is true and complete and I understand it is subject to audit;
  2. I will be a full-time student at the institution named for the period stated;
  3. I will immediately notify Alberta Blue Cross if I withdraw from full-time studies before completing the program I am enrolled in; and
  4. I confirm I am a member of a First Nation or band, or have Inuit, Métis or Indian status as referenced on the Indigenous Services Canada website and I will be able to provide proof of status should I receive this scholarship.
Check the box to confirm the information is truthful and that you understand Alberta Blue Cross® may contact you.

I authorize Alberta Blue Cross® to release information, including my name and the award value, if I receive a scholarship.

Please enter your full name as your signature.