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Name
Address
Name of Parent or Guardian (who is an active member of the Surrey Teachers’ Association)
Applicants may wish to provide, on a voluntary basis, information as to whether they self-identify as a member of one or more equity-seeking groups. This includes women, racialized persons, Aboriginal persons, persons who are trans, gender diverse or two-spirit, persons with a disability, and persons who are lesbian, gay or bisexual.

Awards for which I’d like to be considered

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Education Secondary

Secondary School Address
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Academic Goals

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Agreement

I have read all instructions, and included all the required documents with my completed application form. I certify that all statements on this application are true and complete.