Crop Selection

Industry Bursary Application Form

Personal Information

Name:
Address:
Address 2:
City:
Province: Postal Code:
Phone: ( ) -
Email:
Date of Birth: Format: dd-mm-yyyy

Education

College/University:
Program of Study:

Employment Information

Provide details of past and/or current involvement including company name, length of employment, a reference, and a brief description of the job. Additional information can be emailed to opvgbursary@opvg.org if necessary.


School Involvement

Provide a brief description of your involvement in extracurricular activites at your school, including years of involvement and capacity (eg. team member, executive, etc.). Additional information can be emailed to opvgbursary@opvg.org if necessary.


Community Involvement

Provide a brief description of your involvement in your community, including years of involvement and capacity (eg. team member, executive, etc.). Additional information can be emailed to opvgbursary@opvg.org if necessary.



I certify that all the information provided in this application form and in all the documents accompanying it, is true, accurate and complete.
I authorize the post secondary insitution to release any information to the selection committee required to support/confirm information contained in this application.

 

Please email or mail your transcript, essay or any required material to:

Email: opvgbursary@opvg.org

OPVG/OFPA Bursary Committee
c/o Ontario Processing Vegetable Growers
435 Consortium Court
London, Ontario N6E 2S8

Please include your full name and contact information.