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.