Bursary Application – Catholic Gap Year

A) Personal Information

Applicant's Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Daytime Phone*

Cell Phone*

Email*

Parish Information

Applicant's Parish*

How did you hear about the Catholic Gap Year bursary?

Where are you planning to go for your Catholic Gap Year? ("Organization")*

Other (let us know what the program or organization is called)

B) Reflection Questions

Reflection Question #1: Why are you interested in a Catholic Gap Year and what do you hope to get out of this experience?*

In 300 words or less, describe your motivation to apply for a Catholic Gap Year and consider how this award will help you.

Reflection Question #2: How are you currently involved in your community and how will you reconnect with your parish once you are back from your Catholic Gap Year experience?*

In 400 words or less, describe your involvement in leadership positions in your parish, school, community, and home. Be sure to include your motivation, your influence, and the nature of your involvement.

Reflection Question #3: What does being Catholic mean to you?*

In 400 words or less, talk about you faith and what makes you proud to be Catholic. Share examples of how you've been able to display your identity as a young Catholic.

As a recipient of the Catholic Gap Year Bursary, I, the Applicant, expressly agree that:*

I have selected the organization above as my volunteer placement, and have conducted my own inquiries, inspections, investigations and assessments of this organization
I assume any and all risks involved in the selection of this organization as my volunteer placement
I understand that the Archdiocese of Vancouver and its staff are not responsible for my choice of organization or volunteer placement, and have made no warranties or representations about that organization or volunteer placement upon which I have placed reliance
I understand that the Archdiocese of Vancouver and its staff are excluded from any and all liability or responsibility for any loss, injury or damage arising in connection with this volunteer placement and/or the actions or omissions of this organization

C) Budget Form

Write down the cost of how much money you will be putting towards your mission in the categories below

Cost of Program*

Travel Cost To/From*

Miscellaneous Cost

D) Reference

Send the following link to two different references to fill out by the Application Deadline on July 31, 2020: www.catholicgapyear.ca/reference

Submission of Application*

By submitting this application, I understand that the information will be used to assess my eligibility for the scholarship and I hereby certify that the statements contained in my application are true, accurate and complete.

Bursary Application Form

A) Personal Information

B) Reflection Questions

C) Budget Form

D) Reference