PEP GRANT APPLICATION

Please enable JavaScript in your browser to complete this form.

Personal Details

Name

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

SCHOOL INFORMATION

Name of Current School:

School’s Telephone Number:

Address

Address Line 1

Address Line 2

City

State / Province / Region

Extra-Curricular Activities:

REQUIRED DOCUMENTS

Please upload certified copies of past term reports from the Grade 6 academic year

Click or drag files to this area to upload. You can upload up to 2 files.

Allowed file types docx, pdf

Please upload your Reference

Click or drag files to this area to upload. You can upload up to 2 files.

At least one (1) reference- Principal, Pastor, Justice of the Pease or Superintendent of Police

Please submit a 600-word essay on why you should be selected.

Click or drag a file to this area to upload.

Disclaimer: The use of AI or any automated tools for the creation or completion of the essay is strictly prohibited. Any application found to have used AI assistance will be disqualified from consideration. Applicants are expected to submit their own original work and to refrain from using AI or similar technologies to generate or modify their essay content.

Please upload any other relevant supporting documentation (optional)

Click or drag files to this area to upload. You can upload up to 2 files.

Allowed file types docx, pdf

PARENT/GUARDIAN’S INFORMATION

Parent/Guardian’s Name

First

Last

Parent/Guardian’s Contact Number

Parent/Guardian’s Contact Number #2

Parent/Guardian’s Occupation

Parent/Guardian’s Email

Confirm Email

Are you a current employee of Bert’s Auto Parts?

Your Signature

Date Signed

Personal Details

SCHOOL INFORMATION

REQUIRED DOCUMENTS

PARENT/GUARDIAN’S INFORMATION

good luck

with your application with your application