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Annual Scholarship Application

The Right Honourable Don Mazankowski Scholarship

$2000.00

Helping youth achieve their educational goals and aspirations Background Information Personal Data

The Right Honourable Don Mazankowski Scholarship was founded in honour of and as a tribute to an outstanding Mr. Mrs. Miss Ms. businessman, parliamentarian, cabinet minister, Deputy Prime Minister, and friend. Don has earned the respect of Surname Canadians for his distinctive contribution to the Canadian way of life. This scholarship is designed to encourage students who have Given Name(s) attained exceptional academic and citizenship qualities to achieve their educational goals and aspirations. Maiden Name (if applicable) Selection of recipients is based on academic achievement as well as citizenship including leadership, community involvement, and participation in organizations. Social Insurance Number In 2008, the University of took over the administration of these awards. Name of Spouse (if applicable)

Eligibility Criteria « Length of Residency (in the geographic area defined) Applicants must be residents of the geographic area defined below for a minimum of two years prior to Birth Date: application deadline.

« The geographic area is defined as the rural municipalities Day Month Year and all cities, towns, villages, and First Nations and Métis settlements within the boundaries of: Email • • MD of Wainwright • County • • Beaver County • MD of Provost Permanent Mailing Address • County of Minburn • • County of Two Hills • MD of Bonnyville • County of St. Paul • County of Paintearth • County of Vermilion River

The boundary includes all areas that were at any time part of

the Federal Constituency. Postal Code « Telephone The applicant must be enrolled in a program that has a minimum of five months duration at a post-secondary

educational institution. « Present Mailing Address An applicant may receive this scholarship only once.

Application Procedures « An official high school transcript must accompany the Postal Code application. In the case of a student who is beyond their first post-secondary year, applications must be accompanied Telephone by a current post-secondary transcript as well as a high

school transcript. « Applicants must submit three letters of reference with Proposed Post-Secondary Studies

their application. « Educational Institution Applications must be in English. This includes reference Degree or Diploma

letters and any other supporting materials. « The deadline for receipt of fully completed applications, Length of Program including transcripts and letters of reference, is February Commencement Date 28th, 2021. Incomplete applications will not be considered. Expected Completion Date Achievements Educational History Personal Experiences Present and Previous Educational Please outline any leadership, community Institutions (including high school) involvement, participation in organizations, etc. Attach additional sheets if necessary. Name of Institution Program Taken Year or Years

Name of Institution Program Taken Year or Years

Declaration of Applicant

This is to certify that I have read and understand the instructions and information supplied, and hereby make application for the Right Honourable Other Information Don Mazankowski Scholarship.

Please list any other pertinent information that I hereby declare that I: you believe will be of benefit to the Scholarship • satisfy all eligibility criteria as set out in this Selection Committee. application • have answered all questions honestly and to the best of my knowledge • grant the selection committee permission to request and receive information pertaining to my previous education • acknowledge the decision of the selection committee to be final

Signature of Applicant

Date Checklist Completed Applications MUST be mailed to: Please ensure all criteria are met before sending your application. , Augustana Campus Augustana Award and Financial Aid Office Applicant is a resident (by home address) The Right Honourable Don Mazankowski Scholarship in the geographic area defined as the rural 4901 - 46 Avenue municipalities and all cities, towns, villages, and Camrose, Alberta T4V 2R3 First Nations and Métis settlements within the boundaries of (check below):

• Lamont County • MD of Wainwright • Smoky Lake County • Flagstaff County • Beaver County • MD of Provost • County of Minburn • Camrose County • County of Two Hills • MD of Bonnyville • County of St. Paul • County of Paintearth • County of Vermilion River

The boundary includes all areas that were at any time part of the Vegreville Federal Constituency.

Applicant is enrolled in a program that has a minimum of five months duration in a post-secondary institution.

Applicant has not received this scholarship before.

Applicant has enclosed three letters of reference (or has arranged for these to be mailed directly from reference).

Applicant has enclosed official transcript from high school and their post-secondary official transcript (for those who are beyond their first year) or has made arrangements for transcripts to be mailed directly from the institution.

Applicant has ensured their application, reference letters, and any other supporting materials are in English.

The deadline for receipt of fully completed applications, including transcripts and letters of reference, is February 28th, 2021. Incomplete applications will not be considered.