Hans Helgesen Elementary
       4983 Rocky Point Road, Victoria, B.C. V9C 4G4
                      School District # 62 (Sooke) 
              (250) 478-3431 fax: (250) 478-1459

                  Parent Advisory Bursary
Application Form

Student Name:   	

Home Address:  	

Email Address:   	

Phone:   	

I attended Hans Helgesen School from Grade  	to Grade  	during the years  	to  	.

Name of current Belmont teacher who will act as a reference:   	

Your application package should include the following:

1.	Application Form

2.	Cover Letter – one page letter describing your reasons for applying for this bursary.
Please include information about:

•	Your best memories and special times at Hans Helgesen
•	What/who inspired you the most during your elementary years
•	Special interests that began in Elementary school that continue to impact your life
•	Your plans for post-secondary education, the institution you plan to attend and your career goals

3.	Scholarship Resume (see your counsellor if you need help)

4.	Transcript of your Grade 10 – 12 marks.

Please return the application package to Hans Helgeson School by
2:00 pm Friday, April 26, 2019.

Successful applicants will be announced at the Graduation Ceremonies in June.