APPLICATION
The Award:
Application Form
Name:_________________________________________________________________________
Birthdate: ______________________________________________________________________________
Age:______________________________________________(Must be between the ages of 15-22 in 2022)
Address:_______________________________________________________________________
Cell #:_________________________________________________________________________
Email:_______________________________________________________________________
Website:_______________________________________________________________________
Signature of Parent or Guardian if under 18: _____________________________________________________________________
Applicants for this award must submit:
Please save this form and email to kcdyer@siwc.ca, with documents attached in either .docx, .jpg or .pdf format
Application deadline: September 30, 2022.
Successful applicants will be notified by October 10, 2022. Good luck – This Day We Write!!!
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