Scholarship and Bursary Program
Step
1
of
7
- PERSONAL INFORMATION
14%
PERSONAL INFORMATION
Name
First
Middle Initial
Last
Email
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Home Phone
Cell Phone
Which First Nation Community are you a member of?
*
***Note: The Scholarship and Bursary Program is only available to registered band members from the communities of Gesgapegiag, Gespeg, and Listuguj.***
Gesgapegiag, QC
Gespeg, QC
Listuguj, QC
POST-SECONDARY, VOCATIONAL TRAINING, HIGH SCHOOL INFORMATION
When did you graduate from high school or your highest grade completed?
Year or Grade
Area of Study:
Business
Health
Sciences
Arts
Fine Arts
Indigenous Studies
Social Work
Education
Engineering
Please include Major, if any:
If Vocational student, indicate area of training:
Are you a returning student?
Yes
No
Vocational student
If yes, state year attending (e.g. 2nd, 3rd, 4th):
Expected Program Completion Date
MM slash DD slash YYYY
Indicate which Term(s) do you plan to enroll in 2024-2025
Vocational Student
Fall Term (Sept - Dec)
Winter Term (Jan - Apr)
Summer Term (May - Aug)
Indicate which program you are applying for (select one):
Note: Vocational students may only apply for the bursary program.
Scholarship
Bursary
Have you applied to your First Nation for funding?
Yes
No
If No, please state why:
EMPLOYMENT
Are you currently employed?
Yes
No
If No, how long have you been unemployed? Months/Years
Name of Employer
Annual Employment NET Income
Length of Employment
Job Title
Will you be employed during the school year?
Yes
No
BUDGET INFORMATION - EXPENSES
Expenses details
Tuition & fees
Sept - Dec
Jan - Apr
May – Aug
Total
Books
Sept - Dec
Jan - Apr
May – Aug
Total
Rent/Mortgage
Sept - Dec
Jan - Apr
May – Aug
Total
Utilities/Phone
Sept - Dec
Jan - Apr
May – Aug
Total
Food
Sept - Dec
Jan - Apr
May – Aug
Total
Transportation
Sept - Dec
Jan - Apr
May – Aug
Total
Child Care
Sept - Dec
Jan - Apr
May – Aug
Total
Clothing
Sept - Dec
Jan - Apr
May – Aug
Total
Other (identify)
Sept - Dec
Jan - Apr
May – Aug
Total
BUDGET INFORMATION - INCOME
Income details
Employment
Sept - Dec
Jan - Apr
May – Aug
Total
Family/Personal
Sept - Dec
Jan - Apr
May – Aug
Total
Band/Community Living Allowance
Sept - Dec
Jan - Apr
May – Aug
Total
Band/Community Tuition
Sept - Dec
Jan - Apr
May – Aug
Total
Band/Community Books
Sept - Dec
Jan - Apr
May – Aug
Total
Scholarships
Sept - Dec
Jan - Apr
May – Aug
Total
Bursaries
Sept - Dec
Jan - Apr
May – Aug
Total
Student Loan
Sept - Dec
Jan - Apr
May – Aug
Total
Other (identify)
Sept - Dec
Jan - Apr
May – Aug
Total
Explain any special budget circumstances:
Please describe your career goals:
How did you hear about MMBC Scholarship and Bursary Program?
MMBC Website
Facebook
First Nation
Friend/Family
Other
Collection and Use of Information
I understand that the information submitted in and with this application will be used to assess my eligibility for the MMBC Scholarship and Bursary Program. I hereby certify that all the information provided on this application form and in all the documents accompanying are true, accurate and complete. I have read all the guidelines regarding the MMBC Scholarship and Bursary Program. By submitting this application, I agree to be bound by the guidelines of this program. I give my permission to the Mi’gmawei Mawiomi Business Corporation to collect my contact information so that I may receive information about potential employment, scholarship, and training opportunities. I also agree to allow the Mi’gmawei Mawiomi Business Corporation to publicly announce my name and display my picture if I am selected for an award. If the applicant is under the legal age to enter a legal agreement, the applicant will have their parent or legal guardian sign this document on the applicants behalf.
I agree to the Collection and Use of Information
Signature
APPLICATION DOCUMENTS
Essay
- 500 to 1,000 words (1 to 2 pages)- What impact do you hope to make in your chosen field or industry, and how will this scholarship/bursary help you achieve that goal?
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Select files
Max. file size: 96 MB.
Latest transcripts (not applicable for vocational students).
Unofficial or official transcripts from most recent school year. Envelopes do not need to be sealed
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Max. file size: 96 MB.
Acceptance/enrollment at Post-Secondary Institution or Vocational Training Institution/Facility
An Acceptance Letter is required if going into a new institution/facility. Returning students must submit a letter of enrollment that states you are considered full time.
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Max. file size: 96 MB.
Copy of Native Status Identification
Copy of your native status card (front and back). If you do not have a status card, obtain a written letter from your Band to confirm your membership. Contact us if you have questions.
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Max. file size: 96 MB.
Copy of Void Cheque
Copy of a void cheque to where you would like the funds deposited. This is so we have your information on file in case you are selected for an award.
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Select files
Max. file size: 96 MB.