Application

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Erinwood Ford “Character Counts!” Award Application Rubric
First Name:
Last Name:
Student Number:
Commitment
Pillar 1


Student demonstrates excellent attendance and punctuality to all classes
Student demonstrates good character with regards to the Erindale Code of Conduct
Character Attributes
Level 1
Personal
Awareness
Stage
Level 2
Beginning
Application
Stage
Level 3
Routine
Application
Stage
Level 4
Integrated
Application
Stage
Optimism
 I maintain a positive attitude and have hope for the future.
Honesty
 I behave in a sincere, trustworthy manner.
Integrity
 I act justly and honourably in all that I do even when no one else is
around. My actions consistently match my words.
Respect
 I am polite, courteous and value others and myself. I treat myself,
others and the environment with consideration and dignity.
Responsibility
 I am responsible for my thoughts, words and actions. I follow
through on commitments.
Courage
 I face challenges directly and speak up for others and myself. I do
the right even when difficult.
Inclusion
 I include everyone in what we do and value their unique
contributions.
Empathy
 I strive to understand and appreciate the feelings, motives and
actions of others. I listen to and consider other people’s views even
though I might not agree.
Perseverance
 I finish what I start even when it is difficult. I do not give up when
faced with challenges or obstacles. I complete all tasks and
assignments to the best of my ability.
Caring
 I show compassion for others.
Initiative
 I am eager to do what needs to be done without being prompted by
others. I seize opportunities and willingly take steps necessary
towards achieving a goal.
Cooperative
 I work with others toward a common goal or purpose.
Supporting Evidence:
Supporting Evidence must fit into the space provided and must be written in first person, using complete
sentences and organized into short paragraphs.
Leadership/Mentorship at Erindale
Pillar 2

Assisting other students during
o Class
o Evening Programs at Erindale
o Sporting Events
o Club Events
o Tutoring
o Intramurals
Character Attributes
Level 1
Personal
Awareness
Stage
Level 2
Beginning
Application
Stage
Level 3
Routine
Application
Stage
Level 4
Integrated
Application
Stage
Optimism
 I maintain a positive attitude and have hope for the future.
Honesty
 I behave in a sincere, trustworthy manner.
Integrity
 I act justly and honourably in all that I do even when no one else is
around. My actions consistently match my words.
Respect
 I am polite, courteous and value others and myself. I treat myself,
others and the environment with consideration and dignity.
Responsibility
 I am responsible for my thoughts, words and actions. I follow
through on commitments.
Courage
 I face challenges directly and speak up for others and myself. I do
the right even when difficult.
Inclusion
 I include everyone in what we do and value their unique
contributions.
Empathy
 I strive to understand and appreciate the feelings, motives and
actions of others. I listen to and consider other people’s views even
though I might not agree.
Perseverance
 I finish what I start even when it is difficult. I do not give up when
faced with challenges or obstacles. I complete all tasks and
assignments to the best of my ability.
Caring
 I show compassion for others.
Initiative
 I am eager to do what needs to be done without being prompted by
others. I seize opportunities and willingly take steps necessary
towards achieving a goal.
Cooperative
 I work with others toward a common goal or purpose.
Supporting Evidence:
Supporting Evidence must fit into the space provided and must be written in first person, using complete
sentences and organized into short paragraphs.
Academic Excellence
Pillar 3



60% minimum in six courses, full year at Erindale in their graduating year
All levels of study will be considered
Meeting assignments due dates and final deadlines
Character Attributes
Level 1
Personal
Awareness
Stage
Level 2
Beginning
Application
Stage
Level 3
Routine
Application
Stage
Level 4
Integrated
Application
Stage
Optimism
 I maintain a positive attitude and have hope for the future.
Honesty
 I behave in a sincere, trustworthy manner.
Integrity
 I act justly and honourably in all that I do even when no one else is
around. My actions consistently match my words.
Respect
 I am polite, courteous and value others and myself. I treat myself,
others and the environment with consideration and dignity.
Responsibility
 I am responsible for my thoughts, words and actions. I follow
through on commitments.
Courage
 I face challenges directly and speak up for others and myself. I do
the right even when difficult.
Inclusion
 I include everyone in what we do and value their unique
contributions.
Empathy
 I strive to understand and appreciate the feelings, motives and
actions of others. I listen to and consider other people’s views even
though I might not agree.
Perseverance
 I finish what I start even when it is difficult. I do not give up when
faced with challenges or obstacles. I complete all tasks and
assignments to the best of my ability.
Caring
 I show compassion for others.
Initiative
 I am eager to do what needs to be done without being prompted by
others. I seize opportunities and willingly take steps necessary
towards achieving a goal.
Cooperative
 I work with others toward a common goal or purpose.
Supporting Evidence:
Supporting Evidence must fit into the space provided and must be written in first person, using complete
sentences and organized into short paragraphs.
Community Involvement
Pillar 4


Volunteering within Erindale or at an outside agency beyond your required 40 hours of Community Service
You will be required to provide a contact that can support your activities from each organization
Character Attributes
Level 1
Personal
Awareness
Stage
Level 2
Beginning
Application
Stage
Level 3
Routine
Application
Stage
Level 4
Integrated
Application
Stage
Optimism
 I maintain a positive attitude and have hope for the future.
Honesty
 I behave in a sincere, trustworthy manner.
Integrity
 I act justly and honourably in all that I do even when no one else is
around. My actions consistently match my words.
Respect
 I am polite, courteous and value others and myself. I treat myself,
others and the environment with consideration and dignity.
Responsibility
 I am responsible for my thoughts, words and actions. I follow
through on commitments.
Courage
 I face challenges directly and speak up for others and myself. I do
the right even when difficult.
Inclusion
 I include everyone in what we do and value their unique
contributions.
Empathy
 I strive to understand and appreciate the feelings, motives and
actions of others. I listen to and consider other people’s views even
though I might not agree.
Perseverance
 I finish what I start even when it is difficult. I do not give up when
faced with challenges or obstacles. I complete all tasks and
assignments to the best of my ability.
Caring
 I show compassion for others.
Initiative
 I am eager to do what needs to be done without being prompted by
others. I seize opportunities and willingly take steps necessary
towards achieving a goal.
Cooperative
 I work with others toward a common goal or purpose.
Supporting Evidence:
Supporting Evidence must fit into the space provided and must be written in first person, using complete
sentences and organized into short paragraphs.
Community Involvement References

Please enter the required information for your references for your Community Involvement
1. Name:
Position:
Phone Number: (
)
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2. Name:
Position:
Phone Number: (
)
-
3. Name:
Position:
Phone Number: (
)
-
4. Name:
Position:
Phone Number: (
)
-
5. Name:
Position:
Phone Number: (
)
-
6. Name:
Position:
Phone Number: (
)
-
7. Name:
Position:
Phone Number: (
)
-
8. Name:
Position:
Phone Number: (
)
-
9. Name:
Position:
Phone Number: (
)
-
10. Name:
Position:
Phone Number: (
)
-
Character Reflection

Answer one of the following questions
o How would winning this award affect my or my families’ life?
OR
o How has the process of preparing for this application changed my view of the value of good
character?
Character Reflection:
Your character reflection must fit into the space provided and must be written in first person, using complete
sentences and organized into short paragraphs.
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