General Scholarship Application

APPLICATION REQUIREMENTS:
Deadline October 31st

FIELD OF STUDY: Undergraduate program in any field of study in a post-secondary facility. One or two $ 1000.00 scholarships awarded annually.

VALUE: One or two $ 1000.00 scholarships awarded annually.

QUALIFICATIONS: Applicants must provide confirmation of Spina Bifida and/or Hydrocephalusby by a medical professional, be a Canadian citizen for at least two years, have a home address in Red Deer, the NWT, or north of Red Deer, and be accepted in a post secondary institution. Applicants must also be, or become a current member of the SBHANA. Membership forms are available at www.sbhana.org.

APPLICATION: Applicants are required to submit a letter of reference from a previous teacher or administrator (applicants who have been out of high school one or more years submit a letter from a recent employer or supervisor), an official Alberta Education or most recent post secondary transcript, and a letter from the candidate stating his or her eligibility, community involvement and plans for the future.

SELECTION: Applicants will be judged on their motivation, maturity, and academic background. The selection committee will consist of three members of the Board of Directors for the Spina Bifida and Hydrocephalus Association of Northern Alberta.

PRESENTATION: The scholarship will be presented to the winning applicant at the Spina Bifida and Hydrocephalus Association of Northern Alberta Annual General Meeting.

SPECIAL NOTE - THIS APPLICATION WILL NEED TO BE COMPLETED IN ONE SESSION. YOU WILL NOT BE ABLE TO SAVE WORK AND COMPLETE LATER. BEFORE YOU START, PLEASE HAVE ALL THE NECESSARY INFORMATION READY TO COMPLETE THE APPLICATION.

Personal Information*

First NameMiddle NameLast Name

Mobile Phone Number*

Area CodePhone Number

Home Phone Number

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

E-mail

Enter E-mail Here

University/College Information

College/University where you've been accepted

Description of Financial Need

0/600

Describe any accomplishments or contributions you have made of which you are proud. These can be school, extracurricular, church, or association activities.

0/600

Personal statement explaining your educational goals and what you want to accomplish with the education and training you will receive.

0/600

Letter of Admission

Upload letter of verifying admission to university/college (If applicable)

Transcript

Upload Copy of School Transcript (If applicable)

Reference Letter

Upload Reference Letter (If applicable)

YOUR APPLICATION MUST BE ACCOMPANIED BY THE FOLLOWING:*

Copy of the school transcript or equivalent.Letter verifying admission to school/collegeReference letter from a school or faculty member; or employer or supervisor.Confirmation of disability from a medical professional (including their name, address, and phone number). For example: photocopy oprevious medical record indicating spina bifida or hydrocephalusA membership form (if the applicant is not a current member of the SBHANA) available on our website www.sbhana.org.

Signature

Clear

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ALL SUBMISSIONS WILL BE STRICTLY CONFIDENTIAL
The application will be considered only if it is completed in full and submitted with all the documents listed above.

If you have questions regarding any part of this application, how to complete it, or the requirements for its submission, please contact info@sbhana.org subject: Scholarship.

Dr. Peter Bowen Scholarship Application