This page contains a Flash digital edition of a book.
RTAM STUDENT AWARD APPLICATION FORM


The Retired Teachers’ Association of Manitoba (RTAM) awards annually up to four (4) post-­‐secondary STUDENT AWARDS of $500.00 each for relatives of RTAM members. THE DEADLINE FOR 2014 APPLICATIONS IS JULY 15, 2014.


Criteria for selection: The applicant must be: 1) A relative of a RTAM Member 2) A Grade 12 Graduate 3) Involved in school and community activities


FIRST NAME: ________________________ LAST NAME: ______________________________________________ Please print


Please print


ADDRESS______________________________________________________________________________________ Street


City/Town Cell Postal Code


PHONE NUMBERS_______________________________________________________________________________ Home


EMAIL________________________________________________________________________________________


SCHOOL (Graduated from Grade 12): ___________________________________ Year Graduated: ____________ SCHOOL ADDRESS_______________________________________________________________________________ Street


City/town Postal Code


POST SECONDARY PLANS: Program:________________________________Location:_______________________________________


RTAM SPONSORING MEMBER INFORMATION:


NAME_________________________________________________________________________________ Please print


ADDRESS_______________________________________________________________________________ CONTACT INFORMATION__________________________________________________________________


To be completed by RTAM member: I confirm that the applicant, __________________________, has the following relationship to me ______________


_________________________________________________________________ RTAM MEMBER’s Signature


Phone Number


_________________________________________________________________ Applicant’s Signature


___________________ Date


___________________ Date


Submissions to include the following:


1. __Application Form 2. __Applicant’s Description of school and community activities (one page) 3. __Letter of reference/support from a non-­‐family member 4. __Final Grade 12 report card (copy only) Application Form also on Website www.rtam.mb.ca


5. 4 n KEEP IN TOUCH | Spring 2014


Contact Information for RTAM: rtam@mymts.net or www.rtam.mb.ca


or #206 – 1555 St. James Street, Winnipeg, MB R3H 1B5 Phone: 204-­‐889-­‐3660 / 1-­‐888-­‐393-­‐8082


The RTAM office is open Monday to Friday from 9:00 a.m. to 1:00 p.m.


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32