Bursary Application

* - required field
*   Applicants Name:       
*  Address                          
*  Email Address            
*  Phone Number            
*   High School Level Attained : Year :      

Post Secondary Institution                       
Post Secondary Address                              
Type of Course                                                  
Length of Course                                            
Course Cost                                                        Accomodation Costs                                     

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Name of parent or guardian                     Relationship to applicant                         
Mailing Address                                              
Father's occupation               Income:
Mother's occupation              Income:
Nature of special needs     
Extend of special needs     
Number of dependant children     

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Name of Person submitting application    
*Email of Person submitting application  

This application will not be processed until the following have been received:

• copy of post secondary institution
• letter of acceptance copy of applicants most recent marks
• photo of applicant

Please mail documents to:
SaskTel Pioneers
2nd Floor
2121 Saskatchewan Dr
Regina, SK
S4P 3Y2