EMILY CARR UNIVERSITY ABORIGINAL AWARDS
APPLICATION FORM
Before completing this form, carefully read the Guidelines for Applicants. Type or write clearly with black or blue ink in the
space provided. All information provided is confidential.
DEADLINE FOR APPLICATION:
FRIDAY, OCTOBER 17 AT 4:00 PM IN THE ABORIGINAL PROGRAM OFFICE/AGP
SECTION 1. PERSONAL DATA
FIRST NAME
LAST NAME
STUDENT ID #
STREET ADDRESS
CITY
PROVINCE
POSTAL CODE
DAYTIME TELEPHONE NUMBER
E-MAIL (IF AVAILABLE)
DATE OF BIRTH
SOCIAL INSURANCE NUMBER
PROGRAM OF STUDY AT EMILY CARR UNIVERSITY
YEAR LEVEL
SECTION 2. ABORIGINAL ANCESTRY
Please identify your ancestral Aboriginal community:
 Status
 Non-Status
 Métis
 Inuit
Have you approached your Band/Community or Métis Association for funding?
 Yes
 No
If not, state why:
Has your band agreed to fund you?
 Yes
 No
If yes, how much will you receive? $
Name of Band/Community:
Contact:
Phone:
SECTION 3. FUNDING
Are you receiving funding assistance from any other sources for your studies?
 Yes
 No
If so, from whom?
Amount received: $
SECTION 4. PERSONAL HISTORY
FINANCIAL NEED: Explain your financial needs.
COMMUNITY CULTURAL SERVICE/VOLUNTEERISM: Please describe your involvement within the Aboriginal community,
including any volunteer work.
SECTION 5. ESSAY (approx. 250 WORDS)
We are interested in your academic, artistic and career goals. You may also talk about hardships and challenges that you
have overcome. You may choose to attach a biography and/or artist’s statement.
Aboriginal Awards Application Form
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SECTION 6. DECLARATION
I certify that all of the information supplied on this application is true. If I am the recipient of an Emily Carr Aboriginal Award, I
agree to allow the Emily Carr University of Art and Design to use my name and photo for publicity purposes.
SIGNATURE OF APPLICANT
DAY/MONTH/YEAR
CHECKLIST
To complete your application, please enclose all of the following:

Completed application form

One-page résumé
SEND YOUR APPLICATION TO:
Emily Carr University Aboriginal Awards
Aboriginal Program Office
Aboriginal Gathering Place
1399 Johnston Street
Vancouver, BC V6H 3R9
Phone: 1.800.832.7788 or 604.844.3088
All support material is due on the deadline date.
Applications must be received in Student Services by Friday, October 17 at 4:00pm to be eligible.
Aboriginal Awards Application Form
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