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Post on 27-Feb-2020
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Please scan and email completed application package to panderson@cbwc.ca or mail to Peter Anderson (5920 Iona Drive, Vancouver, BC V6T 1J6) before April 30, 2020.
1 Student Last Name:
Student First Name:
2
Student Mailing Address: Street:
City: Prov: P/C:
3 Student Telephone Number: Parent’s (First/Last) Name:
4 Date of Birth (m/d/r): Age:
5 Church Name: Grade:
6
Church Address: Street:
City: Prov: P/C:
7 Pastor/Youth Worker/Church Leader Name (please print):
8 Church Leader Email: Church Phone:
9
Describe the nature of the financial need (use back if needed):
10
Signature (Applicant or Pastor/Rep):
Date:
Please scan and email completed application package to panderson@cbwc.ca or mail to Peter Anderson (5920 Iona Drive, Vancouver, BC V6T 1J6) before April 30, 2020.
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