Alliance Française Calgary - Form

AFC Bursary 

» Applicant Information

First Name
Last Name
Gender
   
Date of BirthFormat: DD / MM / YYYY
 /  /
Email
Phone NumberPlease provide at least one number.
or
Mailing Address
City
Province
Postal Code
Country
Are you a Canadian Citizen or Permanent Resident?
Have you ever taken classes at Alliance Française Calgary before?*If you have already used AFC services before, you are not eligible for this bursary.

» Household Information

Are you currently unemployed?
Language spoken at home
Preferred Language of Correspondence
Household size (include yourself):
Annual total household income (in $CAD)**:** Please note that this bursary is offered to individuals and families experiencing financial difficulties. You may be asked to provide supporting documents for household income.

» Parent/Guardian Information

To be completed only if the applicant is a child.

First Name
Last Name
Relationship to Applicant

» Short Essays

These essays must be filled up by the applicant or their guardian for a child.

Briefly describe why this bursary would help support your financial situation:
Please tell us why it is important for the applicant to learn and speak French:
Is there any other thing you would like to include in your application?

✓ I certify that the information provided on this application form and in the accompanying documentation is true, accurate, and complete.

✓ I have read the regulations in the AFC Bursary Program application and in the other documents accompanying this application. I agree to be bound by all of them. Moreover, I authorize the provision of any information held or to be held by schools, community organizations, and others, relating to my application, including but not limited to personal evaluations and transcripts to AFC.

✓ I understand and accept that:

  • such information, as well as the personal information contained in this application, will be used by the AFC’s selection committee for the purpose of selection and to facilitate ongoing administrative correspondence with applicants, necessary to further the objectives of the AFC and to improve the selection process.
  • my information will be treated confidentially, and that AFC will not release application evaluations or the results of the evaluation process, except to inform me whether or not my application has been accepted; and
  • for all questions regarding my personal information held on file by the AFC, including updates thereof, I may contact the AFC at the address contained in the application.
  • Finally, if I am selected for a bursary, I consent to the publication of my name in AFC publications.
Date de signatureFormat: JJ / MM /AAAA
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Upload Supporting DocumentationYou may upload any additional documentation to support your application (optional).