Entrance Scholarship and Bursary Application CBU Student ID*Name* First Last Date of Birth* Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe PhoneThis address is:Your parent's homeUniversity ResidenceRentedSelf-OwnedEmail Marital StatusSingleMarried or Common LawWidowed/Separated/DivorcedHigh School (Cape Breton)Allison Bernard Memorial High SchoolBaddeck AcademyBreton Education CentreCabot High SchoolCape Breton HighlandsDalbrae AcademyEcole Beau PortEcole Etoile de L'AcadieEcole NDAGlace Bay High SchoolInverness AcademyMemorial High SchoolMunro AcademyRankin School of the NarrowsRichmond AcademyRiverview High SchoolSAERCSydney AcademyWaycobah First Nation Secondary SchoolWagmatcook SchoolHigh School (World)CBU Program of StudyHold down Ctrl or Cmd key if it is appropriate to select more than one optionBachelor of ArtsBachelor of Arts Community StudiesBachelor of Arts - Human Kinetics (1 Year)Bachelor of Business AdministrationBachelor of Computer Science (1 Year)Bachelor of EducationBachelor of Engineering (2 years)Bachelor of Engineering Technology -(Environmental Studies)Bachelor of Engineering Technology - (Manufacturing)Bachelor of Engineering Technology - (Petroleum)Bachelor of Engineering Technology - (Electronics and Controls)Bachelor of Health Sciences - (Public Health)Bachelor of Hospitality Tourism ManagementBachelor of ScienceBachelor of Science Community StudiesBachelor of Science - Human Kinetics (1 Year)Bachelor of Science Human NutritionBachelor of Science NursingBachelor of Technology - (Emergency Management)No Specific ProgramOther ProgramWould you like to be considered for bursaries based on financial need?YesNoUpload Notice of AssessmentIs your tuition paid by a sponsorYesNoName of SponsorDo you plan to apply for a student loan?YesNoWill you be receiving a tuition waiver?YesNoWill you be receiving an RESP?YesNoPlease indicate amount of RESPHow many children in your family?Do you have dependent children?YesNoNumber of your dependent childrenDo you receive Canada Pension?YesNoOther IncomeAre you a current resident of Nova Scotia?YesNoIf so, how many years in Nova Scotia?Are you a current resident of Cape Breton?YesNoIf so, how many years?Are you a current Canadian citizen or landed immigrant?YesNoWould you be interested in living in residence if awarded a residence scholarship?YesNoDid you receive the Lieutenant Governor's Award in Grade 11?YesNoAre you a member of a parish in the Diocese of AntigonishyesnoWhich parishAre you of Acadian origin?YesNoAre you of Italian or European descent?YesNoWould you like to be considered for the Rise & Follies Award?The criteria for the Rise & Follies Award is participation in drama.YesNoWill you participate in a CBU varsity sport program?YesNoAre you planning on pursuing a career as a public school teacher?YesNoAre you a member of Canada's First Nations?YesNoAre you a member of Cape Breton's First Nations?YesNoAre you a member of St. Michael's Parish in Margaree?YesNoDo you have a learning disability?YesNoAre you or your parents members of the Steel Centre Credit Union?YesNoHave you demonstrated exceptional leadership?The main criteria for the CBC Cape Breton Leadership Award requires a 500 word essay. Please see http://www.cbu.ca/wp-content/uploads/2016/01/CBC-Cape-Breton-Leadership-Award.pdf for further information.YesNoAre you the son or daughter of a CBU alumnus or alumna?YesNoIf yes to the question above please enter his or her student numberAre you a registered member of Girl GuidesPlease contact email@example.com for further information on this awardyesnoHave you overcome adversity or hardship during your life or can you provide a recommendation from a professor re special circumstancesLetter and additional information on your situation must be submittedyesnoDeclaration I hereby declare that all information given above is complete and true in every respect, and that I have answered all questions applicable to me on this form. I understand that all the information I have provided is strictly confidential and all information will be shredded after applications are processed. I also understand that my application will not be considered without copies of the required income tax assessments for the previous year.AgreeYesResumeHave you submitted Official transcript to admissions - firstname.lastname@example.org Resume Financial information above (if you'd like to be considered for bursary based on financial need) Financial Information A Notice of Assessment from Canada Revenue Agency from the 2017 tax year must be submitted to Enrolment Services for: The student (all students must submit) Parents if the student is under 22 years of age before January 1, 2019 Student’s spouse if applicable The form may be uploaded below, faxed (902-563-1677), scanned and emailed (email@example.com) or dropped off (B-108B). *Applications will not be considered without this information. International applicants must have an equivalent document to the CRA Notice of Assessment from their country of origin. The Notice of Assessment is required because it is vetted information from the CRA. Tax summaries as submitted to the CRA for consideration (ie. H&R Block return information) are not considered. International students must supply copies of vetted documents from official home country revenue agencies. In the cases these do not exist within a country, we request as much official documentation (ie. Bank records, income records, etc.) as possible for any consideration.