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Penny Raven Memorial Bursary Application Form
  1. PROGRAM:

    The Penny Raven Memorial Bursaries are $500‐$1000 bursaries to be awarded to support the education of women in technology and non‐traditional trades by providing assistance to applicants in their quest for training at a recognized training institution. Each bursary will be designated on an individual basis.

    ELIGIBILITY:

    To be eligible you must:

    1. Be a Canadian citizen or landed immigrant
    2. Plan, proof of acceptance as a full‐time student at an accredited technical training institute in the Yukon.
    3. Have not previously received a bursary from the Penny Raven Memorial Bursary Fund.
    4. Be a Yukon Resident and provide proof of residency.
    5. Be a woman over the age of 19

    Application Deadlines

    Applications for this Bursary must be submitted no later than 1st of August for the fall session or no later than 1st of December for the spring session.

    Recognizing that the length of trades training programs can vary, Yukon Women in Trades and Technology will pay to the successful recipient the amount of $250.00 increments to a maximum of $1000.00 paid throughout the term of the program. Recipients will be responsible for any taxes owed as a result of obtaining this bursary. Applicants must comply with the attending institutions policies. Failure to do so will result in funding being cancelled. If the student withdraws prior to the end‐date of the program the agreement shall be terminated.

    DOCUMENTS REQUIRED WITH THIS APPLICATION:

    • Proof of registration in a trades training program at an accredited Yukon training institution.
    • A copy of the previous year’s Notice of Tax Assessment or T4.
    • A copy of proof of citizenship.
    • A copy of proof of Yukon residency (ie. Medical card or utility bills)
    • Names and phone numbers of one work reference and one personal reference

    If at all possible, please provide electronic copies of the above documentation. This application form provides the applicant with the option to attach and upload these files. Alternatively, copies of these documents may be faxed to the YUKONWITT Office at: (867) 633-5689 or mailed to:

    Box 191 - 108 Elliott Street
    Whitehorse, Yukon
    Y1A 6C4

    NOTES:

    • Do not submit resumes or reference letters.
    • The responsibility for the completed application form rests with the applicant; every section in its entirety must be completed.
    • Yukon Women in Trades and Technology reserves the right to use recipient’s name and/or photograph for promotional purposes.
    • All information on the application will be held in strictest confidence.
  1. Section 1: Personal Information

  2. Last Name(*)
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  3. Given Name(*)
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  4. Enter your date of birth:(*)

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  5. Please enter your complete mailing address and postal code:(*)
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  6. email address(*)
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    Please be sure to enter a correct and valid email address.
  7. Primary Telephone Number (with area code) ex. (867) 123-4567(*)
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  8. Secondary Telephone Number (with area code) ex. (867) 123-4567
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  9. What's the best way to reach you?(*)
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  1. SECTION 2 - Program Information

  2. Program of Study(*)
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    Indicate which trades field you are entering studies for
  3. Year (eg. First, Second...)(*)
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  4. Enter the Start Date for the Program Year(*)

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  5. Enter the End Date for the Program Year(*)

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  1. SECTION 3—Financial Information

  2. Cost of Tution and Fees(*)
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  3. Cost of Books and Supplies(*)
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  4. Are you married or living common law?(*)
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  5. If you have children, please indicate how many:
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  6. If you require childcare, what arrangements will you make?
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  7. How will you be paying for your education?
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  8. Please provide an explanation of how the Penny Raven Bursary will aid your financial needs. Are there financial challenges you face of which the selection committee should be aware of (i.e. medical condition/extenuating family circumstances, requiring additional finances, single parent, etc.) This information will be kept strictly confidential and is a factor considered in the award process.(*)
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  1. SECTION 4 -Background Information

  2. Please tell us in your own words a bit about yourself. How this bursary will benefit you and why you believe you should be the recipient of it:(*)
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  3. Briefly outline your plans for your future career or profession:(*)
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  4. Briefly outline your past work or volunteer experience and training that will help you achieve success in your future career:(*)
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  1. Section 5: Documentation and Submission

    DOCUMENTSand REFERENCES REQUIRED WITH THIS APPLICATION:

    • Proof of registration in a trades training program at an accredited Yukon training institution.
    • A photocopy of the previous year’s Notice of Tax Assessment or T4.
    • A photocopy of proof of citizenship.
    • A photocopy of proof of Yukon residency (ie. Medical card or utility bills)
    • Names and phone numbers of one work reference and one personal reference

    If at all possible, please provide electronic copies of the above documentation. This application form provides the applicant with the option to attach and upload these files. Alternatively, these documents may be faxed to the YUKONWITT Office at: (867) 633-5689 or mailed to:

    Box 191 - 108 Elliott Street
    Whitehorse, Yukon
    Y1A 6C4
  2. Attach and Upload Proof of Registration Document
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    Accepted file extension types : .pdf .jpg .png .doc .docx
  3. Attach and Upload you Previous Year T4 Slip
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    Accepted file extension types : .pdf .jpg .png .doc .docx
  4. Attach and Upload Proof of Canadian Citizenship
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    Accepted file extension types : .pdf .jpg .png .doc .docx
  5. Attach and Upload Proof of Yukon residency (ie. Medical card or utility bills)
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    Accepted file extension types : .pdf .jpg .png .doc .docx
  6. Provide the name of one personal reference(*)
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  7. Provide a Phone Number for your Personal Reference:(*)
    Phone number must contain Area code eg. (867) 123-4567
  8. Provide the name of one work reference:(*)
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  9. Provide a Phone Number for your Work Reference:(*)
    Phone number must contain Area code eg. (867) 123-4567
  10. PRIVACY STATEMENT AND APPLICATION AGREEMENT

    By completing and submitting this application, you consent to the use of your personal information for:

    (a) processing of the application and/or
    (b) publication of name and/or photograph in the media.

    I hereby certify that all information is accurate and can be verified upon request; and that I have not been a recipient of this bursary previously.

    I hereby acknowledge and agree to the above privacy statements and use of my personal information by Yukon Women in Trades and Technology.

  11. Anti-Spam
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