Scholarship for Post-Secondary Education 2016-2017

SCHOLARSHIP FOR POST-SECONDARY EDUCATION 2016-2017 The Canadian Federation of University Women (CFUW) - Milton and District presents annual scholarships to female high school graduates proceeding to post-secondary education at the university, college or trade schools. Applicants must demonstrate academic achievement, and outstanding leadership and citizenship qualities both in school and the community. Candidates must live in Milton or attend a school in Milton.

Please check appropriate box:  University  College  Trade School

PERSONAL INFORMATION Name Address Postal Code Phone Email High School presently attending

POST SECONDARY PLANS Names of post-secondary programs and schools to which you have applied (attach a separate page if necessary).

1. ______2. ______3. ______

ACADEMIC ACHIEVEMENT  Attach an up-to-date transcript of your credits (Grade 11 marks and Grade 12 first semester marks). A final transcript may be requested.

VOLUNTEER SERVICE  Please list on a separate page your volunteer service to the community and/or school using the following or similar format. Identify your mandatory 40 hours with an asterisk. *

Activity/Organization Responsibilities Length of Service Total Hours Month/Year – Month/Year

Grand total of all non-mandatory hours

P.O.Box 51023, RPO Milton Central, Milton ON, L9T 2P2 [email protected] www.cfuwmilton.ca EMPLOYMENT  List paid employment positions (part-time and full-time jobs) on a separate page using the following or similar format.

Type of work Employer Length of Employment Average number of Month/Year – Month/Year hours/week

AWARDS/CERTIFICATES  List all awards or certificates you have received on a separate page using the following or similar format.

Award/Certificat School or Community Brief description Year e

EXTRA-CURRICULAR ACTIVITIES  List all extra-curricular activities at school on a separate page using the following or similar format.

Activity Description of activity (eg., Length of activity Average number of sports, clubs, arts, etc.) Month/Year – Month/Year hours/week

ESSAYS  Describe (in 250 words or less) your involvement in school and community activities in which you have made a positive contribution. What did you accomplish, and in what way was this meaningful to you?  Describe (in 200 words or less) one specific example of your leadership ability and experience. Note reference will be asked to confirm.  What do you know about the CFUW? How did you find out about this scholarship?

REFERENCES Please include two letters of reference from the school or community organizations where you have volunteered.

Name Phone Organization/School

P.O.Box 51023, RPO Milton Central, Milton ON, L9T 2P2 [email protected] www.cfuwmilton.ca General Information to be provided by you to the individuals writing your confidential letters of reference.

In selecting the recipient of any Canadian Federation of University Women – Milton scholarship, we are looking for a student who has demonstrated more than just high academic achievement. We are interested in a student who has demonstrated outstanding leadership skills and a commitment to their school and community.

Please tell us how you have come to know this student and how you feel this student satisfies the criteria for this award. Please provide specific examples where possible. The letter of reference should be sealed and returned to the candidate. Thank you for your interest and help.

I certify that all information I have provided in this application is true and complete to the best of my knowledge. I GIVE PERMISSION, if selected as a scholarship winner, for CFUW Milton to release in print and/or electronically and post on the CFUW website – my name, photo, current educational institution, chosen university/college/trade school and course of study, amount of scholarship, leadership achievements, and community service contributions. I GIVE PERMISSION for the Awards Selection Committee to contact high school officials for additional academic information. All other personal information will be held in strictest confidence by the Awards Selection Committee.

______Signature of Student Date

______Signature of Parent/Guardian Date

______Signature of Principal/Teacher Date

Send completed applications to: Chair, Awards Committee, C.F.U.W. - Milton and District P.O. Box 51023 RPO Milton Central Milton ON L9T 2P2

Note: Applications must be postmarked no later than March 31, 2017.

Confidentiality: The information collected from this application form will be used by CFUW Milton & District for the sole purpose of selection of award recipients and will be destroyed within 1 year of receipt. The information will not be sold, loaned or provided in any way to another organization without written consent.

P.O.Box 51023, RPO Milton Central, Milton ON, L9T 2P2 [email protected] www.cfuwmilton.ca