For more information on the "Darryl Bell Education Fund"       click here

 

NAME

   

   

 

 

First Name

Last Name

ADDRESS

   

 

Street

 

   

 

Apt

 

   

   

 

City

Postal Code

TELEPHONETELEPONETTETTTTREelephone

   

   

 

Home

Mobile

BIRTHDATE

 

 

 

 

 

 

yyyy

mm

dd

 

e-mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Program or Courses you intend to take:

   

College, Institute or University where program will be taken:

   

Program Start Date:

   

Educational History

   

PLEASE INCLUDE THE FOLLOWING WITH YOUR APPLICATION:

  A letter outlining your personal background, educational goals and your reasons to be considered for the Daryll Bell Education Fund

  A letter of reference from your school or a member of the KDFGA

  Applications must be received by September 15

  Submit Application to:

Kamloops and District Fish and Game Association, Box 164, Kamloops B.C., V2C 5K6