Education Bursary Report Form

(Submit after your course or semester is finished for reimbursement)

 Congratulations on completing your course/school term. To receive your bursary payment, please complete the following form in its entirety and be sure to include/attach all required documents. We may use some of your response(s) on our web site or other media outlets to promote Balding for Dollars. 

 If you encounter any issues while completing this form, please send a message to trish.shirra@cw.bc.ca.

  • Please answer the following questions for our records:
  • (ie. September 2015-December 2015)
  • (This is a mandatory component to receive the award. There will be follow up to ensure its completion)
  • I hereby, give Balding for Dollars permission to use my name and/or photo on their media websites in association with the testimonials I have given in order to help promote the bursary program.
  • Drop files here or
    Accepted file types: jpg, png, bmp, pdf, Max. file size: 50 MB.
      Must include name and address of institution, your name and student number, course(s) enrolled in and amount paid.
    • Drop files here or
      Accepted file types: jpg, png, gif, Max. file size: 50 MB.
      • (I.e. grades/final report, or assignment you’d like to share, etc)
        Drop files here or
        Accepted file types: jpg, png, bmp, pdf, Max. file size: 50 MB.

        Thank you for your submission. Please note that your cheque may take 6-8 weeks to receive from submission.

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