Civitan International Foundation of Canada

Bursary

GENERAL INFORMATION The interest earned from the Civitan International Foundation of Canada Memorial Fund will be given annually in five bursary awards:

The Wm. L. Murphy Memorial Bursary

The Dick Ivens Memorial Bursary

The Palmer/McNeil Memorial Bursary

The Credit Valley Civitan Club Bursary

The Agincourt Memorial Bursary

Applications must be POST MARKED NO LATER THAN FEBRUARY 28, 2026. and returned to Civitan International Foundation of Canada Trustee:

If emailing your application, it must be submitted as a PDF file and sent to:

KAREN KINSELLA
165 RUE TRUDEAU
CHATEAUGUAY QC J6J 1M8

Completed Applications (PDF) can also be emailed to:
Email: bursary@cifoc.org

CRITERIA

A GRADUATING or FORMER JUNIOR CIVITAN or
A CIVITAN IN REGION FIVE IN GOOD STANDING AS DEFINED BY CIVITAN INTERNATIONAL or
A SON, DAUGHTER, GRANDCHILD, GREAT-GRANDCHILD, OR LEGAL WARD OF A CIVITAN IN REGION FIVE IN GOOD STANDING AS DEFINED BY CIVITAN INTERNATIONAL or
A PRIVATE MEMBER OF THE FOUNDATION or
A SON, DAUGHTER, GRANDCHILD, GREAT-GRANDCHILD, OR LEGAL WARD OF A PRIVATE MEMBER OF THE FOUNDATION

N.B.
MONIES AWARDED BY THIS BURSARY WILL BE PAID BY CHEQUE PAYABLE TO THE POST SECONDARY SCHOOL OF THE RECIPIENT'S CHOICE AS SOON AS THE STUDENT'S REGISTRATION NUMBER IS RECEIVED.

Click Here! for a download version of the application (Adobe PDF)

NOTE: Karen Kinsella will email a receipt confirmation within 48 hours. If you do not receive a confirmation, please send an email to: bursary@cifoc.org.

APPLICANT INFORMATION

* Indicates a required field

NAME

* Surname:

* Given Name:

ADDRESS

* Street:

Apt:

* City:

* Province:

* Postal Code:

* Phone:

* Email Address:

* Verify Email Address:

* Social Insurance Number:

QUALIFYING CRITERIA (Explain how you qualify):

ALL questions must be answered with detailed responses.

1. DESCRIBE HOW YOU HAVE BEEN INVOLVED IN CIVITAN.

2. DESCRIBE THE ACTIVITIES IN WHICH YOU PARTICIPATE THAT BENEFIT YOUR COMMUNITY. WHY DID YOU SELECT THESE ACTIVITIES?

3. DESCRIBE YOUR STUDENT ACTIVITIES AND THE LEADERSHIP ROLE YOU PLAY IN THEM. PLEASE INDICATE WHAT YOU FIND THE MOST REWARDING OR VALUABLE ABOUT YOUR PARTICIPATION IN THESE ACTIVITIES.

4. LIST ANY AWARDS OR ACHIEVEMENTS (ACADEMIC OR OTHERWISE) YOU HAVE RECEIVED TO DATE.

5. LIST THE POST SECONDARY COURSES YOU WISH TO TAKE.

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