SASKATCHEWAN HEALTH-CARE AUXILIARIES ASSOCIATION Bursary Application This bursary is awarded to a student entering the second year of a Registered Nursing Education Program in Saskatchewan. It is awarded on the basis of academic standing and community involvement/volunteerism. Along with this completed application please include : -a letter indicating past/present volunteer activities and future career plans -a signed copy of your marks - two letters of reference NAME: ___________________________________ ADDRESS: _________________________________ Street or Box Number _________________________________ City Postal Code Phone Number:_________________________ Social Insurance Number:____ ____ _____ Home Address (if different than above): _________________________ ______________________________ Post Secondary Schools Attended: _______________________________________ Nursing Program Enrolled in: _____________________________ Campus : _____________________________ First Year Average : _________ Date:_____________ Signature:_________________________ Send Application To : Chairperson of Bursary Committee: Sheila Schlechter Address: 7222 Blakeney Dr Regina SK S4X 2K6 Phone: 306-775-2580 Applications must be received by September 9, 2014 Successful applicants will be notified