The Suzanne (Kuntz) Forth Bursary

Student's Name *

Student's Email

Secondary School Attended

Name of Nominator *

Nominator's Phone Number *

Nominator's Email *

Please list the activities your student has been involved in for EACH of the following areas: 1) High School 2) Greater Community *

Please outline how your student demonstrates qualities such as: perseverance, loyalty, integrity, and commitment. *

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By submitting this application, you are providing consent for this application to be shared with the Waterloo Catholic District School Board and confirm that the information included is accurate and correct

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