
Halifax Hurricanes Give It Back Bursary Application Form:
Name: _____________________________________________________
Address: ___________________________________________________
E-mail address: _____________________________________________
Telephone: ____________________ Birth date: ______/______/______
Academic Information / Post-Secondary Information:
Institution: ____________________________________
Address: _____________________________________
Applicant attending a post-secondary institution for the first time:
Name of High School: ________________________________________
Address: __________________________________________________
Number of years playing ringette: ________
References:
Please attach one letter of reference from a coach (not related) and one letter of reference from a supervisor reference showing active participation in giving back to the sport.
On a separate page, please provide us with a brief overview showing how you, as the applicant, have given back to the community and their participation in the sport of ringette (i.e., volunteering and various teams the applicant has been part of)
Application Checklist. These items must be included in the application:
All applications will be kept in strict confidence with the Halifax Hurricanes Selection Committee and Board of Directors.