SASKATOON HILLTOP FOOTBALL CLUB
2015
SCHOLARSHIP APPLICATION FORM
ALL PLAYERS SEEKING CONSIDERATION OF A 2015
SCHOLARSHIP MUST COMPLETE THIS FORM AND SUBMIT IT
WITH A PROOF OF RIGISTRATION AT A POST-SECONDARY
INSTITUTION NO LATER THAN OCTOBER 9, 2015. COMPLETED
APPLICATION FORMS ARE TO BE RETURNED TO THE TEAM
MANAGER.
NAME:_______________________________

INSTRUCTIONS
1. WHEN COMPLETING THIS APPLICATION, PLEASE PROVIDE AS MUCH
INFORMATION AS POSSIBLE TO ASSIST THE SCHOLARSHIP
COMMITTEE TO MAKE INFORMED DECISIONS.
2. ALL APPLICANTS ARE REQUIRED TO ATTACH TO THE COMPLETED
APPLICATION FORM VERIFICATION OF THEIR
ATTENDANCE/REGISTRATION AT A POST-SECONDARY EDUCATIONAL
INSTITUTION. FORMS RECEIVED WITHOUT SUCH PROOF WILL NOT BE
CONSIDERED.
3. ALL APPLICANTS WILL ACKNOWLEDGE THAT ONLY A CERTAIN
NUMBER OF SCHOLARSHIPS/AWARDS ARE AVAILABLE TO THE CLUB TO
DISPERSE.
4. ANY RECIPIENT OF A SCHOLARSHIP/AWARD MUST HAVE ANY
OUTSTANDING FUNDS OWED TO THE CLUB PAID BEFORE ANY MONEY
IS AWARDED.
5. ALL EQUIPMENT MUST BE RETURNED TO THE CLUB PRIOR TO THE
RELEASE OF ANY MONIES.
6. THE COMPLETED APPLICATION FORM MUST BE RETURNED BY
OCTOBER 9, 2015.
7. ALL APPLICATIONS MUST BE LEGIBLE.
8. APPLICANTS MUST BE REGISTERED IN A POST-SECONDARY
INSTITUTION RECOGNIZED BY THE MINISTRY OF EDUCATION.

SCHOLARSHIPS/AWARDS
THE FOLLOWING SCHOLARSHIPS AND AWARDS ARE ANTICIPATED TO
BE MADE AVAILABLE THIS YEAR.
1. JULES AND LINSDAY HOLT
AVALAILABLE TO PLAYERS BASED ON FINANCIAL NEED. THE
SCHOLARSHIP, WITH A TOTAL VALUE OF $5000.00 IS DIVIDED BETWEEN
THREE (3) PLAYERS.
2. POTASH CORP SCHOLARSHIPS
AVALAILABLE TO PLAYERS BASED ON FINANCIAL NEED. THE AWARD,
WITH A TOTAL VALUE OF $10,000, IS DIVIDED BETWEEN THREE OR
MORE PLAYERS.
3. RAY EAST AWARD
AVAILABLE TO A PLAYER WHO IS ENROLLED WITH KELSEY INSTITUTE.
VALUE: $1000.00
4. HAROLD MITCHELMORE MEMORIAL SCHOLARSHIP
AWARDED TO A LINEMAN. BASED ON FINANCIAL NEED, GOOD
SPORTSMANSHIP AND COMMUNITY INVOLVEMENT. VALUE: $1000.00
5. MITCHELMORE/ARMBRUSTER SCHOLARSHIP
OPEN TO A LINEMAN BASED ON FINANCIAL NEED. VALUE: $1000.00
6. PEPPENICK MEMORIAL SCHOLARSHIP
AVAILABLE TO A SPECIAL TEAMS PLAYER. VALUE: $1000.00

7. OLYMPIAN SPORTS SCHOLARSHIP
CRITERIA TO BE DETERMINED BY THE COACHING STAFF. VALUE: $1000
8. FOOTBALL SASKATCHEWAN SCHOLARSHIPS
CRITERIA ESTABLISHED BY THE SCHOLARSHIP COMMITTEE. TO BE
DIVIDED AMONG THREE OR MORE RECIPIENTS. TOTAL VALUE: $5000
9. HILLTOP CLUB SCHOLARSHIPS
FUNDS RAISED THOUGH THE BINGO AND 50/50 PROJECTS CONTRIBUTE
A MINIMUM OF $10,000,00 TO BE DIVIDED AMONGST AN ESTIMATED 10
PLAYERS.
10. BILL TROUT MEMORIAL SCHOLARSHIP
ON BEHALF OF THE CJFL. CRITERIA TO BE DETERMINED BY THE
SCHOLARSHIP COMMITTEE. VALUE: $3000
11. TCU FINANCIAL GROUP SCHOLARSHIP
CRITERIA ESTABLISHED BY THE SCHOLARSHIP COMMITTEE. VALUE:
$1500
12. CARL HOATH MEMORIAL SCHOLARSHIP
CRITERIA ESTABLISHED BY THE SCHOLARSHIP COMMITTEE. VALUE:
$1000

APPLICATION FORM
1. NAME_____________________________________
ADDRESS______________________________POSTAL CODE_______________
______________________________
PHONE NUMBER_______________________
2. NUMBER OF YEARS PLAYING FOR THE HILLTOPS (INCLUDING THIS
YEAR)_______
3. POSITION________________________
4. NAME OF EDUCATIONAL INSTITUTION YOU ARE ATTENDING
____________________________________________________________
5. LIST OF COURSES YOUR ARE ENROLLED IN
SEMESTER ONE SEMESTER TWO
_______________________ ____________________________
_______________________ ____________________________
_______________________ ____________________________
_______________________ ____________________________
_______________________ ____________________________

6. WHAT IS THE COST OF YOUR TUITION(2013/14)? __________________
7. WHAT IS THE APPROXIMATE COST OF YOUR TEXTS/SUPPLIES?
_______________________
8. DO YOU HAVE ANY STUDENT LOANS? YES NO (circle)
IF YES, WHAT IS THE AMOUNT OF YOUR LOAN? _______________
9. ARE YOU RECEIVING ANY SCHOLARSHIPS/AWARDS? YES NO
IF YES, WHAT IS THE TOTAL AMOUNT? _________________
10. PROVIDE AN ESTIMATE OF YOUR ANNUAL INCOME FROM ALL
SOURCES:
____________________
11. AVERAGE MONTHLY EXPENSES:
ACCOMODATION _____________
FOOD _____________
CLOTHING _____________
TRANSPORTATION_____________

12. AN IMPORTANT CONSIDERATION IN AWARDING ANY
SCHOLARSHIP/AWADRD IS THAT OF FINANCIAL NEED. IF YOU BELIEVE
THAT YOU QUALIFY IN THIS AREA, PLEASE PROVIDE THE COMMITTEE
WITH ANY RELEVANT AND DETAILED INFORMATION AS TO WHY.
I HEREBY INDICATE THAT I AM APPLYING FOR A SCHOLARSHIP/AWARD
FROM THE HILLTOP FOOTBALL CLUB. I ALSO HEREBY INDICATE THAT
I HAVE READ THE INSTRUCTIONS AND ATTACH HEREWITH MY PROOF
OF REGISTRATION FROM A POST-SECONDARY EDUCATIONAL
INSTITUTION AND ACKNOWLEDGE THAT THE FAILURE TO ENCLOSE
SAID DOCUMENTS PROHIBITS MY OPPORTUNITY TO RECEIVE ANY
SCHOLARSHIP/AWARD. I ALSO ACKNOWLEDGE THAT THE HILLTOP
FOOTBALL CLUB POLICY PROVIDES FOR A MAXIMUM OF ONE
FOOTBALL SCHOLARSHIP/AWARD PER PLAYER.
I HEREBY STATE THAT ALL INFORMATION I HAVE PROVIDED WITHIN
THIS APPLICATION OR ATTACHED HERETO IS TO THE BEST OF MY
KNOWLEDGE ACCURATE AND TRUE.
SIGNATURE____________________________ DATE______________________
APPLICATIONS MUST BE RETURNED TO THE TEAM MANAGER NO LATER THAN
OCTOBER 9, 2015.