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Red Deer Polytechnic Student Bursary Application

The personal information that you provide on this form is being collected under the authority of the Freedom of Information and Protection of Privacy Act of Alberta, section 33(c). It will be protected in compliance with the provisions of the Freedom of Information and Protection of Privacy Act of Alberta and will be retained in accordance with the Information Management policy and guidelines. This information will be used by the Student Connect Centre for the purpose of selecting the recipient(s) of bursary funds. If you have questions regarding this form, please contact the Student Connect Centre, room 1102, Red Deer College, Box 5005, 100 College Blvd, Red Deer, Alberta, T4N 5H5, 403.342.3254. 

Please indicate the number of dependents who are 18 years old or younger.
Monthly Expenses
Please input an estimate of the monthly expenses you will incur while you are a student.
Monthly Income
Please input the monthly income you expect to earn/receive while you are a student
By submitting this form:
This electronic signature is treated by RDC like a handwritten signature on a paper form. 

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