THE ROTARY CLUB OF OTTAWA PRESENTS
“ADVENTURES IN CITIZENSHIP 2015”
May 3 – May 6, 2015 in Ottawa, Ontario
A Rotary International Program for Senior High School Students – Age 16-18
A ROTARY INTERNATIONAL YOUTH PROGRAM APPLICATION
This annual event provides a unique opportunity for a selected group of 200 young Canadians to come together and
gain a better understanding of our country. Through meetings with political leaders, senior officials and others,
they learn a great deal about the workings of our democratic institutions. Through meeting one another and having
discussions among themselves, they learn to appreciate the diversity of Canada and the privileges and
responsibilities of citizenship. For more information please go to the following link: Adventure in Citizenship 2015
This application should be completed using “ Microsoft Word”, then filed by email along with your school’s
recommendation to the Prince Albert Rotary Club by email to bobtwyver@sasktel.net . A head and shoulders
photograph (preferred size 3” x 5”) should also be forwarded by way of a separate attachment using “adobe
acrobat”. The acceptance deadline for completed applications is January 31st, 2015
Rotary Club of Prince Albert
Name of Sponsoring Rotary Club
Name of Student
High School
Male or Female
Address
City
Province
Home Phone Number
Postal Code
Email Address
Date of Birth
Present High School Grade
Names of Parents or Legal Guardians
(Father)
Occupation
(Mother)
Occupation
Father’s Business Phone
Is either parent/guardian a Rotary Member?
Any special medical condition or special diet?
Have you been involved in any other Rotary Program?
Mother’s Business Phone
Name of Club
Describe
What recreation, hobbies, sports, musical and cultural activities do you participate in?
What other information can you give to enable a better assessment to be made of your potential for
selection? ( Achievement, Awards, Talents, etc.)
Why are you interested in this Adventure in Citizenship program and what you hope to gain that will help
you with your present and future plans?
Please provide a short essay(approx. 250 words) on “What does being a Canadian citizen mean to you?(This
is a mandatory requirement of the program. This can be added at the end of this application and will used in
part to determine the successful candidate.
Is there anything you want to add to this application?
Name of Recommending Teacher or Guidance Counselor
Phone Number
Email Address
Name(s) parent/guardian(s) giving approval
The Adventure in Citizenship program will include the following activities.
Day 1
• Welcome/introductions
• Motivational speaker/Keynote
• Panel of Canadian Citizens
• Walking tour of a National Museum
• French Canadian dinner & music
Day 2
• Tour of Centre Block
• Meet with the Speaker of the House of Commons
• Tour Parliament
• Canadian Human Rights Commission presentation
• “Go and Vote” & Foreign Affairs Panel of Diplomats
Day 3
• University of Ottawa presentations & discussions on civic responsibility
• Rotaract “Canada Quiz” Game
• Robert Forest Keynote
• Aviation Museum/ Peace and Conflict Resolution
• Muchmusic Video Dance
Day 4
• Special session of Citizenship Ceremony & reception
• Question & Answer Period with the Governor General at Rideau Hall
• Farewell Luncheon with Rotarians and Host Families
ESSAY: