Earl and Countess of Wessex
World Championships in
Athletics Scholarship
Earl and Countess of Wessex:
World Championships in Athletics Scholarship
The Earl and Countess of Wessex - Edmonton 2001 World Championships in Athletics Scholarship was established by the Government of
Alberta to commemorate the visit of Their Royal Highnesses The Earl and Countess of Wessex to the 8th International Association of
Athletic Federations (IAAF) World Championships in Athletics.
This scholarship recognizes the top male and top female Alberta students who have excelled in track and field, have a strong academic
record and plan to continue their studies at the post-secondary level in Alberta.
Two awards of $3,000 are awarded yearly.
Eligibility Criteria
Applicants must
a. be a Canadian citizen or permanent resident,
b. be an Alberta resident - the applicant or the applicant’s parent(s) must have resided in Alberta during the qualifying year,
c. plan on entering full-time post-secondary studies at the University of Alberta, the University of Calgary or the University
of Lethbridge and must join the Track and Field team at that institution within one year,
d. have completed Grade 12 in Alberta in the same year that they apply for the scholarship, and
e. have met the entrance requirements to be accepted at either institution.
Selection Procedure
Selection will be based on a student’s placement in provincial and national championships, Alberta Athlete Development Program
(AADP) standards, best performances, Mercier score and a written recommendation from the applicant’s coach. Recipients will be chosen
by a selection committee with representation from Athletics Alberta and from each of the varsity track and field programs in Alberta.
Application Procedure
Applications are also available from high school counsellors. Applicants will be notified of the result of their application in December.
The award will be issued in January after Student Aid Alberta confirms the recipients’ full-time enrolment.
Mail to: Student Aid Alberta
PO Box 28000 Station Main
Edmonton, Alberta T5J 4R4
Faxed applications are not accepted.
Student Aid Alberta no longer accepts scholarship applications dropped off in person.
For information on this scholarship and other awards:
Contact: Student Aid Alberta Service Centre at 1-855-606-2096
Visit: studentaid.alberta.ca/scholarships
Alberta Scholarships
Alberta Scholarships including the Alberta Heritage Scholarship fund and the Achievement Scholarship Program, were designed to
stimulate the pursuit of excellence by rewarding outstanding achievement.
Application Deadline is October 1
Earl and Countess Of Wessex: Edmonton 2001 World Championships
in Athletics Scholarship
Advanced Education is collecting the personal information on this form under the authority of Section 33(c) of the Freedom of
Information and Protection of Privacy Act (FOIP Act), as being directly related to and necessary to determine your eligibility for
an award under the Alberta Heritage Scholarship Act and to administer Alberta Scholarships. If you have any questions about the
collection of this information, please contact Student Aid Alberta, PO Box 28000 Station Main, Edmonton, AB T5J 4R4.
Personal Information
You may use the Learner Registry at education.gov.ab.ca to find your Alberta Student Number or to have one assigned.
Alberta Student Number (required for processing)
Last Name (current full legal name)
Social Insurance Number (required for processing)
First Name and One Initial (current full legal name)
Please use upper and lower case.
Mailing Address (Include Apt. or Box Number)
Province
City/Town
Previous Surname
Country
Postal Code
Birthdate
Gender (circle one)
M F
day
CITIZENSHIP (check one)
CANADIAN CITIZEN
Telephone Number
Email Address
month
year
PERMANENT RESIDENT (Landed Immigrant)
or
ALBERTA RESIDENCY
Do your parents currently live in Alberta?
Y N
Have you lived in Alberta all your life?
Y N Since
month
Area Code
Note: Attach a photocopy of permanent resident card or immigration long form. Visa students are not eligible.
Did your parents live in Alberta while you were in high school
Y N
IF YOU ANSWERED “NO” TO EITHER OF THESE QUESTIONS PLEASE
INCLUDE A LETTER EXPLAINING YOUR RESIDENCY.
year
PROPOSED POST-SECONDARY STUDIES
Name of Institution
Institution Code
Location
Start Date of Program
Institution Codes:
University of Alberta
30
GRANT
Disbursement
TOTAL AWD
MO
YR
month
2201
University of Calgary
2202
Office Use Only
INSTIT
8
8
8
PGM
ASP AUTHORIZATION
year
University of Lethbridge
MO YR
MO YR
AWARD KEY
1
2203
ORG
E
2
ADD
APP KEY
Revised: Feb 2016
High School Information:
Name of high school you are you attending for Grade 12:
Year you will graduate from high school?
Athletic Information:
________________________________________
________________________________________
Sport _________________________________________ Athletics Alberta registration number _________________________
Will you be joining the Track and Field Team at the post-secondary institution you will be attending? (circle one) Yes or No
Name of coach who will be completing the attached reference form _________________________________________________
Attach a list of your Track and Field accomplishments to date: name of event, placing, and any other relevant details.
State your personal best performances and provincial high school championships placing for your best event(s).
Declaration of Applicant
I HAVE READ AND UNDERSTAND THE INSTRUCTIONS, AND DECLARE THAT:
a.
b.
c.
all information provided is true and complete and I understand it is subject to verification;
I will be a full-time student at the institution named for the period stated;
I will immediately notify Student Aid Alberta in writing if I withdraw from full-time studies before
completing one semester of studies.
I UNDERSTAND AND AGREE THAT:
a.
b.
c.
personal information pertaining to my high school academic record may be released and exchanged
by and between Student Aid Alberta for the purpose of determining my eligibility for a scholarship;
my personal information pertaining to my post-secondary academic enrolment status may be released
and exchanged by and between Student Aid Alberta and the educational institution for the purpose of
determining my eligibility for a scholarship;
my personal information may be released and exchanged by and between Student Aid Alberta and
any provincial government departments, boards or institutions to verify the information I have
provided to Student Aid Alberta, and for the use in research and statistical analysis in program
evaluation.
I UNDERSTAND AND AGREE THAT:
if I receive a scholarship my name, award and city/town may be released publicly to promote the
program, however, this is not a criterion for eligibility, and if I do not want to be identified,
I will contact Student Aid Alberta.
___________________________________________
Signature of Applicant (in ink)
_______________________________________________
Today’s Date (in ink)
Have you answered all questions?
Your application may be delayed if information is missing.
Reference Form
Earl and Countess Of Wessex: Edmonton 2001 World Championships
in Athletics Scholarship
Instruction to Coach
Since there is a large number of qualified candidates competing for a limited number of awards, we
would like to ensure the most deserving individuals are identified; and appreciate your cooperation
in rating this candidate.
You may submit a typed letter commenting on the areas listed below or complete the form on the
next page. If submitting a separate letter, please indicate your professional relationship to the
candidate and ensure that you clearly state the name of the applicant and the name of the award.
Your comments should be as precise as possible. For example, state a comparison group, its size,
and the applicant’s rank in that group. Your appraisal should include an evaluation of the candidate
in the following areas:
-general athletic skills
-skills specific to their sport
-dedication, and
-general scholastic performance
Your prompt attention to the candidate’s request to provide this reference is important. Without a
reference, the candidate will not be considered for this scholarship. Your comments are received in
confidence.
Reference letters must be returned by October 1 to:
Mail to:
Student Aid Alberta
Box 28000 Station Main
Edmonton, Alberta T5J 4R4
Earl and Countess of Wessex: Edmonton 2001 World Championships
in Athletics Scholarship
Reference for: ______________________________________________________________
Name of Applicant
Note to Coach: Please print legibly in dark ink. Our office will be photocopying this form.
a) Briefly define your professional relationship to the candidate including how long you have known the applicant).
______________________________________________________________________________________
______________________________________________________________________________________
b) Assessment (should extra space be required please attach another page).
General athletic skills:____________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Skills specific to their sport: _______________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Dedication: ____________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
General scholastic performance: ___________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
General comments, including placing at events (use additional pages if required). ____________________
______________________________________________________________________________________
_____________________________________
Name of Coach
_____________________________________
Current School
_____________________________________
Signature of Coach
______________________
Number of years coaching
_______________________
Number of athletes coached
______________________
Date
______________________
Business Phone