Legacy Bursary Application Form

Name: Required

Email Address: Required

Phone Number: Required

Mailing Address: Required

Institution: Required

Program of Study: Required

Proof of Enrollment Attached Required

Sponsor Name: Required

AWWA Member Number: Required

Sponsor Email Address: Required

Sponsor Phone Number: Required

Sponsor Mailing Address: Required

Relationship to Applicant: Required

Do You Reside in Alberta, Sask, Northwest Territories or Nunavut? Required

Have you been a member of WCSAWWA for five full calendar years? Please contact the office at in@wcwwa.ca inf you are unsure Required

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