Girl Guides of Canada-Guides du Canada - PDF - PDF

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                                GIRL GUIDES OF CANADA-GUIDES DU CANADA
                                ONTARIO COUNCIL SCHOLARSHIP PROGRAM

                                                            APPLICATION
                                        Mail directly to:
                                                Girl Guides of Canada-Guides du Canada
                                                Ontario Council Scholarship
                                                14 Birch Avenue, Toronto, ON M4V 1C8


Please print clearly or type.
1. Applications must be completed correctly
2. Applications will not be considered if incorrectly filled out or if extra information/material is submitted.
3. The completed Application, which includes the two confidential reference letters must be received at Ontario Council
    no later than March 1.
                   April
4. This scholarship is conditional on acceptance to the program of the applicant’s choice and will only be awarded when
    the Girl Guides of Canada-Guides du Canada has been notified of this acceptance.


Name: ______________________________________________________ iMIS Member # _______________________
                (First name) (Middle name, if applicable)      (Family name)                                 (if known)

Address:_________________________________________________________________________________________


Telephone # (_____)_______________________                                          Fax # (_____)___________________________

Date of Birth: _____/____/____/               E-mail address: ___________________________________________________
                 d    m    y

Canadian Educational Institution currently attending: _______________________________________________________

Canadian Educational Institution proposed attendance: ____________________________________________________

Program/Course: __________________________________________________________________________________


Year Entering: [ ] 1st    [ ] 2nd [ ] 3rd [ ] 4th [ ] Post-Graduate [ ] Other: _____________________________________
                                                                                                 (Explain)

Present Position in Guiding: [ ] Guider [ ] Cadet [ ] Ranger            [ ] Junior Leader [ ] Link [ ] Lone

                               [ ] Other: _________________________________________________________________
                                                                        (Explain)


Experience in Girl Guides of Canada-Guides du Canada:
[ ] Sparks [ ] Brownie [ ] Guide [ ] Pathfinder [ ] Ranger [ ] Cadet [ ] Junior Leader [ ] Guider
[ ] Link     [ ] Lone       [ ] Other:                ___________________________________________________
                                                                                                 (Explain)

Give highlights of experience and positions held (including level of achievement): _______________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________
Girl Guides of Canada-Guides du Canada
Ontario Scholarship Program
Application

Service/Volunteer Involvement (Include inside and outside of Guiding): ___________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

Additional Interests and Activities (outside of Guiding): _________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

Employment History: ______________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

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In 100 words or less, explain what being a member of Girl Guides of Canada means to you. __________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

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Girl Guides of Canada-Guides du Canada
Ontario Scholarship Program
Application

If you were a member of Ontario Council, what would be your three priorities?

1) ______________________________________________________________________________________________

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

2) ________________________________________________________________________________________________________

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

3) ______________________________________________________________________________________________

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________


List the names, addresses and phone numbers of the two people you asked for confidential references. Do not
include relatives.

Confidential reference #1: ____________________________________________________________________________

Confidential reference #2: ____________________________________________________________________________

Enclosed are:     [ ] Photocopy of previous year’s final marks
                  [ ] Signed reference #1 in sealed envelope
                  [ ] Signed reference #2 in sealed envelope

If I am an award recipient, I will agree to the General Guidelines of the Scholarship Program.

___________________________________________________                       ______________________________________
Signature of Applicant                                                                 Date
                                                                                                           CNCL003-01
                                                                                                 Revised February 2004




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