Wendy'S And Coca Cola Bight Minds, Bright Future Scholarship Program Form

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Wendy’s and Coca Cola Bight Minds, Bright Future Scholarship Program is open for new applicants every two (2) years. Scholarships
are awarded on the basis of the applicant’s financial need as well as academic and extra-curricular achievements.
Name of Student: _____________________________________________________________________________________________
Date of Birth:
_____________________________________________________________________________________________
Postal Address: __________________________________
Street Address: ____________________________________________
E-mail address: __________________________________
Telephone (Hm.): __________________________________________
Name of school presently attending: ______________________________________________________________________________
Name of Mother or Legal Guardian: ______________________________________________________________________________
Telephone (work and cell): _____________________________________________________________________________________
Place of Employment and position: __________________________________________
Weekly Income: _______________
Name of Father or Legal Guardian: _______________________________________________________________________________
Telephone (work and cell): _____________________________________________________________________________________
Place of Employment and position: __________________________________________
Weekly Income: _______________
**In addition, total combined income must be stated if applicable (include old age pension, disability insurance payments, rental income,
child support, alimony etc.)
Total combined income: ________________ (if this does not apply to you please indicate so by writing n/a)
Besides the applicant, how many other children live in your household? ____________________
Number of dependents, other than children (if applicable)? __________ State how related ___________________________________
The above information is, to the best of my knowledge, true. I understand that falsification or misrepresentation of the facts in this
document may result in the applicant being withdrawn from consideration for the Wendy’s/Coca-Cola Scholarship Program.
Name of Parent completing application (please print name): _______________________________________________________
Parent/Guardian’s signature: ________________________________________ Date: _________________________
THIS FORM, ALONG WITH ALL REQUIRED DOCUMENTS, MUST BE RECEIVED AT THE WENDY’S SUPPORT CENTRE
OR THE CARIBBEAN BOTTLING CO. LTD. HEAD OFFICE BY THE ADVERTISED DUE DATE. FORMS THAT ARE NOT
FULLY COMPLETED AND NOT ACCOMPANIED BY THE REQUIRED DOCUMENTS WILL NOT BE CONSIDERED
FURTHER. ALL DECISIONS ARE FINAL.
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