Laurie Pallett/Metalworks Institute Scholarship Application Page

Name

First Middle Last

Date of Birth

Street Address

Street Address Address Line 2 City Province Postal Code

Home Phone Number

Cell Phone Number

Email

Are you a Canadian Citizen or Permanent Resident?

Yes

No

Community Arts Brief

Accepted file types: doc, docx, txt, pdf, Max. file size: 10 MB.

Attach a one-page brief detailing why you feel the arts are important to our community and how you feel you can make a difference