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Apply for the Occupational Health & Safety Scholarship

Complete the information below to apply for the Occupational Health & Safety Scholarship. A copy of your submission will be emailed to you.

First Name *

Last Name *

Address *

City/Town *

Province *

Postal Code *

Phone Number *

Email Address *

Mailing address while attending school (if different than above)

Address

City/Town

Province

Postal Code

Attachments

Essay (MS Word or PDF format) *

No bigger than 5MB

Confirmation of enrollment in accredited school *

No bigger than 5MB

Copy of SGEU membership card of applicable member in good standing *

No bigger than 5MB

Confirmation of information

I am submitting my application for the Occupational Health & Safety Scholarship and declare that the information given and statements made herein are true. I hereby authorize SGEU to contact the education institution to verify enrollment information.

Signature (type your name) *

Date *