Author: Carla Waterman

MEADOW LAKE AND DISTICT SCHOLARSHIP COMMITTEE
606-5th Avenue West; Meadow Lake, Saskatchewan; S9X 1A9
Telephone: (306) 236-5614 Fax: (306) 236-3922

SCHOLARSHIP APPLICATION
The Meadow Lake School Division Scholarship Committee donations for 2020 are being collected and allocated to the schools as designated by the sponsors’ wishes.
Each scholarship will be a minimum of $300.00. There will be no partial scholarships awarded.
Please note that not all applications will receive a scholarship.
ELIGIBILITY
To be eligible for a scholarship the following criteria must be met:
Grade 12 student graduating in current year from the Meadow Lake School Division.
Funding will be dispersed when proof of registration at a post-secondary institution has been received by the Scholarship Committee. Students must provide proof of registration by January 31, 2022.
This program must be acceptable to the Saskatchewan Student Loans definition.
Return the application to the office or Mrs. Waterman.
APPLICATION
Complete the Meadow Lake Scholarship Application form.
Application deadline is May 31, 2020
For further information, contact your school principal, or school counselor.

MEADOW LAKE AND DIVISION SCHOLARSHIP COMMITTEE
606-5th Avenue West; Meadow Lake, Saskatchewan; S9X 1A9
Telephone: (306) 236-5614 Fax: (306) 236-3922

APPLICANT INFORMATION:
NAME: _________________________________________________________________
Surname Given Name(s)
ADDRESS: _______________________________________________________________
Street
_______________________________________________________________
City/Town Province Postal Code
TELEPHONE NO: _________________ SOCIAL INSURANCE #: ______________
DATE OF BIRTH: ______/______/______ SEX: M______ F______
Year Month Day
CANADIAN CITIZEN: ______ YES ______NO
SCHOOL PARTICULARS:
NAME OF HIGH SCHOOL ATTENDED: _____________________________________
SCHOOL ADDRESS: _______________________________________________________
_______________________________________________________
SCHOOL TELEPHONE NO: _________________________________

ACADEMIC INFORMATION:
ACADEMIC STANDING:
To calculate your average for Level 30 use the following 7 marks:
English A 30
English B 30
History 30, or Native Studies 30
Math 20 or 30
Science 20 or 30
Next 2 highest marks at a 30 level
Academic Average _____%
List academic honours or awards you have received:
Honour/Award Year
_____________________________________________________ ________
_____________________________________________________ ________
_____________________________________________________ ________
POST-SECONDARY EDUCATION PLANS:
Intended Institution: _______________________________________________
Intended area of study: _______________________________________________
Have you applied to your chosen academic institution? ____Yes ____No
Discuss briefly your future plans and ambitions.
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Do you have any affiliation with the Royal Canadian Legion, Veteran, or RCMP?
Yes_____ No_____How?_________________________________________________________
___________________________________________________________________________
_______________________________________________________________________________

COMMUNITY INVOLVEMENT:
List the major community activities in which you have taken part in the past three years and your role in these activities.
ACTIVITY ROLE YEAR
__________________________ __________________________ __________________
__________________________ __________________________ __________________
__________________________ __________________________ ___________________
__________________________ __________________________ __________________
Select one of these and discuss why you became involved, how your community benefitted, and what you gained from the experience.
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
EXTRACURRICULAR ACTIVITIES:
List the extracurricular activities in which you were involve during the past three years.
ACTIVITY YEAR
________________________________________________________ _______________
________________________________________________________ _______________
________________________________________________________ _______________
________________________________________________________ _______________
________________________________________________________ _______________
________________________________________________________ _______________

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