Jamaican Canadian Association Scholarship
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1
2APPLICATION
JAMAICAN CANADIAN ASSOCIATION SCHOLARSHIP FUND
APPLICANT PERSONAL DATA
NAME
FIRST NAME
LAST NAME
ADDRESS
TELEPHONE #
EMAIL
NAME OF PARENT/GUARDIAN
CONTACT#
STATUS IN CANADA:
LANDED IMMIGRANT
CANADIAN CITIZEN
ACADEMIC INFORMATION
NAME OF UNIVERSTY/COLLEGE
PROGRAM
PLEASE LIST ALL MAJOR AWARDS RECEIVED DURING THIS YEAR
REFERENCES
NAME OF REFERENCES
CONTACT #
______________________________
____________________
SIGNATURE OF APPLICANT
DATE
________________________________________
NAME OF SCHOLARSHIP BEING APPLIED FOR
NOTE: INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. REFERENCE PERSONS MAY BE
CONTACTED BY THE SELECTION COMMITTEE
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