Online Application Form Name of Applicant Address City Province Postal Code Phone Cell Phone or Alternate Contact Number Email Please upload your support documents (any additional files can be emailed to email@example.com) 1. 2. Comments or web links: I have read the eligibility criteria and award guidelines I have reviewed the checklist and included all the criteria in my application I am a WIFT-AT member in good standing I am a Canadian citizen or Landed immigrant to Canada; and I have been a resident of the Atlantic Provinces for the previous twelve (12) consecutive months. Applications must be received by 5pm Saturday, June 8, 2013. Online applications only. $10 application fee must be paid through our website using PayPal or by mail, http://wift-at.com/guidelines/. Please visit http://wift-at.com/aapa/ for a complete prize list including eligibility guidelines and application criteria. Be sure to read the terms and conditions. Applicants are encouraged to contact us via email before applying at firstname.lastname@example.org with any questions.