Rev. Mother Phyllis Marsh-Jarvis Scholarship Application Form

First Name *

Middle Name

Last Name *

Address 1 *

Address 2

City *

Postal Code *

Telephone Number *

Date of Birth (dd/mm/yyyy) *

University/College *

Program *

Year of Study *

Upload all Required Documents *

Upload all required documents. Click or drag files to this area to upload.

Choose File

Signature of Applicant *

Click or drag your signature file to this area to upload.

Choose File

Date *

Documents To Be Included

Please ensure the following are attached to your completed application:

Download the Rev. Mother Phyllis Marsh-Jarvis Scholarship Budget Review Worksheet, fill it out, and upload it with all other documents.

Please check all boxes and ensure all required documents have been uploaded *

Completed application form

Proof of enrollment in a health-related course of study from your College/University

Completed itemized budget

Identify as Black/African Ancestry

Contact information for 2 references, one academic and one community related

Attach a one-page letter outlining: your interest in the health professions, your familiarity with the mission, mandate and vision of the Health Association of African Canadians. Also, how your program of study will enhance the mission, mandate and vision of HAAC.

Evidence of participation in HAAC-related work would be considered an asset.

Bursary recipients may be asked to attend the HAAC event to acknowledge receipt of the Bursary.

* INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED. *

Thank you for your message. It has been sent.

There was an error trying to send your message. Please try again later.

Scholarships

Rev. Mother Phyllis Marsh-Jarvis Scholarship Application Form