2010 Aboriginal Essay Competition
1. Personal Information
Salutation:
First Name:
Middle Name:
Last Name:
Address:
City:
Province or Territory:
Postal Code:
Phone:
Email:
Degree and Program:
Institution:
Please select which of the following best describes you:  
If other, specify:  
Attach a scanned confirmation of Canadian citizenship
(ex. passport information page, birth certificate). [*.pdf or *.jpg]

2. Essay Competition
Attach your essay. Your essay must between 1500 and 2000 words, double spaced with 12 point "Times New Roman" or similar font. [*.pdf or *.doc]

3. Applicant Consent and Certification
I certify that all the information provided on this application form and in all the accompanying documents is true, accurate and complete to the best of my knowledge. I consent to the collection, use and disclosure of my personal information by the CBIE, for the purposes of the Aboriginal Essay Competition.