Student Award Claim Form - Abbotsford Community Foundation

"*" indicates required fields

*VERY IMPORTANT

Please provide any details about your claim in this box if needed.

Name of Student*

First Middle Last

Applicant Preferred Name

First

Pronouns

Student Information*

Social Insurance Number

Personal Email

Phone Number

Abbotsford High School Attended*

Secondary School

Graduation Year

Post-Secondary Institution (PSI)*

A cheque will be mailed to your post-secondary institution to be deposited into your student financial account if the school accepts payments from ACF. If they do not, a cheque will be mailed to your address on the claim form.

PSI

Student ID

Name(s) of ACF Awards granted to you*

If you received more then one award, click on the plus on the right side to add a second/third award.

Name of Award

Amount $

Contact information

Local Residence*

Street Address City Province Postal Code

Parent/Guardian*

First Last

Parent/Guardian Contact Info*

Contact Number:

Email: