Online bursary application form

Application Form

The completed application form and the supporting documents must be submitted before March 31, 2026, by midnight through this form.

Supporting documents:

A RECOMMENDATION LETTER (section 7) written by a school official or a person in charge of the organization or committee in which you were involved in. (The letter must be directly related to the initiative and not just validate community involvement.)

A COPY OF YOUR COMMUNITY INVOLVEMENT HOURS FORM (section 8)

Good luck!

SECTION 1: CANDIDATE INFORMATION

Name and surname

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email address

Telephone number

Should you be selected as a recipient, who can we contact to arrange a way to surprise you? (E.g. A parent, a friend, your employer, etc.).

How did your first learn about this bursary opportunity? (E.g., Facebook, Instagram, school counselor, etc).

Email address of contact person

Telephone number of contact person

SECTION 2: ACADEMIC BACKGROUND

Provide details on the educational institutions you have attended in the last two academic years.

Name of educational institution:

Grade (secondary or post-secondary):

Start date:

Completion date:

Country of residence:

Highest grade completed or program of study:

POSTSECONDARY INFORMATION (2026-2027 academic year):

Provide details on the post-secondary institution and program you are planning to undertake in the upcoming academic year.

Name of institution:

Program of study:

Start date of studies:

Duration of program:

Language in which the program is offered:

SECTION 3: INVOLVEMENT IN A PROJECT THAT MADE A DIFFERENCE IN YOUR COMMUNITY:

Describe your involvement in a projet below.

Project name:

Organization or group:

Start date:

End date (if applicable):

Was this a project you worked on as part of your job?

Yes
No

Was this project a requirement to obtain your diploma - community service hours or research project?:

Yes
No

Total hours (approximate):

Was the project a personal initiative or did you act as a participant in a third party project? (develop answer):

Please provide details on the activities that were undertaken:

Responsibilities and functions in the project (develop answer):

Did you work on the project or initiative alone, or was it a collaborative effort? If so, please list the name and contact information of the other individual(s) involved and specify how the work was shared (i.e., 50-50):

Do we have your permission to contact the above-mentioned individuals?

Yes
No

SECTION 4: REFERENCE

Please provide the name and contact information of the person overseeing the project or initiative (to certify the above information). :

Name:

Title:

Telephone number:

Email address:

SECTION 5

Step 1: TEXT SUBMISSION, OPEN-ENDED ANSWERS (required):

Under its cooperative principles of mutual aid and participation, Caisse Alliance is actively involved in the sustainable development of its communities in order to reduce inequalities, promote well-being and access to health care, support innovation and green projects, and promote economic development and its benefits. Which of these four areas of sustainable development does your project relate to? Tell us how. (100-150 words)

Tell us how your involvement in the project you presented above made a difference in your community. (250-500 words)

Looking ahead, how did your previous activities and experiences as well as your current or future studies help you make a difference on a community level? Tell us why participating in these kinds of activities is important to you. (250-500 words)

SECTION 6: ADDITIONAL INFORMATION

Are you a member of Caisse Alliance?

Yes
No

SECTION 7: SUPPORTING DOCUMENT TO BE PROVIDED WITH THE APPLICATION (1)

A recommendation letter written by a school official or a person in charge of the organization or committee in which you were involved in. (The letter must be directly related to the initiative and not just validate your community involvement.) To be submitted using the file upload form below.

SECTION 8: SUPPORTING DOCUMENT TO BE PROVIDED WITH THE APPLICATION (2)

A copy of your community involvement hours form to be submitted using the file upload form below.

FILE UPLOAD

Upload your supporting documents

Drag & Drop Files, Choose Files to Upload You can upload up to 2 files.

The maximum file size is 100 MB. If your documents are larger than a total of 100 MB, download an application to compress your documents before uploading it here.