Westwinds Music Society

Bursary Fund Application Form

Important. The information contained in this application form is CONFIDENTIAL information intended only for the use of the Bursary Committee of the Westwinds Music Society.

PLEASE FILL OUT ALL INFORMATION. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.

Personal Information (fields marked with * are required)

*Name

*Address
*City/Town
*Postal Code
*Home Telephone
Work/Daytime Telephone
*Email
*Band/Choir:
*Instrument/Voice:
*Please state your personal annual income. Please be aware that you may be asked to verify this amount:
*Do you receive Social Assistance? Yes No
If yes, please describe:
*Are you a single parent? Yes No
If yes, how many children?
*Are you a Student? Yes, Full-Time Yes, Part-Time No
If yes, please describe how your tuition and other expenses are being covered:
Please provide any other relevant details regarding your financial situation:
Please explain why belonging to Westwinds is important to you:
*Have you received a Westwinds Bursary in the past? Yes No
If yes, for which year(s)?
*Are you able to volunteer for the following: (Check as many as apply) Ticket taking at Westwinds performances
Information booths at events such as the Alberta International Band Festival
Special Events (selling/serving refreshments, etc.)
Office work (photocopying, filing, etc.)
Other (please specify):
*Please check the following:
If I am awarded a bursary, I will make best efforts to attend all rehearsals and performances. In the event that I am no longer able to fully participate in my band or choir, I will notify the Westwinds Office as soon as possible.