PICCADILLY CENTRAL HIGH SCHOLARSHIP COMMITTEE 2015 SCHOLARSHIP APPLICATION 1. Student Name: _______________________ 2. University/College/Post-Secondary Institution you are currently attending (Please attach proof indicating good standing): _______________ 3. Program you are pursuing or area of specialization: _________________________________ 4. Program Duration: ________________________________ 5. List any and all scholarship/bursaries/financial awards you have received, including value: ________________________________________________________________________. 6. What committees or groups were you involved with in high school? __________________________________________________________________________________ __________________________________________________________________________ 7. What volunteer work and or groups were/are you involved with outside high school? ______________________________________________________________________________ 8. If you are involved in your local church, please list the areas of your involvement: ______________________________________________________________________________ 9. Have you received/qualified for any Duke of Edinburgh Awards? Bronze/Silver/Gold 10. Have you been involved in any public speaking? If so, describe: ______________________________________________________________________________ ______________________________________________________________________________ 11. Can you provide examples of your having a strong work ethic, positive attitude, respect for others, and high level of responsibility (example: summer jobs, sports teams, youth organizations such as cadets): ______________________________________________________________________________ ______________________________________________________________________________ 12. Are you a smoker? (A consideration for any awards involving Citizenship) YES________ NO________ 13. Is your education being funded through First Nations or any other organization? YES___________ NO_________ If yes, name or organization:________________________ You must submit this completed application with a “Letter of Good Standing” that can be obtained from the Registrar’s Office at your school. Fax both of them to Piccadilly High 709-642-5983 and write ATTN: SCHOLARSHIPS on BOTH sheets. DEADLINE FOR APPLICATION IS: November 27, 2015 Please note that all questions are related to one or more scholarships.