Apply Online

The completed application form, three letters of support and official transcripts must reach the O'Brien Foundation no later than the first of November. To complete the application process, follow the steps as outlined below. Only complete applications will be considered.

letterofsupport.pdf (Apply by mail and Apply online students)

Application Form

Answer the following questions. You may attach a maximum of two separate documents to your application: a curriculum vitae in answer to questions 6, 7, 8, and 9; question 13 may be submitted as a separate document. Step three will provide instructions for attaching separate documents. Only WordPerfect(.wpd) and Microsoft Word(.doc) documents will be accepted as attached files.

* = Required Information
1. Name *
Given Names	Surname
2. Address *
For correspondence about this application
Telephone Number - -	E-Mail Address
3. Permanent Residence
4. Place of Birth
5. O'Brien foundation awards are made "primarily to residents of the Province of New Brunswick". Please check any of the following that may apply to you:
I have lived in New Brunswick for 5 years or more My primary residence is in New Brunswick Other - If the statements above do not apply to you, please describe your lasting connection to New Brunswick

6. List in chronological order your educational record beginning with undergraduate years.
Include up to a maximum of five.
Institution	Years Attended	Degree Received
	-
	-
	-
	-
	-
I have attached a curriculum vitae     I have not attached a curriculum vitae

7. List academic distinctions or awards.

This includes grants, fellowships and assistantships.

I have attached a curriculum vitae     I have not attached a curriculum vitae

8. List your scholarly publications and presentations.

I have attached a curriculum vitae     I have not attached a curriculum vitae

9. Give present occupation and employment history.

Please include dates

I have attached a curriculum vitae     I have not attached a curriculum vitae

10. Proposed course of study and degree sought. *

11. State name of University or Institution. *
Please include person under whose direction you propose to carry out such study or research.
Name of University/Institution	Advisor
12. Commencement date *
/ /    dd / mm / yyyy

13. Describe your proposed plan of study or research.

In no more than 1 1/2 pages describe, for a multidisciplinary committee, your proposed plan of study or research.

I have attached a separate document.     I have not attached a separate document.

14. Give names and address of three persons who you have asked to supply supporting letters. *

Include all three letters of support (in sealed envelopes with the sponsor's signature across the seal) with your completed application. Two letters of support should normally be from persons under whom you have studied; the third may be from any other person.

Name Address

15. Outline briefly your plans for future career or profession. *

16. Feel free to provide any other information concerning academic or personal circumstances that would allow the Committee to evaluate your application.

17. File Attachment

1- Click on "Browse..." 2- Locate and select the appropriate files located on your computer. 3- Click "Open". (doc, docx, wpd - max. file sze = 2MB) If you do not wish to send files along with your application form, simply click on "No Attachments".

File #1 File #2 No Attachments

Date of submission - *

/ /    dd / mm / yyyy

Confirmation *

Please take a moment to review your answers, and to make any appropriate changes.

By submitting this form, I confirm the information provided is accurate and complete.

(Please be patient; submit the form only once)