NORTH WEST VOLUNTEER SCHOLARSHIPS

Application Form - NWVS

Section 1 : Personal Information (An incomplete application will be refused.)

The form must be completed electronically. No forms completed by hand will be accepted.

First name *

Last name *

Date of birth *

Mobile phone *

Home phone

Email *

Postal address *

Province *

City *

Postal code *

Man/Woman

Man
Woman
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Other, please specify :

Have you already received this scholarship? *

No
Yes - 1 time
Yes - 2 times
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What is the total number of your volunteer hours for the last year? *

Image Right Release

Use of name and image for the BINO website and/or any other advertising, promotional and informational material related to the North West Volunteer Scholarships - NWVS. *

I authorize

I refuse

Section 2: Current Situation (Answer only the questions that apply to you.)

I am...

A. In high school

Level

Name of the high school

B. To post-secondary education

Level

Program

Institution

C. At work

Job

Please specify

Work

Full time

Part time

Looking for a job

Other

Section 3 : Volunteer Involvement

(Please note: limit your responses to roughly 180 words.)

Why I got involved in volunteer work. *

Describe your volunteer actions or projects to help your community, whether for people, groups or events. Tell us about your responsibilities within the activities. *

Section 4 : Personal Benefits

(Please note: limit your responses to roughly 180 words.)

Indicate the skills or the qualities that your involvement helped you develop. *

Name at least two values you’ve acquired as a result of your volunteer experience. Elaborate. Ex. : freedom, peace, respect, justice, tolerance, equity, mutual aid, etc. *

After experiencing volunteering, how do you plan to continue your involvement in the future? *

Section 5 : Attestation of your Involvement (Provide the name of someone who can confirm your volunteering.)

First name *

Last name *

Phone number *

Position held *

Company name *

Email *

Important: Include a photo of yourself during the volunteer activity in which you are involved. *