artsci@camosun.ca Fisher 104 ∙ Lansdowne Campus 3100 Foul Bay Road ∙ Victoria, BC ∙ V8P 5J2
APPLICATION FORM
All ARTS & SCIENCE Awards – Deadline: May 15th at 4 pm
WITH THE EXCEPTION OF:
ENVIRONMENTAL TECHNOLOGY and PHYSICS Awards - Deadline: June 25th at 4 pm
Heather Lewis Associate Degree in Arts & Science - Deadline: First Tuesday of September each year
TECTORIA Video Game Industry Award for Artists - Deadline: First Tuesday of September each year
(If May 15th or June 25th falls on a weekend, the deadline will be the preceding Friday)
Please complete all information and return with required criteria to the School of Arts & Science.
Separate forms are required for each award or scholarship application.
PROGRAM OF STUDY CURRENTLY REGISTERED IN:
 ASSOCIATE DEGREE/UNIVERSITY TRANSFER  CAREER PROGRAM
AWARD INFORMATION
Award / Scholarship Name
Names of two (2) Camosun College
Faculty References*
1.
2.
(unless otherwise noted on Criteria Sheet)
* Two faculty members who taught you during your most recent academic year at Camosun College
APPLICANT INFORMATION
First Name &
Middle Initial
Last Name
SIN
#
Student #
C
Street Address
City/ Postal Code
Telephone #
(include area code)
Email
UNLESS OTHERWISE INDICATED:



Awards & Scholarships are presented at the annual School of Arts & Science Awards Ceremony held
in early November.
Awards & scholarships are for course work completed by April 30th.
Due to the large volume of applications received, only award winners will be contacted.
Questions? Contact Department/Program Chair or Arts & Science 250-370-3298 ∙ artsci@camosun.ca
Revised: August 2015