Attestation Form
pom your completed form University
ing Undergraduate Student Profile of Windsor
Student Awards & Financial Aid
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UNIVERSITY OF weno STUDER ——_____ ~
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cry, PONCE PORTALCODE: 7 EMAIL ADDRESS: a
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waged member ofa FIRST Robotics Competition team for atleast one year of my secondary
! confirm that | was an active and en,
studies.
TeamName: E.J, Lajeunesse
Team Number: 5426
(Year) semester at the University of Windsor and would like to
| am planning to register as a full-time student in the Fail 202
Provided confirmation below from my team mentor and |
bbe considered for a FIRST Robotics Competition Scholarship. | have
‘agree that you may confirm this information with them.
07-20-2021
| sudenesstnanre, BC Oa
pd meer fs PAST Robt Conpetion am and
| confirm that the above-named student has been an active and eng:
above.
pate; 07-20-2021
FRSTNAME ir
Lead Mentor imi
rice RE IO-8157 EMAL ADRES haueliam @cscprovidence ca
‘windsor is committed to the protection of privacy and confidentiality of alls constituents. The
istered by the
‘ofthe University of Windsor Act, 1962 and is collected for the purposes of adminis
The University of \
hod Colleges & Universities and any other need-based financial assistance as admir
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we Windsor, ON N98 3°4.
‘Director, Student Awards & Financial Aid, 401 Sunset Ave. rn
‘Ao Sunset Avenve, Windsor, ON N9B3P4 (Chrysler Hall Tower,
“htto-//Awewwindsor ca/studentawards