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1. Full Legal Name (Required.)

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3. Phone Number (Required.)

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4. Are you a Canadian Citizen? (Required.)

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5. Name of High School (Required.)

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6. Please select your application type. (Required.)

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7. Please answer base on your application type;

Member of CANASA
Provide name, email, Company Name, and CANASA Membership ID Number

Dependent/Child of a CANASA Member
Provide name, email, Company Name, and CANASA Membership ID Number of Member

Dependent/Child of a First Responder
Provide name, email, Organization/Department Name, and Badge/Employee Number of First Responder

Student of accredited Security Program
Provide institution and program name
(Required.)

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8. What is your current enrollment status? (Required.)

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9. Please answer each of the following (Required.)

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10. Briefly outline up to three community, volunteer, or extracurricular activities you have participated in over the past 3 years. (150 words max) (Required.)

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11. List any notable academic, personal, or leadership achievements that showcase your dedication and commitment. (150 words max) (Required.)

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12. How will receiving this $2,500 scholarship assist your educational and financial plans for the upcoming year? (150 words max) (Required.)

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13. Please select and answer ONE of the following 4 options – 500 words max

Option A: How does the first responder community work with the security industry, and why is this collaboration vital to public safety?

Option B: Describe a personal experience where electronic security played a vital role in safeguarding property, individuals, or a community.

Option C: Define how recent advancements in technology have impacted security measures, and how technology continues to reshape the security industry.

Option D: (For children of first responders): Share a story that highlights how your parents’ work and service impacted your personal values, character, or career goals.
(Required.)

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14. I confirm that all written submissions are my original work and reflect my authentic personal experiences. (Required.)

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15. I authorize CANASA to contact the specified educational institution, member company, or first responder agency listed in this application to verify my enrollment, employment, and eligibility status. (Required.)

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16. I agree that if I am selected as a scholarship recipient, CANASA may use my name, photo, and a summary of my application for promotional and marketing purposes across print, digital, and social media platforms. (Required.)

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17. Are you under the age of 18? (Required.)

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18. If Yes, please have a parent or legal guardian input their full legal name and email address below to acknowledge and consent to this application.

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