Civitan International Foundation of Canada

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Bursary

GENERAL INFORMATION

The interest earned from the Civitan International Foundation of Canada Memorial Fund will be given annually in one or more bursary awards.

Applications must be POST MARKED NO LATER THAN FEBRUARY 29th, 2008 and returned to:

Sue Gibson
52 Boullee St
London, ON N5Y 1T6
(519) 453-5770

Completed Applicationscan also be e-mailed to:
Email: susangibson@golden.net

CRITERIA

A GRADUATING JUNIOR CIVITAN or
A CIVITAN IN REGION FIVE IN GOOD STANDING AS DEFINED BY CIVITAN INTERNATIONAL or
A SON OR DAUGHTER OR LEGAL WARD OF A CIVITAN IN REGION FIVE IN GOOD STANDING AS DEFINED BY CIVITAN INTERNATIONAL or
A PRIVATE MEMBER OF THE FOUNDATION or
A SON OR DAUGHTER OR LEGAL WARD OF A PRIVATE MEMBER OF THE FOUNDATION

N.B.
ANY MONIES AWARDED BY THIS BURSARY WILL BE PAID BY CHEQUE PAYABLE TO THE POST SECONDARY SCHOOL OF THE RECIPIENT’S CHOICE AS SOON AS THE STUDENT’S REGISTRATION NUMBER IS RECEIVED.

Click Here! for a downloadable version of the application (Adobe PDF)

APPLICANT INFORMATION (please print):

NAME:
Surname:		Given Name:
ADDRESS
Street:		Apt:
City:		Province:
Postal Code:		Phone with Area Code:
E-mail:
Social Insurance Number:

QUALIFYING CRITERIA (Explain how you qualify):

ALL questions must be answered with detailed responses.

1. DESCRIBE HOW YOU HAVE BEEN INVOLVED IN CIVITAN.

2. DESCRIBE THE ACTIVITIES IN WHICH YOU PARTICIPATE THAT BENEFIT YOUR COMMUNITY. WHY DID YOU SELECT THESE ACTIVITIES?

3. DESCRIBE YOUR STUDENT ACTIVITIES AND THE LEADERSHIP ROLE YOU PLAY IN THEM. PLEASE INDICATE WHAT YOU FIND THE MOST REWARDING OR VALUABLE ABOUT YOUR PARTICIPATION IN THESE ACTIVITIES.

4. LIST ANY AWARDS OR ACHIEVEMENTS (ACADEMIC OR OTHERWISE) YOU HAVE RECEIVED TO DATE.

5. LIST THE POST SECONDARY COURSES YOU WISH TO TAKE.

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