Bursary Application - The Bridge Youth

Name *

First

Last

Preferred Pronouns

Email *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Checkboxes

Birthdate *

Please answer with no more than one sentence for each:

Are you currently attending high school? *

Are you already enrolled in post-secondary education? *

8. Would you be able to enroll in post-secondary program during the 2022/2023 school year if you were successful with a bursary? *

What bursaries are you interested in and why? (250 words) *

Tell us about yourself and what this (these) bursary (bursaries) would mean to you. (500 words or less) *

I accept the rules and regulations for Take Your Shot. *