STUDENT SUCCESS PORTFOLIO PROGRAM PARTICIPANT APPLICATION FORM The Retired Teachers’ Association of Manitoba (RTAM) Student Portfolio Project has been formed to engage communication and mentoring between RTAM members and their young relatives. Retired teachers can play a major role in the lives of their young relatives who are currently in high school by sharing their skills and strengths to guide the students to become successful and caring adults. RTAM members are encouraged to communicate on a regular basis with their relatives to prompt their collection of appropriate documentation useful in the development of their Portfolio, their RTAM Student Award application as well as other scholarships or bursaries in preparation of attending a post-secondary institution. Participation criteria:
1) Open to an RTAM Member and a young relative in Grade 9, 10, 11 or 12 2) Relative interested in preparing applications for scholarships or bursaries
APPLICANT’S INFORMATION (RTAM MEMBER) PLEASE PRINT
First Name:
Last Name:
Address: City/Town:
Province:
Phone Number:
Cell Number:
Postal Code:
E-mail Address: Relationship to Recipient: Portfolio Language Preference:
English
or
French
RECIPIENT’S INFORMATION (RELATIVE) PLEASE PRINT
First Name:
Last Name:
Address: City/Town:
Province:
Phone Number:
Cell Number:
E-mail Address:
Postal Code: Grade (please check): 9 10 11
12
Name of Current School: School Address: City/Town:
Province:
Postal Code:
School Phone Number: School E-mail Address: RTAM wishes all members and recipients participating in this project, all the best in your future endeavors! 106-1780 Wellington Avenue, Winnipeg, MB R3H 1B3 • Phone 204-889-3660 • Toll Free: 1-888-393-8882 • info@rtam.mb.ca • www.rtam.mb.ca 24 RTAM KIT / Fall 2023
