{"id":13508,"date":"2024-08-09T15:35:49","date_gmt":"2024-08-09T19:35:49","guid":{"rendered":"https:\/\/carleton.ca\/esp\/?page_id=13508"},"modified":"2026-08-14T10:22:29","modified_gmt":"2026-08-14T14:22:29","slug":"esp-entrance-bursary-application-form","status":"publish","type":"page","link":"https:\/\/carleton.ca\/esp\/esp-entrance-bursary-application-form\/","title":{"rendered":"ESP Entrance Bursary Application Form"},"content":{"rendered":"\n<section class=\"w-screen px-6 cu-section cu-section--white ml-offset-center md:px-8 lg:px-14\">\n    <div class=\"space-y-6 cu-max-w-child-5xl  md:space-y-10 cu-prose-first-last\">\n\n            <div class=\"cu-textmedia flex flex-col lg:flex-row mx-auto gap-6 md:gap-10 my-6 md:my-12 first:mt-0 max-w-5xl\">\n        <div class=\"justify-start cu-textmedia-content cu-prose-first-last\" style=\"flex: 0 0 100%;\">\n            <header class=\"font-light prose-xl cu-pageheader md:prose-2xl cu-component-updated cu-prose-first-last\">\n                                    <h1 class=\"cu-prose-first-last font-semibold !mt-2 mb-4 md:mb-6 relative after:absolute after:h-px after:bottom-0 after:bg-cu-red after:left-px text-3xl md:text-4xl lg:text-5xl lg:leading-[3.5rem] pb-5 after:w-10 text-cu-black-700 not-prose\">\n                        ESP Entrance Bursary Application Form\n                    <\/h1>\n                \n                                \n                            <\/header>\n\n                    <\/div>\n\n            <\/div>\n\n    <\/div>\n<\/section>\n\n\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">ESP Entrance Bursary application<\/h2>\n                            <p class='gform_description'>These bursaries are only available to students entering the ESP<\/p>\n                        <\/div><form class='not-prose' method='post' enctype='multipart\/form-data'  id='gform_13'  action='\/esp\/wp-json\/wp\/v2\/pages\/13508' data-formid='13' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_13' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_13_29\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_29'><span class='gform-field-label__text'>URL<\/span><\/label><div class='gfield_description' id='gfield_description_13_29'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_29' id='input_13_29' type='text' value='' autocomplete='new-password'\/><\/div><\/div><fieldset id=\"field_13_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_13_1'>\n                            \n                            <span id='input_13_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_13_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_1.3' id='input_13_1_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_13_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_13_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_1.6' id='input_13_1_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_13_26\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_26'><span class='gform-field-label__text'>Carleton student number:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_13_26' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_13_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_2'><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_13_2' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_13_28\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>I would like to be considered for the following bursaries:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_13_28'>You may select multiple options<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox gfield_choice--select_all_enabled' id='input_13_28'><div class='gchoice gchoice_select_all'>\n\t\t\t\t\t\t<input class='gfield-choice-input gfield_choice_all_toggle' type='checkbox' id='choice_28_select_all'  aria-describedby=\"gfield_description_13_28\" onclick='gformToggleCheckboxes( this )' onkeypress='gformToggleCheckboxes( this )'  \/>\n\t\t\t\t\t\t<label for='choice_28_select_all' id='label_28_select_all' class='gform-field-label gform-field-label--type-inline' data-label-select='Select All''>Select All<\/label>\n\t\t\t\t\t<\/div><div class='gchoice gchoice_13_28_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.1' type='checkbox'  value='Conley-Seguin Bursary for students entering the ESP Business Stream'  id='choice_13_28_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_28_1' id='label_13_28_1' class='gform-field-label gform-field-label--type-inline'>Conley-Seguin Bursary for students entering the ESP Business Stream<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_28_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.2' type='checkbox'  value='ESP Chicken and Boots Bursary for Students Facing Homelessness'  id='choice_13_28_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_28_2' id='label_13_28_2' class='gform-field-label gform-field-label--type-inline'>ESP Chicken and Boots Bursary for Students Facing Homelessness<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_28_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.3' type='checkbox'  value='ESP Merkley-Haight Bursary'  id='choice_13_28_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_28_3' id='label_13_28_3' class='gform-field-label gform-field-label--type-inline'>ESP Merkley-Haight Bursary<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_28_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.5' type='checkbox'  value='Marjorie Lilian Ward Bursary'  id='choice_13_28_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_28_4' id='label_13_28_4' class='gform-field-label gform-field-label--type-inline'>Marjorie Lilian Ward Bursary<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_28_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.4' type='checkbox'  value='Anna and Jonathan Ferrabee Bursary'  id='choice_13_28_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_28_5' id='label_13_28_5' class='gform-field-label gform-field-label--type-inline'>Anna and Jonathan Ferrabee Bursary<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_28_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.6' type='checkbox'  value='Dr. Ted Hannah ESP Bursary'  id='choice_13_28_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_28_6' id='label_13_28_6' class='gform-field-label gform-field-label--type-inline'>Dr. Ted Hannah ESP Bursary<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>More about you:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_13_15'>Have you participated in any of the following? Participants may be prioritized for certain bursaries. <\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_13_15'>\n\t\t\t<div class='gchoice gchoice_13_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Harvest House'  id='choice_13_15_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_13_15\"   \/>\n\t\t\t\t\t<label for='choice_13_15_0' id='label_13_15_0' class='gform-field-label gform-field-label--type-inline'>Harvest House<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Ottawa Pathways to Education Program'  id='choice_13_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_15_1' id='label_13_15_1' class='gform-field-label gform-field-label--type-inline'>Ottawa Pathways to Education Program<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_15_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Pathways to Education program outside of Ottawa'  id='choice_13_15_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_15_2' id='label_13_15_2' class='gform-field-label gform-field-label--type-inline'>Pathways to Education program outside of Ottawa<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_15_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='This does not apply to me'  id='choice_13_15_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_15_3' id='label_13_15_3' class='gform-field-label gform-field-label--type-inline'>This does not apply to me<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_25\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Have you experienced homelessness?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_13_25'>Note: The Chicken and Boots bursary was created for students who have experienced homelessness.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_13_25'><div class='gchoice gchoice_13_25_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.1' type='checkbox'  value='Yes'  id='choice_13_25_1'   aria-describedby=\"gfield_description_13_25\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_13_25_1' id='label_13_25_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_25_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.2' type='checkbox'  value='No'  id='choice_13_25_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_25_2' id='label_13_25_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Student program<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_13_6'>This bursary is for students currently enrolled in the Enriched Support Program (ESP). Please confirm that you will be an ESP student this fall:<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_13_6'>\n\t\t\t<div class='gchoice gchoice_13_6_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='I am a current ESP student'  id='choice_13_6_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_13_6\"   \/>\n\t\t\t\t\t<label for='choice_13_6_0' id='label_13_6_0' class='gform-field-label gform-field-label--type-inline'>I am a current ESP student<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_13_17\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_17'><span class='gform-field-label__text'>I am studying in the following ESP stream:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_13_17' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Arts &amp; Social Sciences' >Arts &amp; Social Sciences<\/option><option value='Business' >Business<\/option><option value='Computer Science' >Computer Science<\/option><option value='Engineering' >Engineering<\/option><option value='Science' >Science<\/option><\/select><\/div><\/div><fieldset id=\"field_13_16\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Funding source(s):<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_13_16'>Please indicate what type(s) of funding you are currently receiving, if applicable. Check all that apply.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_13_16'><div class='gchoice gchoice_13_16_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.1' type='checkbox'  value='OSAP (Ontario Student Assistance Program)'  id='choice_13_16_1'   aria-describedby=\"gfield_description_13_16\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_13_16_1' id='label_13_16_1' class='gform-field-label gform-field-label--type-inline'>OSAP (Ontario Student Assistance Program)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_16_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.2' type='checkbox'  value='Provincial\/territorial loan program (outside Ontario)'  id='choice_13_16_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_16_2' id='label_13_16_2' class='gform-field-label gform-field-label--type-inline'>Provincial\/territorial loan program (outside Ontario)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_16_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.3' type='checkbox'  value='Bursary\/bursaries'  id='choice_13_16_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_16_3' id='label_13_16_3' class='gform-field-label gform-field-label--type-inline'>Bursary\/bursaries<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_16_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.4' type='checkbox'  value='Other'  id='choice_13_16_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_16_4' id='label_13_16_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_13_4\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_4'><span class='gform-field-label__text'>Funding &#8211; details<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_13_4'>Please let us know more about your funding situation. Have you applied for student loans and bursaries? Why or why not? \n(1000 characters, or approx. 300 words max.)<\/div><div class='ginput_container ginput_container_textarea' data-text-counter-max='1000' data-text-counter-template='{current} of {max} max characters'><textarea name='input_4' id='input_13_4' class='textarea medium'  aria-describedby=\"gfield_description_13_4\" maxlength='1000'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_13_9\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_9'><span class='gform-field-label__text'>Personal statement<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_13_9'>Please let us know why you are applying for this bursary and how it would help. \nIf you wish to be considered for the Chicken and Boots Bursary for Students for students facing homelessness, please let us know more about your experience of homelessness. \n(1000 characters, or approx. 300 words max.)<\/div><div class='ginput_container ginput_container_textarea' data-text-counter-max='1000' data-text-counter-template='{current} of {max} max characters'><textarea name='input_9' id='input_13_9' class='textarea large'  aria-describedby=\"gfield_description_13_9\" maxlength='1000'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_13_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Consent to share information with donors<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_13_24'>Are you willing to share a brief outline of your circumstances with the donor(s) who created the award, if you are selected?<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_13_24'>\n\t\t\t<div class='gchoice gchoice_13_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Yes'  id='choice_13_24_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_13_24\"   \/>\n\t\t\t\t\t<label for='choice_13_24_0' id='label_13_24_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='No'  id='choice_13_24_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_24_1' id='label_13_24_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_14\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Consent<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_13_14'><div class='gfield_consent_description_text' tabindex='0'>Personal information collected through this application will be used and disclosed by Carleton University under the authority of the Carleton University Act, 1952, and in accordance with sections 39, 41 and 42 of Ontario\u2019s Freedom of Information and Protection of Privacy Act. The information provided will not be used for any purposes other than those stated upon this form. By submitting this application, you agree that this information may be shared with the Centre for Initiatives in Education awards committee, which includes a representative from the Ottawa Pathways to Education program. 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