Scholarship Applications

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PERSONAL AND CONTACT INFORMATION

Family Name*

Given Name(s)*

D.O.B*

MM slash DD slash YYYY

E-mail Address*

Telephone*

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Home Telephone

Mailing address while in School:*

Box Number or Street Address City Province Postal Code

Permanent/Home Mailing Address*

Same as Above

Box Number or Street Address City Province Postal Code

Best Method of Contact:*

Email Address

Permanent / Home Mail Address

Mailing Address while in School

APPLYING AS: Please refer to Guidelines and select category(s) for your application.^*

Applying As*

Post Secondary Student

Mature Student

Trades & Technologies Student

Are you applying for the Viking Masonic Lodge No. 175 Scholarship?*

Yes

High School or Homeschool from which you graduated:*

Have you resided in catchment area of Westshore Community Foundation for last 2 years?*

EDUCATION

Name of last school, college or university attended:*

From:*

DD slash MM slash YYYY

To:*

DD slash MM slash YYYY

Program of Study:*

Degree/Diploma/Certificate Granted*

Name of school, college or university you are attending this year:*

Start date for year:*

DD slash MM slash YYYY

Finish date for year:*

DD slash MM slash YYYY

Program of Study:*

Admission confirmed?*

Yes

What year of study are you entering?*

How many years to complete program?*

Degree/Diploma/Certificate at Completion:*

Career Goal:*

Number of credit hours this year:*

Full-time

Part-time

If Part-time, what portion of full-time credit hours will you complete this year?

All Applicants in 2^nd year or later must submit by application deadline:
OFFICIAL ACADEMIC TRANSCRIPT from the ADMISSIONS / REGISTRAR OFFICE
for the most recent year of study.

FINANCIAL

How do you plan to finance your education?

Do you pay rent or mortgage during the academic year?

Do you pay the cost to commute to school?

Do you have medical or disability costs beyond that of an average student? Please explain.

Do you support dependents?

Are you employed full or part-time during the academic year?

Are you employed full or part-time during academic breaks?

Will you be attending your chosen program of study if you do not receive a scholarship?

Briefly describe other expenses or other factors affecting your financial need:

LETTER OF APPLICATION

Applicant must submit by application deadline a LETTER OF APPLICATION of no more than 500 words that:

Summarizes your academic, career and future goals
Most importantly, describe your community, volunteer, student activities and leadership qualities
Summarizes your life experiences and challenges (if any) that you have faced in pursuing your education.

File*

Max. file size: 1 GB.

LETTERS OF REFERENCE AND TRANSCRIPT

Applicant must submit by application deadline 2 LETTERS OF REFERENCE:

An educator reference, employer reference and/or a reference from the community/volunteer sector
Please only submit references that are CURRENT, DATED AND SIGNED THIS YEAR.

File*

Max. file size: 1 GB.

Letter of reference

File*

Max. file size: 1 GB.

Second letter of reference

File*

Max. file size: 1 GB.

Upload a transcript

DECLARATION and CONSENT

Consent

I have read and fully understand the guidelines that govern the Westshore Community Foundation Inc. scholarship application and selection process, and I have provided answers to all questions which apply to me.

Consent

I understand that my application must include the following documents and be received at the Westshore Community Foundation Inc. administration office by the application deadline to be deemed complete and eligible for Westshore Community Foundation scholarships:

APPLICATION FORM completed, dated and signed
LETTER OF APPLICATION
2 LETTERS OF REFERENCE that are current, dated and signed this year.
Students in 2^nd year or later - OFFICIAL ACADEMIC TRANSCRIPT from the ADMISSIONS / REGISTRAR OFFICE for the most recent year of study.

Consent

I certify that all information contained on this form is truthful. I understand that any false statements intentionally given on this application, by email, or telephone will disqualify my application and will affect my ability to access future funding.

Untitled

Yes

I hereby give consent for Westshore Community Foundation Inc. to use / publish my name and relevant information on Westshore Community Foundation Inc’s website, in Westshore Community Foundation Inc.’s brochure, in the local newspaper, in Westshore Community Foundation Inc. donor communication for promotion and marketing or on social media.

Consent

I understand that successful applicants will be required to submit OFFICIAL PROOF OF ENROLMENT from the ADMISSIONS/REGRISTRAR OFFICE for next year of study to Westshore Community Foundation Inc. before receiving a scholarship award.

Consent

I will endeavor to attend the Westshore Community Foundation Inc. Scholarship Awards Ceremony held in October if selected.

Applicant’s Signature*

Date

DD slash MM slash YYYY

PERSONAL AND CONTACT INFORMATION

APPLYING AS: Please refer to Guidelines and select category(s) for your application.*

EDUCATION

All Applicants in 2nd year or later must submit by application deadline: OFFICIAL ACADEMIC TRANSCRIPT from the ADMISSIONS / REGISTRAR OFFICE for the most recent year of study.

FINANCIAL

LETTER OF APPLICATION

LETTERS OF REFERENCE AND TRANSCRIPT

DECLARATION and CONSENT

APPLYING AS: Please refer to Guidelines and select category(s) for your application.^*

All Applicants in 2^nd year or later must submit by application deadline:
OFFICIAL ACADEMIC TRANSCRIPT from the ADMISSIONS / REGISTRAR OFFICE
for the most recent year of study.