Education Fund Application

Online Education Fund Application

* Indicates required field

Applicant Information

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Social Insurance Number *

KBD Employee Information

Name *

First

Last

I certify that the above information is true and accurate to the best of my knowledge. I permit KBD to use my name and picture in future publishings to promote KBD and/or the Education Bursary. *

Agree Disagree

Current Education

Education to date: *

Proposed Education

Name of College / University *

Level of Study *

Program or Major *

Years completed to date *

Additional Requirements:

Please have copies of the following documents before submitting your application:

Short Essay on the topic of MENTAL HEALTH IN TRUCKING
Transcript from previous year's Education
Proof of Registration for Fall/Winter studies

Sharing Your Submission *

Submit

Questions or Concerns

Education Bursary Presentation - TBA. Any questions or concerns should be directed to Cindy.

NOTE: All bursary recipients are expected to be available (unless there are pre-approved extenuating circumstances) on the specified date and time to receive their bursary. Recipients who do not show up will forfeit their bursary proceeds.