Scholarship Application

Applicant Information

Your title

Your name

First Name

Last Name

Your address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Your phone number

(###)

###

####

Your email address

Scholastic Data

In chronological order, list the educational institutions attended during the last two academic years.

School # 1

Name of School

Start Date

YYYY

End Date

YYYY

Grade completed

School # 2

Name of School

Start Date

YYYY

End Date

YYYY

Grade completed

Post-Secondary data

Institution

Institution's City

Degree, Diploma or Certificate sought during your next academic term

Bachelor's

College Diploma

Associate's Degree

Certificate

Field of studies

Max length of Post-Secondary Program

Declaration

I certify that all information provided in this application form and attached documents is true and accurate to the best of my knowledge. I understand that acceptance of this application or receipt of any scholarship/awards issued to me may be revoked without notice if any information in this application is subsequently found to be false.

I have read the scholarship guidelines and understand the eligibility requirements for this scholarship program.

Documents Needed

In addition to submitting the form above please provide the following documents to the Trust Administrator by email to [email protected], by mail or in person at the the GFL Environmental Stoney Creek Regional Facility, 65 Green Mountain Road W., Stoney Creek, ON. L8J 1X5;

Please provide two signed reference letters with the references' original signature (from a teacher and one from a non-related person familiar with the applicant who lives in the Upper Stoney Creek area and who will attest to the residency of the applicant, ie: neighbour).
Please attach a 600-800 word essay based on your experiences living in Upper Stoney Creek what do you feel would benefit/enhance the quality of life for the residents residing in this community. What approach would you take to implement your idea? The essay can also be supplemented with additional presentation materials. Think outside of the box!
A official letter of acceptance from an accredited school presented on the official paper of the institution and bears the appropriate signature(s) and/or seal of the institution.
Attach a resume specifically outlining volunteer/community involvement.
Parental Consent, if under the age of 18.

*The Trust Administrator will send you an email to confirm receipt of your scholarship application and the required documents.