Only the Current October 2012 Application Form Will Be Accepted

BC Council Bursary and Bursary Of Honour/ Eve Pound Scholarship/Margery Dumfries Scholarship Application Form

ONLY THE CURRENT APPLICATION FORM (OCTOBER 2017) WILL BE ACCEPTED

Ensure that you have fulfilled all the bursary or scholarship criteria before applying. This is an interactive form that must be completed electronically. First save the document to your computer, complete the form and again save the document to your computer (some computer operating systems may lose data or cause formatting issues if the document is not saved), print it, and then mail, courier or hand deliver to the address listed below. Note: Arial 11 should be used on all documents. Applications using a smaller size font may not be considered. Application form should be printed single-sided. Application and supporting documents should be saved electronically or in hard copy in case of loss. Remember to sign and date your application. Electronic signatures will not be accepted.

LATE APPLICATIONS WILL NOT BE CONSIDERED.

APPLICATIONS MUST BE RECEIVED BY MAIL, COURIER OR HAND DELIVERY (FAXES AND E- MAILS WILL NOT BE ACCEPTED) AT THE FOLLOWING ADDRESS NO LATER THAN 4:00 p.m., MARCH 15:

BC Council Bursaries, Grants and Scholarships Provincial Awards Committee Girl Guides of Canada, BC Council 1476 West 8th Avenue Vancouver, BC V6H 1E1

*If the deadline falls on a weekend, applications will be accepted until 4:00 p.m. on the first business day following that date.

APPLICANT First Name Last Name iMIS#

Street Address City Province Postal Code

Home Telephone Cell Email

Birth Date (mm/dd/yyyy) Guiding Area Area Commissioner’s Name

EDUCATION Current school Present grade

Proposed post-secondary institution

Field of study

Certificate ☐ Diploma ☐ Degree ☐

We protect and respect your privacy. Your personal information is used only for the purposes stated on or indicated by the form. For complete details, see our Privacy Statement at www.girlguides.ca or contact your provincial or national office.

BC Council Bursary and Bursary of Honour/Eve Pound Scholarship/Margery Dumfries Scholarship Application Form – October 2017 Page 1 of 4 BC Council Bursary and Bursary Of Honour/ Eve Pound Scholarship/Margery Dumfries Scholarship Application Form

APPLICANTS WILL BE CONSIDERED FOR ALL BURSARIES AND SCHOLARSHIPS:

Margery Dumfries Scholarship – For those planning to attend a recognized post-secondary institution such as a college, technical school or university in Canada. Preference will be given to applicants showing a background, interest and /or prospective career in the sciences, engineering or agriculture . This scholarship is conditional upon acceptance at the post-secondary institution of the recipient’s choice.

Eve Pound Scholarship – For those enrolling in a course at a degree granting college or institution in Canada. This scholarship is conditional upon acceptance at a degree granting college or institution in Canada of the recipient’s choice.

BC Council Bursary and Bursary of Honour – For those planning to attend a public or private post- secondary institution (all fields of study are eligible). The bursary is conditional upon acceptance at the post- secondary institution of the recipient’s choice.

INVOLVEMENT IN BC GUIDING (2 points) Give dates: Pathfinders to Rangers to Other to Number of years in each branch: Sparks Brownies Guides Pathfinders Rangers Trex Other

EXPERIENCES WITHIN GUIDING, WITHIN THE LAST THREE YEARS (10 points) Tell us about any special experiences you have had outside of normal program work. (List any awards earned, positions held, participation at national or international camps/events, unit helper, etc.) (5 points) (150 word maximum)

Briefly describe your most memorable experience within Guiding. (5 points) (150 word maximum)

SERVICE/VOLUNTEER INVOLVEMENT ORGANIZED WITHIN GUIDING, WITHIN THE LAST THREE YEARS (3 points) List in point form dates served, and hours per year (examples might include, but are not limited to: selling poppies and daffodils, visiting seniors, Great Canadian Shoreline Clean-up, Pitch-In, etc.).

EXPERIENCES AND ACTIVITIES OUTSIDE OF GUIDING, WITHIN THE LAST THREE YEARS (23 points) List and define, in point form, your leadership roles within the last three years: (examples might include, but are not limited to: school clubs, community organizations) (10 points)

List, in point form, community involvement, including approximate hours. (5 points)

BC Council Bursary and Bursary of Honour/Eve Pound Scholarship/Margery Dumfries Scholarship Application Form – October 2017 Page 2 of 4 BC Council Bursary and Bursary Of Honour/ Eve Pound Scholarship/Margery Dumfries Scholarship Application Form

List, in point form, special recognition (non-academic) received for school or community involvement. (5 points)

List, in point form, hobbies/special interests/music/sports. (3 points)

EMPLOYMENT WITHIN THE LAST THREE YEARS (3 points) List, in point form, type of employment including duration and average hours per week.

STATEMENT ON GUIDING - FUTURE CAREER PLANS (30 points) Explain how your Guiding membership, knowledge, and experiences have impacted you and others around you. Describe your most significant Guiding achievement to date, briefly indicate why that achievement was of value to you and why it might have been of value to others around you. (125 words maximum) (10 points)

Explain how your Guiding membership, knowledge, and experiences have impacted you and others around you. Describe a situation from your Guiding life in which you either initiated an important undertaking or were called upon to be a leader. How did you respond to that situation? What did you learn from the experience you had in the capacity of initiator and/or leader? (125 words maximum) (10 points)

Explain how your Guiding membership, knowledge, and experiences have impacted you and others around you. Explain how Guiding has enriched your life and influenced your future plans. (125 words maximum) (10 points)

ACADEMIC ACHIEVEMENTS – For Eve Pound and Margery Dumfries Scholarships Only (15 points) List special recognition received during your high school years (i.e. academic awards, certificates, special academic achievements). Enclose an unofficial BC Ministry of Education Transcript of Grade 11 and 12 courses completed to date, including letter grades and a photocopy of the interim report, including current marks and term letter grades.

REFERENCES Please provide the names of two references who are not relatives or someone with whom you reside (one from someone not involved in Guiding, and one from an adult Guiding member). Provide a hard copy of the BC Bursaries, Grants and Scholarships Reference Form, and the criteria for the bursary and/or scholarship(s) for which you are applying, to each of your referees. (Incorrect reference letters or forms will result in disqualification of the application.)

BC Council Bursary and Bursary of Honour/Eve Pound Scholarship/Margery Dumfries Scholarship Application Form – October 2017 Page 3 of 4 BC Council Bursary and Bursary Of Honour/ Eve Pound Scholarship/Margery Dumfries Scholarship Application Form

REFERENCE: From someone not involved in Guiding (10 points) First Name Last Name

Occupation/Relationship

REFERENCE: From an adult Guiding member (15 points) First Name Last Name

Position in Guiding Guiding Area

I HAVE ENCLOSED THE FOLLOWING DOCUMENTS WITH THE APPLICATION: Check the box where applicable  Two BC Bursaries, Grants and Scholarships Reference Forms (one reference from an adult Guiding member and one reference from someone not involved in Guiding.) These are the only reference forms that will be accepted. Reference forms must be signed and dated.

As I am also being considered for the Eve Pound Scholarship and/or Margery Dumfries Scholarship, I have also included:  An unofficial BC Ministry of Education Transcript of Grade 11 and 12 courses completed to date, including letter grades.

 A photocopy of interim report, including current marks and term letter grades.

HOW DID YOU HEAR ABOUT THIS BURSARY/SCHOLARSHIP How or where did you find information about Girl Guides of Canada Bursaries, Grants and Scholarships in BC?

APPLICANT’S SIGNATURE DATE SIGNED (MM/DD/YYYY)

BC Council Bursary and Bursary of Honour/Eve Pound Scholarship/Margery Dumfries Scholarship Application Form – October 2017 Page 4 of 4