In-School Scholarship Bursary Application Form

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In-School Scholarship Bursary Application Form Powered By Docstoc
					In-School Scholarship / Bursary
      Application Form

       2007 / 2008 School Year


Applications must be submitted to the counselling office on
               or before March 28, 2008

              Applications must be complete
Please Note: 1) Print legibly in ink.
             2) Be thorough, provide adequate detail to promote your
                achievements.
             3) Use this as a draft for other applications.

                          GENERAL INFORMATION


Legal Name:
                 Last                               First

Address:

Postal Code:                        Telephone #:

Birth Date:                        Citizenship:

Local KPSS Student Number:

S.I.N. _____________________________________________________________

PEN# _____________________________________________________________

Elementary School Attended in Grade 7:________________________________

Career Goal:

Alternate Career Goal:

Academic Goal:
                 (Institution)             (Program, degree, diploma etc.)


Languages:               Spoken         Written             Understood




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                    STUDENT FINANCIAL PLANNING NEEDS

Please indicate which type of financial aid you are interested in pursuing
(you may choose both):

       Scholarships (monetary or tuition credits)
          • academic performance
          • community and school involvement

       Bursaries   (monetary or tuition credits)
          • applicant must indicate clear academic goals
          • based on financial need

Please clarify your career / post-secondary plans and how you intend on paying for your
education. Include relevant information regarding your financial need. All personal
information will remain confidential.




                                                                                          3
                    SCHOOL AND COMMUNITY LEADERSHIP

School involvement (List any clubs, sports, committees, etc., and your role in each; then place
an “x” in the grade column indicating the year(s) of participation):
                                                                         # Hours Each Year
School Organizations/Activities                                          8    9   10 11 12




Provide additional details if necessary:




Community involvement (List volunteer work, programs, church, sports, etc. and your role in
each):

Community Organization/Activities                     Hrs/Week       Start & End    Estimated
                                                          or            Dates       Total # of
                                                      Hrs/Month     (month/year)     Hours
                                                            /       / -     /
                                                            /       / -     /
                                                            /       / -     /
                                                            /       / -     /
                                                            /       / -     /
                                                            /       / -     /
                                                            /       / -     /
                                                            /       / -     /

Provide additional details if necessary:




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                                   OTHER EXPERIENCES

List any awards, achievements, or scholarships you have received in past years:




List any additional training or certificates (e.g. Superhost, WorkSafe, Cadets, etc.)




                                     LETTER OF INTENT

Please attach a letter of intent, following the guidelines below:
       Typed, double-spaced, 12-point
       Maximum: 250 words
       Includes your name at the top or bottom
       Describe your post-secondary plans and how the scholarship will be of benefit to your
       education
       Tell us about yourself (dreams, aspirations, goals, challenges)
Style and content do matter, so do put some time into writing this, and consider asking
someone to proofread it for you.

                                   REFERENCE LETTERS

Attach 2 or 3 reference letters written by any of the following:
      Teacher(s)
      Supervisor (work, volunteer, community activity, church/temple, organization)

We recommend you use the “Request For A Letter of Reference” form, attached to this
application package. After filling it out, ask your counsellor to photocopy several copies for
you to give to the people who will be writing your references.

***It is important that you give people at least two weeks notice when
asking them to write you a reference. (Reference letters take a lot of
time to write, so thank-you notes are very important!)
                                                                                            5
                                           ÉCOLE SECONDAIRE
                                            KWANTLEN PARK
                                              SECONDARY

                              REQUEST FOR A LETTER OF REFERENCE

Your full name: _______________________________                    Student # __________________

To what organization is the reference going?      _______________________________________
______________________________________________________________________________

The purpose of the reference: (e.g. scholarship, job, etc.) ________________________________
______________________________________________________________________________
______________________________________________________________________________

What courses are you taking this year? (specify course name, grade level, and marks you get)

        ______________________________                     ______________________________
        ______________________________                     ______________________________
        ______________________________                     ______________________________
        ______________________________                     ______________________________


What extra-curricular activities, sponsored by Kwantlen Park Secondary are you involved in? (e.g. sports,
clubs, student council, etc.)

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

What other (non-school) activities are you involved in? (e.g. guides/scouts, sports, fine arts etc.)

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

What volunteer and /or leadership experience have you participated in (e.g. group leader, hospital, coaching
etc.) BE SPECIFIC

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

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Do you have a part-time job? If so, give length of service, job responsibilities etc.

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Circle any words below that might describe you in any of the above situations. Add other words that describe
you.

        Motivated        reliable       academic    sincere          cheerful
        enthusiastic     punctual       responsible energetic        takes initiative     dedicated
        risk taker       hardworking caring sociable         team player
                 excellent communication skills     flexible

Write a paragraph that describes you. Focus on the Positive!

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

What are your post-secondary plans? Are you attending university or college? What program do you intend
to study? What is/are your career goals at this time?

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Finally, if you have not attended Kwantlen Park Secondary since Grade 8, please outline what other school(s)
you have attended and when. Describe any extra-curricular activities, volunteer work, leadership
opportunities etc. in which you were involved.

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

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