Susan O'Brien & VJKF Scholarship Application

Apply Here!

Name

First

Last

Phone

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

What grade are you in?

name below 250

What year did you attend the VJKF Program?

ESSAY QUESTION #1 – Describe your experience at The Verna J. Kirkness Education Foundation Program, which you have just completed, and the most interesting thing you learned. (Max 250 words.)

ESSAY QUESTION #2 Tell us about the volunteer work you’ve done or are interested in doing in the future. (Max 250 words.)

ESSAY QUESTION #3 – Describe your future goals. (Max 250 words.)

Have you read and agree to the terms of the scholarship?

I agree

Should you be granted a scholarship, you will be responsible for any taxes owing on the funds you receive.

I agree

Do you agree to have your name listed in our newsletters and on our website as one of our scholarship recipients?

Parent Full Name

Parent – Sign below by entering your full name

Student – Sign below by entering your full name

Susan O’Brien & VJKF Scholarship Application

Apply Here!