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DONORS
Champions ($50,000+)
Major Funders ($20,000-$49,999)
Builders ($10,000-$19,999)
Changemakers ($5,000-$9,999)
Partners ($1,000-$4,999)
Supporters ($500-$999)
Donors ($1-$499)
FORMS
2024 Membership Form
2024-2025 Bready Before & After School Program Membership Form
2024-2025 EMBM Before & After School Program Membership Form
2024-2025 Holy Family After School Program Membership Form
2024-2025 BCS/St.Vital Before & After School Program Membership Form
2024-2025 Satellite Site Contract Amendment Form
BGC Battlefords 24th Annual Gala – Sponsorship Form
Change of Information Form
Administration of Medication – Permission Form
Medical Emergency Plan
BGC Battlefords Newsletter Sign Up
2024 Volunteer Application Form
ANNUAL EVENTS
BGC Club Day
Gala
Pink Shirt Day
Race For Kids
CONTACT US
DONATE
Menu
HOME
ABOUT US
Learn About Us
Our Team
Annual Reports
Work For Us
Our Impact
Privacy Policy
PARENT/GUARDIAN HANDBOOK
PROGRAMS
Drop-in Program
Satellite Site Programs
Summer Programs
Special Programs
DONORS
Champions ($50,000+)
Major Funders ($20,000-$49,999)
Builders ($10,000-$19,999)
Changemakers ($5,000-$9,999)
Partners ($1,000-$4,999)
Supporters ($500-$999)
Donors ($1-$499)
FORMS
2024 Membership Form
2024-2025 Bready Before & After School Program Membership Form
2024-2025 EMBM Before & After School Program Membership Form
2024-2025 Holy Family After School Program Membership Form
2024-2025 BCS/St.Vital Before & After School Program Membership Form
2024-2025 Satellite Site Contract Amendment Form
BGC Battlefords 24th Annual Gala – Sponsorship Form
Change of Information Form
Administration of Medication – Permission Form
Medical Emergency Plan
BGC Battlefords Newsletter Sign Up
2024 Volunteer Application Form
ANNUAL EVENTS
BGC Club Day
Gala
Pink Shirt Day
Race For Kids
CONTACT US
DONATE
Mary Friedman Memorial Scholarship Application Form
mary friedman memorial scholarship
Application form
Mary Friedman Memorial Scholarship Application Form
To be completed by the applicant. Application deadline is April 24, 2023.
Please enable JavaScript in your browser to complete this form.
General Information
Name:
*
First
Middle
Last
Gender:
*
Boy/Man
Girl/Woman
Transgender
Non-Binary
2 Spirit
Choose not to answer
Permanent Address:
*
Address Line 1
City
State / Province / Region
Postal Code
Telephone:
*
SIN:
*
Date of Birth:
*
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Email Address:
*
Student Number (if applicable):
Attending High School:
*
Current Grade:
*
If you are anticipating continuing your education, please complete the following information:
Have you applied for a Post-Secondary Program?
*
Yes
No
Are you enrolled in a Post-Secondary Program?
*
Yes
No
What course / program are you enrolled in / applying for?
(e.g., Business, Nutrition, Computer Science)
What year of the course will you be entering?
(e.g., 1st year, 2nd year)
Where is the course / program offered?
Name of Post-Secondary Institution
Please indicate the City/Province of the Post-Secondary Institution:
If you do not anticipate continuing your education, please provide a brief description how you will utilize funding:
Have you ever been a recipient of the Mary Friedman Memorial Scholarship?
*
Yes
No
If yes, please indicate which year:
BGC Battlefords Participation Information
How many years in total have you been involved with BGC Battlefords:
Please indicate number of years and/or months
Club Member:
The number of years and/or months you were a Club Member
Volunteer
The number of years and/or months you were a volunteer
Staff Member:
The number of years and/or months you were a staff member
What BGC Battlefords Programs and/or Activities have you been involved in:
Other Volunteer/Community Service Information
Other Volunteer / Community Service Organization:
Number of Years:
Description of Volunteer Activities:
Other Volunteer / Community Service Organization:
Number of Years:
Description of Volunteer Activities:
Other Volunteer / Community Service Organization:
Number of Years:
Description of Volunteer Activities:
Essay
In 500 words or less, tell us about your current career goals and how this funding will help you meet these goals and/or overcome barriers to your success.
Please submit this essay at the time of completing the application via email to
ac.bcgb@ofni
.
Legal Release
Applicant, or applicant’s parent(s)/legal guardian(s) if applicant is under the age of 18, warrant by their signature that they have read and understand the following declaration and release.
I (if applicant is 18 years old or older)
Applicant's Name
or (if applicant is under the age of 18)
Parent/Legal Guardian's Name
Declare and Release:
1. That I have read, understood, and comply with the criteria that is related to this application.
2. That I have honestly and accurately completed all aspects of this application.
3. That I understand that all submission information (e.g., photographs etc.), including all intellectual property rights, become the property of BGC Battlefords. I understand that BGC Battlefords reserve the right to use all such material they receive in the manner which they deem fit. I consent to the use of my name and/or photograph in any form of media in conjunction with the Mary Friedman Memorial Scholarship.
4. That I understand that personal information such as my Social Insurance Number (SIN) is required by the Canada Revenue Agency (CRA) for issuing T4A slips. Personal information of this nature will not be shared, traded, sold, or used in any manner not explicitly approved by you. If you have any questions regarding BGC Battlefords and your privacy, please contact our Executive Director at
ac.bcgb@de
or phone (306) 445-0002.
Legal Release - Applicant Name:
First
Last
Legal Release - Date:
Legal Release - Parent / Legal Guardian Name:
First
Last
Legal Release - Date:
Submit