Description and/or Objective:
This merit-based Scholarship awards high performing students, with a record of outstanding academic and personal achievements, choosing to pursue their career goals by studying at George Brown College.
Number of Awards:
Amount per Award:
Other Award benefits:
Up to 10
$ 4,000
Exclusive Mentorship, Co-Curricular and Professional Development opportunities.
Eligibility Criteria: (you must meet all of the following criteria)
Canadian Citizen or Permanent Resident.
Entering the first year of a full-time Post-Secondary program at George Brown College in
September 2013.
Minimum GPA Requirement of 75% or equivalent.
Selection Criteria:
Passion for Your Field of Study
(demonstrated by: your contribution to your chosen profession, your career aspirations, participation or volunteerism within your field or area of interest).
Record of Leadership, Community Involvement, Volunteerism, or Extracurricular participation (i.e. School Council, athletics, clubs or organizations).
Deadline:
(demonstrated by: list of leadership activities, their duration, your responsibility in those activities, impact of your involvement on those activities and the community).
Record of Innovation, Creativity and Entrepreneurship
(demonstrated by: the type and extent of your participation in programs or projects that demonstrate creativity and entrepreneurship, including community involvement and/or extracurricular participation).
Note: The short-listed applicants may be called for an Interview with the Selection
Committee, before final decision is made.
January 15, 2013
Please scan and submit to: Awards Office at
Or fax to 416-415-4747. awards@georgebrown.ca

Note: The Application Form must be typed.
Incomplete, Unsigned or Late applications will not be considered.
Name:
Address:
Date of Birth:
Citizenship Status:  Canadian Citizen
E-mail: ______
 Permanent Resident
Education Status and History:
Name of School, with Address (in reverse chronological order, starting with the Current School) From
Years Attended
To
List of Academic Programs at George Brown College that you are interested in (in order of preference):
Program:
Program:
Program:
List of Career choices you are considering (in order of preference):
Career:
Career:
Career:
Overall
GPA
I certify that all information contained on this form is true and correct to the best of my knowledge.
Student Signature: Date:
FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT
The personal information on this form is collected under the legal authority of the Ontario Colleges of Applied Arts and Technology Act, 2002. The information is used for the administrative and statistical purposes of the College including but not limited to Admissions, Registration and maintaining records, as well as Awards and Scholarships; Alumni and College Foundation administrative, stewardship and promotional functions and/or the
Ministries or Agencies of the Government of Ontario and the Government of Canada. This information is being collected under section 39 (2) and section 42 of the Freedom of Information and Privacy Act of Ontario. If you have any questions or concerns related to Freedom of Information and
Privacy please contact the FOI Coordinator for the College at (416) 415-5000 ext. 4646

Please include a list of activities (leadership, community work, volunteer, artistic, customer service, athletic, creative/entrepreneurial) that you have been involved in the past two years. Following details must be provided for each activity.
Name of Activity.
Nature of this activity (leadership, community work, volunteer, artistic, athletic, customer service, creative/entrepreneurial).
Was the activity paid/unpaid?
Description of your involvement in this activity.
Duration of the activity (Start/End Date).
Total number of hours you have contributed towards this activity in the past two years.
Name of Activity
Nature of Activity
Paid/ Unpaid
Description of Your
Involvement/Your Role and the
Impact of your involvement
Please circle: leadership, community work, volunteer, artistic, athletic, customer service, entrepreneurial, other
Duration of the Activity
(Start/End Date)
Total Number of Hours You
Have Contributed So Far
Name of Activity
Nature of Activity Please circle: leadership, community work, volunteer, artistic, athletic, customer service, entrepreneurial, other
Paid/ Unpaid
Description of Your
Involvement/Your Role and the
Impact of your involvement
Duration of the Activity
(Start/End Date)
Total Number of Hours You
Have Contributed So Far
Name of Activity
Nature of Activity Please circle: leadership, community work, volunteer, artistic, athletic, customer service, entrepreneurial, other
Paid/ Unpaid
Description of Your
Involvement/Your Role and the
Impact of your involvement
Duration of the Activity
(Start/End Date)
Total Number of Hours You
Have Contributed So Far

Name of Activity
Nature of Activity
Paid/ Unpaid
Description of Your
Involvement/Your Role and the
Impact of your involvement
Duration of the Activity
(Start/End Date)
Total Number of Hours You
Have Contributed So Far
Name of Activity
Nature of Activity
Paid/ Unpaid
Description of Your
Involvement/Your Role and the
Impact of your involvement
Duration of the Activity
(Start/End Date)
Total Number of Hours You
Have Contributed So Far
Name of Activity
Nature of Activity
Paid/ Unpaid
Description of Your
Involvement/Your Role and the
Impact of your involvement
Duration of the Activity
(Start/End Date)
Total Number of Hours You
Have Contributed So Far
Name of Activity
Nature of Activity
Paid/ Unpaid
Description of Your
Involvement/Your Role and the
Impact of your involvement
Duration of the Activity
(Start/End Date)
Total Number of Hours You
Have Contributed So Far
Please circle: leadership, community work, volunteer, artistic, athletic, customer service, entrepreneurial, other
Please circle: leadership, community work, volunteer, artistic, athletic, customer service, entrepreneurial, other
Please circle: leadership, community work, volunteer, artistic, athletic, customer service, entrepreneurial, other
Please circle: leadership, community work, volunteer, artistic, athletic, customer service, entrepreneurial, other

Referring to the Selection Criteria on Page 1, please attach an essay describing why you feel you are a good candidate for this scholarship. Some questions you may want to consider include:
Describe the areas of study in which you have excelled, and why.
Describe the non-academic areas in which you have excelled, and why.
Why are you interested in your chosen field of study and your chosen career?
Describe your leadership experience and its impact on you, your team, and your community or school.
Provide specific details of the leadership activities in Section B.
Describe your community work and volunteer experience and its impact on you and your community.
Provide specific details of the community work and volunteer activities in Section B.
What is your career plan? (What are your short-term and long-term goals and priorities?)
What is your employment experience? How have you excelled in the workplace?
Please attach a reference from someone who has supervised you in an academic or extra-curricular setting.
Your reference should not be related to you.
Please attach your most recent academic transcript (secondary or post-secondary).
Please attach an updated resumé.
Please attach a short (approx. 250 words) paragraph defining what mentorship means to you. Who would be an ideal mentor? Why?