2011 - 2012 Scholarship Application Please complete the following form in full and please print legibly. Student Applicant Information Name: ________________________________________________________________ Home Address: _________________________________________________________ ______________________________________________________________________ Phone Number: _________________________________________________________ Educational Institution Information Name: ________________________________________________________________ Mailing Address: ________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Semester or Year Attending: ______________________________________________ College, Faculty or Course Attending: _______________________________________ The scholarship cheques will be made payable to the winning students and mailed to the address provided above. APTEA Member Information Name of APTEA Member: ________________________________________________ Employee Number: ______________________________________________________ Business Unit and Mail Code: ______________________________________________ How is the student related to the APTEA Member? _____________________________ By submitting this application we are certifying that the above information is valid and accurate and we authorize the APTEA Scholarship Committee to verify the above information at the addresses or numbers given. We hereby waive any privilege of confidentiality that may apply with respect to such information. Student Applicant Signature: ___________________ Date: ____________ Member Signature: ___________________________ Date: ____________ Please return the completed application form and proof of acceptance into full-time studies at an accredited post secondary institution to Vickie Megrath, APTEA Director, Transportation, Mail Code # 8067 By October 14, 2011, to be eligible for the 2011 - 2012 APTEA Scholarship draw. Scholarship Details Eligibility Requirements are noted below. Also, see the NOTE below regarding a TD Meloche Monnex scholarship. 1. The APTEA Scholarship, first awarded for the 1996 - 1997 academic year, was for one (1) $500.00 payment. In the 2008 – 2009 academic year there were four (4) $500.00 scholarships awarded based on a random selection from applications received by October 14, 2011, for that school year. 2. All applications will be date stamped when received and any applications that are incomplete or received after the due date will not be considered. 3. Financial need, academic standing and location of institution are not criteria for acceptance or refusal of any application into the random draw for the APTEA Scholarship. 4. The Scholarship Committee of the Association will draw for the scholarships at the 2011 APTEA Annual General Meeting. The date of the meeting is Wednesday, November 2, 2011 at Fort Calgary. 5. APTEA will advertise the availability of the scholarships each year to its members by way of the newsletter, internal office mail or by any other methods available. Eligibility Requirements 1. Applicant may be a voting APTEA member, the legal spouse, dependant child / grandchild under the age of 25 of an eligible APTEA member providing that the member has been a paid member for at least 12 months prior to the application deadline. Proof of relationship may be required. 2. The Applicant must show proof of acceptance, in writing, into full-time studies at an accredited post secondary institution (university, trade or technical school) for the current year. 3. Applicants should keep a copy of all forms or letters submitted and return the original signed application form to the Scholarship Committee c/o: Vickie Megrath, APTEA Director Transportation Mail Code # 8067 4. The winners will be notified in writing and cheques issued to the winning students. 5. The scholarship winners’ names as well as the APTEA members’ names will be published on the APTEA website www.APTEA.org as soon as possible after the draw takes place. 6. If you have any questions, please email APTEA@shaw.ca NOTE: TD Meloche Monnex, a Value Added Benefit sponsor to APTEA, has provided an additional $300 scholarship. The winner will be drawn from all applications received. Eligibility requirements for the TD Meloche Monnex scholarship are the same as the APTEA scholarship.
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