Scholarship, Awards & Bursary
Application Form
PART A: APPLICANT INFORMATION
Name: Click here to enter text.
Student ID: Click here to enter text.
Address: Please provide full mailing address, including postal code
Click here to enter text.
Telephone: Click here to enter text.
Email: must be a @ryerson.ca account
Current year in Program: Choose an item.
Number of registered courses:
Fall 2014: Click here to enter text.
Winter 2015: Click here to enter text.
PART B: AWARDS OR BURSARIES FOR WHICH YOU WISH TO BE CONSIDERED:
*Note: If you are applying to more than one award, only one application form is required. If you have received a Joan Augustine,
Riva Loeb, May Maskow, Jennifer Welsh or Anne Selby Award last year (2013) your application will not be considered for these
awards for this year; you may apply again next year.
☐ The School of Nutrition Academic Achievement Award
 budget form and a letter explaining how they meet the awards criteria
☐ Brenda Ball Memorial Award
 budget form, a letter explaining their financial need and professional goals
☐ Carol Taylor Memorial Award
 budget form, a letter explaining how they meet the awards criteria and a description of their
professional goals
☐ Dorotea Landau Memorial Award
 a one-page essay indicating their interests and commitment to working with people with diabetes
through volunteer or paid experiences, or a professional placement during their studies
☐ Elizabeth Chant Robertson Award
 a cover letter and an essay, assignment or project proposal that aligns with the mission of the
School of Nutrition and the work and achievements of Dr. Elizabeth Chant Robertson (one of the
first creative and reliable sources of nutrition information for Canadian’s)
☐ May Maskow Award
 budget form, copy of transcript(s) that show CGPA (min. 3.0); a one to two page letter describing
how they meet the awards criteria and how the Nutrition program fits with the applicant’s own
interests & aspirations; resume
☐ Anne Selby Award
 budget form, copy of transcript(s) that show CGPA (min. 3.0); a one to two page letter describing
how they meet the awards criteria and how the Nutrition program fits with the applicant’s own
interests & aspirations; resume
PROTECTION OF PRIVACY: The information on this form is collected under the authority of the Ryerson
University Act and is needed to process your application for Academic Consideration. The information will be
used in connection with this application. If you have questions about the collection, use and disclosure of this
information by the University, please contact: the Student Records Manager, 350 Victoria Street, Toronto, ON,
M5B 2K3 Tel.: 416 979-5000 Ext. 6041 (May 4, 2010)
Scholarship, Awards & Bursary
Application Form
☐ Jennifer Welsh Award
 budget form, copy of transcript(s) showing CGPA (min. 3.0), resume, one to two page letter
describing how they meet the awards criteria and how the Nutrition program fits with the
applicant’s own interests & aspirations; resume
☐ Rheta Rosen Incentive Award
 budget form; a one to two page letter explaining how they meet the awards criteria and describing
their professional goals
☐ Jennifer Welsh Food Security Award
 budget form, resume, a letter from the applicant or nominator describing how the applicant meets
the awards criteria including: how the student embodies the values of social justice, creative
change and orientation to food systems
☐ Mikey Network Awards
 budget form, letter of support, letter describing how they meet the criteria and evidence of their
commitment to the promotion of nutrition to prevent chronic disease
☐ School of Nutrition Bursaries
 budget form, one to two page letter explaining how they meet the bursary criteria
Canadian Institute of Food Science & Technology (CIFST) – Ontario Awards Section
☐ FND 100 (Junior Award)
☐ FND 300, FNR 201, FND 301 or equivalent work experience (Senior Award)
 Cover letter describing how they meet the criteria; proof of CIFST membership
NOTIFICATION TO APPLICANTS

Please make sure all supporting documentation is included before submitting application

All applications must be submitted to the School of Nutrition office KHS 349 B, C/O Nensi Palu

Applicants will be notified of the outcome of their application by mid-October. Scholarships and Awards will be
presented at the School of Nutrition Awards Ceremony on Wednesday November 12th, 2014 (12:00 – 2:00pm).
PROTECTION OF PRIVACY: The information on this form is collected under the authority of the Ryerson
University Act and is needed to process your application for Academic Consideration. The information will be
used in connection with this application. If you have questions about the collection, use and disclosure of this
information by the University, please contact: the Student Records Manager, 350 Victoria Street, Toronto, ON,
M5B 2K3 Tel.: 416 979-5000 Ext. 6041 (May 4, 2010)