RAC Foundation Scholastic Grant Application

This Grant Application form should be used to provide the RAC Foundation with the basic information associated with your grant application.

Attach no more than three pages of supporting or supplementary information for use in judging the merits of the application.

Review will be by committee. Please ensure your application is legible and easily copied. Application deadline Mar 31. Applicants will be advised by May 15. Please mail applications to:

The RAC Foundation - Grants Committee
720 Belfast Rd. Suite 217
Ottawa, ON K1G 0Z5

Applicant Name ________________________________________ Call Sign _____________

Permanent Address ____________________________________________________________________________

Address for Correspondence ____________________________________________________________________

Telephone ( ____ ) ________________ Fax ( ____ ) _________________

E-mail __________________________

Date of Birth _________________

Place of Birth: __________________________________________________

If not born in Canada, state:

(a) date you became permanent resident ________________ (b) date of Canadian citizenship ______________

Marital Status - Single [ ] Married [ ] Academic Level Achieved ___________________________________

Transcript of past year of school record - attached [ ] to follow [ ]

If official transcript is not available at time of application, please ensure it is forwarded as soon as possible.

Name/Address/Position of Academic Reference

Name and Address of Institution you plan to attend: Institution must be a Revenue Canada Qualified Donee

Describe your extra-curricular interests:

Describe briefly your plans after successfully completing this academic year: