Indigenous Bursary Application

First name

 
Last name

 
Your email

 
This bursary is intended for indigenous students. Does this apply to you?
YesNo
   
By checking this box, I confirm that I am a resident of AlbertaBy checking this box, I confirm that I do not currently have access to employment benefits that would cover the cost of this training.
   
Which discipline and certification are you seeking support with through this bursary?
—Please choose an option—Amusement RidesBuilding - ResidentialBuilding - Part 9Building - Part 3Building - HVAC ResidentialBuilding - HVAC AllBuilding - Medical GasBuilding - Hydronic HeatingElectrical - Group AElectrical - Group BElevators - Group A-E Level 1Elevators - Group A-E Level 2Fire - Group AFire - Group B1 (Inspector)Fire - Group B2 (Inspector)Fire - Group C1 (Investigator)Fire - Group C2 (Investigator)Fire - Group E (Petroleum Tanks)Gas - Group APassenger Ropeways - Level 1 - Groups A-FPassenger Ropeways Level 2 - Groups A-FPlumbing - Group APlumbing - Group BPressure Equipment
 
Do you meet the entrance qualifications for your discipline and level? (Note: If you are an aspiring SCO and unsure of your entry requirements, please check the Entrance Qualifications page on our website. You will not be able to submit this application or be considered for the bursary without submitting documentation for meeting these requirements. If you need help, please call us and ask for the Certification team.)
Yes - I have applied for prequalification with the Council and have been approvedYes - I have emailed the necessary documentation to certification@safetycodes.ab.ca, orYes I am aware of the requirements and have attached the necessary documentation below

 
 
Do you have any additional funding through a bursary, grant program, or other support from your community, Band, Settlement, association, or other organization?
YesNo
 
If yes, explain:

 
 
Are you being sponsored by your community (Band, Settlement) association, or community-based organization?
YesNo
 
Please note, you are not required to be sponsored by your community. We welcome applications from individuals with or without a community or community-based organization sponsor.
  
If yes, please upload letter of support below:

 
Why are you interested in completing safety codes officer certification? Please write between 100 and 200 words. (Please note we will be assessing the content of your ideas and not the quality of your writing.)

 
Which of your attributes, skills and experiences demonstrate your commitment to public safety and the safety system? Please write between 100 and 200 words. (Please note we will be assessing the content of your ideas and not the quality of your writing.)

 
If not already working as an SCO, identify potential employers you have engaged with or would like to work for once certified:

 
Please describe any other factors that may contribute to your financial need.

   
FOIP Statement: The personal information requested on this form is being collected for the purpose of selecting bursary recipients, notifying recipients, and disbursement of the Indigenous bursary. First and last names only may be shared with sponsors who have contributed to the program. First and last names only may be used in student awards or Indigenous bursary promotional material and other Council documents. The information entered into this form may be audited for verification purposes.
If you have questions concerning the collection of this information, please contact the Team Lead, Certification at the Safety Codes Council: 500 10405 Jasper Avenue NW, Edmonton, AB
T5J 3N4 | 780 413-6034 | Toll-Free 1-888-413-0099
   

I have read the FOIP Statement and certify that all information I have provided on this form is complete and accurate.