2016 scholarship application form

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SCHOLARSHIP APPLICATION
Life as a student is not easy. Maybe you’re stressed about deadlines, exams, or
finances? There can be many factors that cause you to worry. Pink Pearl
Foundation wants to help! We recognize what it’s like to be a student and know
that extra funds can go a long way.
With all of the trials and tribulations in your life, you managed to get accepted to
a college or university program! Congratulations! And through it all, you remain
positive, active and inspirational. Quite simply, you amaze us!
In 2016, Pink Pearl Foundation will give away a $1000 scholarship to a young
woman who has been diagnosed with cancer; is involved in her community; and is
enrolled in a post-secondary institution for September 2016.
Please fill out the application below and submit to info@pinkpearlfoundation.org
by Sunday, March 13, 2016.
We wish you the best of luck!
Pink Pearl Foundation is a not-for-profit organization that brings together young women who are affected by
cancer through a network of peer-support and innovative programs. The concept of the Foundation was developed
by Elise Gasbarrino while undergoing ovarian cancer treatment during her time in univeristy. She felt there was a
certain element missing from her experience - a connection with other women her own age, facing the same issues
and conquering them together.
www.pinkpearlfoundation.org
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SCHOLARSHIP APPLICATION
PLEASE READ ALL DIRECTIONS CAREFULLY:
Application Deadline: Sunday, March 13, 2016
Inquiries and completed applications can be sent to:
info@pinkpearlfoundation.org
(You will receive email confirmation that your application has been received. If you do not receive this email within
24 hours of submission, please contact elise@pinkpearlfoundation.org)
Scholarship Amount: $1000
Scholarship Criteria:
1. You have been diagnosed with cancer and are between the ages of 18 – 40
2. You are/will be attending a post-secondary institution, as a full-time or part-time
student, in September 2016 (if not currently enrolled at a post-secondary institution, the
scholarship is contingent on acceptance to a post-secondary institution by July 1, 2016)
3. You are involved in extracurricular activities (i.e at school or in your community)
* Those enrolled in Continuing Education courses are not eligible.
Supplemental Information Required:
1. Submit a letter of recommendation outlining your character and outstanding
contributions made within your school or community;
2. Attach a copy of your most recent transcript (high school or post-secondary)
3. Attach a copy of the letter of acceptance or confirmation of enrollment from the college
or university you are/will be attending in September 2016.
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SCHOLARSHIP APPLICATION
PERSONAL INFORMATION:
Name: ___________________ _________________ __________
Last
First
MI
Address: _______________________ _______________
Street
_________________ __________
City
Province
Postal Code
Email Address: ______________________________
Phone: ___________________
Post-Secondary Institution: _____________________
Program: _______________________
SCHOOL INFORMATION:
High School
Dates of Attendance
Year of Graduation
_______________________
____________________
______________
College or University
Dates of Attendance
Program(s) Name
_______________________
____________________
______________
SHORT ANSWER QUESTIONS: (Minimum 100 words)
You can use a separate page to complete these questions.
1. Describe your educational goals, proposed academic program and career interests.
2. Describe your past and current extracurricular activities.
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SCHOLARSHIP APPLICATION
ESSAY QUESTION: (Minimum 250 words)
Please use a separate page for your essay. Choose only ONE essay question to complete.
1. “The women whom I love and admire for their strength and grace did not get that way
because stuff worked out. They got that way because stuff went wrong, and they handled it.
They handled it in a thousand different ways on a thousand different days, but they handled it.
Those women are my superheroes.” - Elizabeth Gilbert
This quote by Elizabeth Gilbert can mean different things to different people. What
does it mean to you? What challenges have you had to overcome in your life that at
times seemed unbearable? What lessons did you learn at the end of it?
OR
2. How do you celebrate life?
I, the undersigned, verify that I am the sole author of this application and that all
statements herein are true and factual to the best of my knowledge. I have read the
criteria for the scholarship for which I am applying and believe that I am eligible.
_______________________________________
Signature of Applicant
_______________________________________
Signature of Witness
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_________________________________
Date
_________________________________
Date
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