CHTF BURSARY AWARD PROGRAM To prepare an application to the CHTF Bursary Award Program: 1. Complete the Bursary Application Form (below) 2. Write a Letter of Request addressing the following:   a. The circumstances supporting your need for financial assistance   b. Your current level of Healing Touch activities   c. A brief explanation of how you intend to apply the Healing Touch skills and knowledge acquired from the course to service in your community 3. Include copies of Certificates of Completion for any prerequisite courses if available 4. Send documentation to: CHTF Bursary Award Program                                          C/O Susan Atkinson                                          29 Courteney St, Moncton, NB E1C 9L2 BURSARY APPLICATION FORM Personal Information: Name ______________________________________________________ Address ____________________________________________________ City ___________________ Province ______ Postal Code ____________ Phone Number _____________ E-Mail Address _____________________ Social Insurance Number (required for issuance of T4A)___________________ Course Information: Course __________________________________________________ Date ______________ Location _____________________________ Instructor _____________________________________ Course Cost____________________________________ I have applied for a bursary before: O No O Yes, Date ________________ Signature _____________________________ Date _________________