Masonic Higher Education Bursary Fund

Create Your Account

You are applying for: Wendy & Chris Batty Masonic Bursary

Applicant Information

Once you complete this form, your account will be created with the login being the email address specified below and the password you specify. You will then be taken to continue the application process.

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First Name

Last Name

Middle Name(s)

SIN #
(No spaces/dashes)

Email Address

Password

If the Applicant is successful in obtaining a Bursary, the Alberta Masonic Higher Education Bursary Fund Committee are obligated to send to the Applicant a Canada Revenue Agency form T4A for income tax purposes. The Applicant’s Social Insurance Number (SIN) will be used in conjunction with this requirement of the Canada Revenue Agency.

Marital Status

Single Married Separated Divorced Cohabitating

Home Address (Line 1)
(P.O. Box Unaccepted)

Home Address (Line 2)

City / Town

Province

Postal Code

If mailing address is different from home address, check the box and complete the form.

Home Phone

Mobile Phone

Date of Birth

Place of Birth

Years of Residence in AB/N.W.T.

If not born in Canada, date of Citizenship