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Scholarship Application Form

SEIU-West Scholarship Application Form

SEIU-West Education Committee is pleased to offer yearly scholarships to both members and children of members.
SEIU-West Education Committee is pleased to offer the Bob Desjarlais Memorial Scholarship for a member who embodies solidarity. 
SEIU-West First Nations Métis Inuit Committee is pleased to offer yearly scholarships for members who are Status Indian, Non-Status Indian, Inuit or Métis members. 

Applicants must be members who are in good standing and must be taking a class in a College, University or recognized Tech or Vocational Post-Secondary School for the year they are applying in.

Applications must be received by November 15th and include: proof of registration, receipt of payment and an essay. 

In order to ensure as many people benefit from this program as possible, if you have won an SEIU-West Scholarship within the past three years, you will not be considered. 


*Screenshots are not accepted, please scan and attach receipts of payment. 
1. I am applying for the following scholarship(s): *This question is required.
When issuing a cheque, we need your Social Insurance Number to process, as this will need to be claimed on your taxes. 
8. If selected, I will: *This question is required.
Locations and hours are listed here: Contact - SEIU-West (seiuwest.ca).
This question requires a valid number format.
This question requires a valid date format of MM/DD/YYYY.
calendar
15. Proof of registration:
*Accepts 1 file
Allowed types: png, gif, jpg, jpeg, doc, xls, docx, xlsx, pdf, txt, mov, mp3, mp4
Max file size: 500 KB


  *This question is required.
16. Copy of paid receipt:
(A copy of an assessment form is not acceptable. The receipt has to show as paid.)
Accepts 1 file
Allowed types: png, gif, jpg, jpeg, doc, xls, docx, xlsx, pdf, txt, mov, mp3, mp4
Max file size: 500 KB
*This question is required.
17. Additional receipt?
(A copy of an assessment form is not acceptable. The receipt has to show as paid.)
Accepts 1 file
Allowed types: png, gif, jpg, jpeg, doc, xls, docx, xlsx, pdf, txt, mov, mp3, mp4
Max file size: 500 KB
Please attach proof .e. status card or Métis card.
Accepts 1 file
Allowed types: png, gif, jpg, jpeg, doc, xls, docx, xlsx, pdf, txt, mov, mp3, mp4
Max file size: 500 KB

*If you are unable to upload a picture, please send the picture to actions@seiuwest.ca to be considered for this scholarship.  *This question is required.
18. Please sign this application form: *This question is required.
Clear
Signature of