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- NORTH ISLAND COLLEGE FOUNDATION -

2010 Scholarships & Bursaries for New Students

! APPLICATION DEADLINE: APRIL 30, 2010

1. Personal information
First name: __________________________ Surname: _________________________ Gender:  Male  Female
Mailing address (number and street name): __________________________________________________________
City: ______________________________ Province: ________________________ Postal code: _____________
Home phone number: ___________________________ Alternate phone number: ___________________________
Residency status:  Canadian citizen  Permanent resident
Social insurance number (for income tax purposes): ____________________________________________________
NIC student number (if known): _________________________________________________________________
NIC program you are applying for:
APPLICATION FORM

________________________________ (program name) at the ___________________________ (campus/centre).

2. Financial information
Do you intend to apply for a student loan for the 2010/11 calendar year?  Yes  No
Please describe how you intend to pay for post-secondary education at NIC? _____________________________________
______________________________________________________________________________________.
3. Select ONE of the following options:
 I live with my parents/guardian.
My monthly gross (before taxes) income is $ _____________.
_____________.
My parents/guardian’s monthly household income (before taxes) is $
Number of dependants in the household: ________________________ (include yourself, but not your parents/guardian).

 I live with my spouse/common law partner.

_____________.
Our monthly gross (before taxes) income is $
Number of children in our custody: ____________________ Ages: ____________________

 I live by myself (single or single parent).

_____________.
My monthly gross (before taxes) income is $
Number of children in my custody: ____________________ Ages: ____________________

I declare the information submitted in this application is true and complete. My signature below gives North Island College permission
to access my grades, my attendance record, and my financial needs assessment results to assist in determining my eligibility for an
DECLARATION

award. By accepting a NIC Entrance Award, I agree that NIC may release the following information publicly: my name, the name of the
campus/centre I attend, my program/area of study, and my photo. I also agree to attend an awards recognition ceremony.

This information is collected under the authority of the College and Institutes Act. Queries about the collection or correction of
personal information should be directed to the Registrar, North Island College, 2300 Ryan Road, Courtenay, BC V9N 8N6.

SIGNATURE: _____________________________________________________ DATE: _______________________

! PLEASE COMPLETE SIDE 2 

 2010 SCHOLARSHIPS & BURSARIES
for New Students
! APPLICATION DEADLINE: APRIL 30, 2010

Personal information
First name: ___________________________________ Surname: _____________________________________
APPLICATION INSTRUCTIONS

 1. Complete and sign both sides of this Application Form. In the Award(s) Selection list below, clearly mark each Entrance Award you wish to
apply for. You may apply for multiple awards using one form.
 2. Include a Personal Statement. Ensure that your full name, signature, and your NIC student number are included on your Personal Statement.
Your Personal Statement describes your principal interests and activities. It includes community, volunteer and leadership activities, athletic
involvement, offices held and awards received. Remember to outline your academic and career goals. Include any additional information that
supports the criteria of the Entrance Award(s) you are applying for.
 3. Review the Award(s) criteria carefully and ensure that you have explained why you are eligible to apply for the award(s). You will ONLY be
considered for awards for which you are eligible.
 4. If applicable, attach letters of reference that provide support for criteria eligibility (i.e. a maximum of 2 letters confirming scholastic
achievement and community or volunteer activities).
 5. Submit your complete NIC Entrance Awards application by April 30, 2010 to: North Island College, Financial Aid,
2300 Ryan Road, Courtenay, BC, V9N 8N6

Check all Entrance Awards that you wish to apply for - **Please review Award(s) criteria first:
Scholarships: Application Required
 Brian Scott Fine Art Ltd. Scholarship  Peter Robinson Award of Excellence -
 Comox Valley Rife Volunteer and Resonant Light Technology Fine Arts Entrance Scholarship
Scholarship  Port Alberni 2004 Winter Games Legacy Scholarship
 Dr Neil Murphy Entrance Scholarship  Ray Hughes Scholarship
 Kiwanis Club of Port Alberni - Egon Matheson Scholarship  Scotiabank Scholarship
 Lyle Wesley Scholarship  Hon. Stanley B. Hagen Memorial Scholarship
 Michael Pallan Memorial Scholarship

 Highland Grad ‘85 Reunion Bursary

Bursaries: Application Required
 Jane-Claire Inkster Memorial - Men’s Bursary
(*denotes Awards available to either new or continuing NIC students)
 Jane-Claire Inkster Memorial - Women’s Bursary
 Alberni-Clayoquot Innovation Society Bursary
 Jim Muldowney Bursary
 Alison Kern Memorial Award
 John Anderson McLean Memorial Bursary*
 Andrea W Rowe Entrance Bursary
 Kinsmen Club of Campbell River Bursary*
 Bob Minkler Memorial Bursary
 Kiwanis Club of Courtenay Bursary
 Campbell River Dragon Boat Society Bursary*
 Lazo Women’s Institute Entrance Bursary
AWARD(S) SELECTION

 Campbell River Hospital Auxillary Bursary*

 Lyndon Cross Memorial Bursary
 Campbell River Recycling Society Bursary
 Marjorie P Gris Bursary
 Canadian Daughters’ Provincial Bursary
 Merle Bonnick Bursary
 Canadian Federation of University Women - Comox Valley Bursary
 Minerva Foundation Award for BC Women*
 Carl O, Margaret & Carl A, “Tubby” and Florence Thulin Memorial
 Muir Family Bursary
Bursary
 North Island College Administrators’ Bursary
 Coastal Community Credit Union Entrance Bursary
 North Island College Faculty Association Bursary
 Colleen Deakin Memorial Bursary
 North Island College Foundation - Entrance Bursary
 Comox Valley Recovery Centre Monty Montgomery
 North Island College Foundation - High School Bursary
Memorial Bursary
 Old Age Pensioners’ Association - North Island Region Bursary
 Compassionate Heart Award
 Optometry Office of Mary Lynn DesRoches Bursary
 Creative Employment Access Society Bursary
 Port Alberni Campus Bursary
 Credit Union Foundation of BC Bursary*
 Pythian Order Career, Technical, Vocational Program Bursary
 CUPE (North Island College) Local 3479 Bursary
 Roberta Glendale Memorial Bursary
 David N Hudson Bursary*
 Rotary Club of Port Alberni Bursary
 Denise Forest Memorial Bursary*
 Stan Mounce Memorial Bursary
 Dr. Lou Dryden Student Success Bursary
 Susan Toresdahl Entrance Bursary
 Fred Bossom Memorial Bursary
 Terry & Phyllis Ryan Trades Bursary
 Graham & Frame Barristers & Solicitors Bursary
 Tim Fletcher Memorial Bursary
 Grieg Seafood BC Ltd Bursary*
 Women for Women Bursary*

For a complete list please refer to the Awards booklet, the NIC website or contact your NIC Financial Aid Advisor.

! PLEASE COMPLETE SIDE 1 