Past Chair Legacy Fund Application APPLICANT INFORMATIONName(Required) First Last Address(Required) Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Must be in BC Postal Code Email(Required) Phone(Required)Designations/certifications/education achieved(Required)EMPLOYER INFORMATIONPlease provide your current or anticipated employer information.Have you received consent from your current or anticipated employer to provide this information?*(Required) Yes, I have received consent from my current employer to provide this information. No, I have not received consent from my current employer to provide this information. Business Name(Required)Contact Person(Required) First Last Contact person email(Required) The company is an integrated member of:(Required) Northern Regional Construction Association Southern Regional Construction Association Vancouver Island Construction Association Vancouver Regional Construction Association TRAINING REQUESTTrade or Certification Program(Required)Which school will be providing this training?(Required)Course Name(Required)Course Number(Required)What is the course start date?(Required) MM slash DD slash YYYY What is the course end date?(Required) MM slash DD slash YYYY Total Expense (tuition, books, fees)(Required)PERSONAL STATEMENTWhy are you applying for this education fund? (Provide a brief explanation of your financial need, academic goals, and how the funds will be used.) Please provide BOTH written & video submission. Written Statement(Required)Video Statement(Required)Accepted file types: mp4, Max. file size: 80 MB.Consent(Required)Select exactly 2 choices. I, the applicant, consent that in order for this application for funding to be considered, the information provided will be shared with BCCA employees and the designated training organization as necessary at the discretion of the BCCA. My employer acknowledges and approves this application. Consent RequiredPlease note you must obtain a consent from your current or anticipated employer before submitting the application. NameThis field is for validation purposes and should be left unchanged.
