CONFIDENTIAL LARRY DEFLORIO LEADERSHIP AWARD 2015-16 STUDENT APPLICATION FORM Applicant Name: Click here to enter text. Student Number: Click here to enter text. Program: Choose an item. Address: Click here to enter text. Cumulative GPA: Enter City: Click here to enter text. Unit Number: Postal Code: Click here to enter text. Email: Click here to enter text.@myseneca.ca Click here to enter text. Are you enrolled in your final year (or semester) of study: Choose an item. Please note that handwritten script will not be accepted This award has been established in honour and memory of Larry DeFlorio, Seneca’s Distinguished Alumni Award recipient, Ontario Premier’s Award nominee, former faculty and Coordinator of the Animation Arts Center (AAC), as a tribute to his vision, leadership, and contribution to Seneca life, students and alumni. Criteria for the award are detailed below: • Student enrolled in their final year (or semester) of studies, in any diploma or certificate programs of the Animation Arts Centre (School of Creative Arts and Animation) – ANI, DAN, GAA and VFT • Outstanding academic performance (minimum cumulative G.P.A. of 3.0) • Demonstrated leadership, compassion, personal integrity and generosity • Academic curiosity and intellectual passion • Contribution to others and to the community • Involvement in student life (e.g. peer tutoring, organized study groups, educational and fundraising initiatives, sports, student government, etc.) • Demonstrated ability to balance personal responsibilities and school involvement, and overcoming adversity Section A Please answer the questions below, expanding upon any area to emphasize your achievements. Please enter your responses in the boxes below. Point form is acceptable. 1. Briefly describe and give examples of how you have demonstrated leadership, initiative, involvement and dedication to your academics, include any academic accomplishments or awards while at Seneca College. Click here to enter text. Page | 1 CONFIDENTIAL 2. Describe any student life (e.g. peer tutoring, organized study groups, educational and fundraising initiatives, sports, student government, etc.), or volunteer activities in which you participate, both inside and outside of the Seneca community. Include any contributions you’ve made towards improving the quality of Student Life at Seneca. Click here to enter text. 3. Describe your ability to balance personal responsibilities and school involvement. Click here to enter text. Section B You require a reference form from a School of Creative Arts and Animation Staff or Faculty member. Please provide a reference name, position and telephone number of a staff or faculty member employed with the School of Creative Arts and Animation and have them fill out, confidentially, the Staff Reference form below. You should contact this person and advise them that they may be asked to speak on your behalf. The recipient is decided by a selection committee chaired by Student Services. This award is presented at the annual Student Leadership Awards Ceremony in March. In order to be considered eligible for this award, please ensure that both your application and your reference form are received by: Linda Thomson, Student Services Coordinator Student Services, Seneca @ York, Room: S1161 linda.thomson@senecacollege.ca 416-491-5050 x 33014 Student Application Due: February 12, 2016 by 4 p.m. Staff Reference Due: February 19, 2016 by 4 p.m. Page | 2 CONFIDENTIAL LARRY DEFLORIO LEADERSHIP AWARD 2015-2016 STAFF REFERENCE FORM This award has been established in honour and memory of Larry DeFlorio, Seneca’s Distinguished Alumni Award recipient, Ontario Premier’s Award nominee, former faculty and Coordinator of the Animation Arts Center (AAC), as a tribute to his vision, leadership, and contribution to Seneca life, students and alumni. Criteria for the award are detailed below: • Student enrolled in their final year (or semester) of studies, in any diploma or certificate programs of the Animation Arts Centre (School of Creative Arts and Animation) – ANI, DAN, GAA and VFT • Outstanding academic performance (minimum cumulative G.P.A. of 3.0) • Demonstrated leadership, compassion, personal integrity and generosity • Academic curiosity and intellectual passion • Contribution to others and to the community • Involvement in student life (e.g. peer tutoring, organized study groups, educational and fundraising initiatives, sports, student government, etc.) • Demonstrated ability to balance personal responsibilities and school involvement, and overcoming adversity Applicant Name: Click here to enter text. Student Number: Click here to enter text. Program: Program Reference Name: Click here to enter text. Reference Position: Click here to enter text. Reference Extension: Click here to enter text. Email: Click here to enter text.@senecacollege.ca Please comment on the areas indicated below, emphasizing the candidate's contribution to student life and to their community. Please note that handwritten script will not be accepted. Please enter your responses in the boxes below. Point form is acceptable. 1. The candidate’s contributions towards improving the quality of student life at Seneca. In what way did the candidate go above and beyond to improve the Seneca student experience? Click here to enter text. 2. The candidate’s involvement outside the Seneca community (e.g., paid and/or volunteer work). Click here to enter text. 3. The candidate’s initiative and dedication to their academics. Click here to enter text. 4. Is there anything additional you would like us to know about this student to support their application? Click here to enter text. Page | 3 CONFIDENTIAL Applications will be reviewed by a committee coordinated by the Manager, Student & Campus Life. In order to ensure the student is considered eligible for this award, please forward this reference form (in print or via email) to the S@Y Student Life Coordinator by the date indicated below: Linda Thomson, Student Services Coordinator Student Services, Seneca @ York, Room: S1161 linda.thomson@senecacollege.ca 416-491-5050 x33014 Student Application Due: February 12, 2016 by 4 p.m. Staff Reference Due: February 19, 2016 by 4 p.m. Page | 4