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