2025 Bursary Application

Name(Required)

First Last

Address(Required)

Street Address City Province Postal Code

Email(Required)

Phone(Required)

PEA Member Number

PEA Chapter

What part-time post-secondary education degree or diploma program, educational course or other professional development education are you registered in or will be registering for(Required)

Have you previously received a PEA Bursary? If yes, please indicate which year(Required)

Please describe your education and career goals (250-word maximum):(Required)

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