1
STUDENTAWARDS/BURSARIES/SCHOLARSHIPPACKAGE
CHURCHILL2015
INSTRUCTIONS:TheseawardsandscholarshipsareintendedforChurchillstudentswhoare
graduatingfromhighschool.Youmayapplyonlyonetimefortheseawards.Studentswalkthe
stageonlyonce.Thatistheyearyoushouldapply.
 ReadthroughtheAwards/Bursaries/ScholarshipPackage.

Allstudentsapplyingfortheseawards,bursariesorscholarshipsmustcomplete:
 theStudentApplication2015Awards/Bursaries/ScholarshipsApplication
Form(pages5and6);
 AwardsChecklist(Page7),and
 thetopportionoftheTeacherRefereeForm(page8).



ReturnallcompletedformstoStudentServicesby:Friday,April17th–Noon
Awards,bursaries,andscholarshipsaresubjecttocancellationorchangewithoutnotice.
Itistheresponsibilityoftheapplicanttoensurethatallcriteriahasbeenmet.
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
DEFINITIONS
AWARDS
AnAwardisanon‐repayablegranttoastudentwhohasfulfilledthespecialqualificationsstipulatedby
theDonor.
BURSARY
ABursaryisanon‐repayablegrantgiventoenableastudenttopursuefurtherstudies.Evidenceofthe
person=sabilitytocontinueandoffinancialneedisusuallyrequired.Bursariesareestablishedinmuch
thesamefashionasscholarships.
SCHOLARSHIP
Financial aid based on merit and paid directly to the student in the form of an outright gift. Some
scholarships are given to students who have a particular ability or skill such as athletics or leadership
potential;othersarebasedonyourscholasticrecord.
CREDITCOUNSELLINGSHEET
ACreditCounsellingsheetisacompletelistofallcoursestakenbyastudent.Aswell,itidentifieswhat
coursesastudentstillrequiresforanOSSDiploma,communityhoursandpresentcourses.
POSTSECONDARYEDUCATION
Thelevelofeducationafterseniorhighschool,suchasuniversity,college,orapprenticeship.
TRANSCRIPT
Atranscriptisaformalrecordofyourhighschoolcoursesandgrades.
DEADLINEDATEFORRETURNINGALL
COMPLETEDFORMS(pages5to7)DUE:Friday,April17th–Noon
AWARDS,BURSARIESANDSCHOLARSHIPS‐CHURCHILL2015
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AWARDS/BURSARIES/SCHOLARSHIPS
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CRITERIA
1.
BALMORALLEGALCENTREAWARD
Mustidentifyyourpostsecondary
program.
Graduatecontinuingtopost‐secondary
InvolvedinaBusinessorLawprogram
2.
CITYOFTHUNDERBAY,CONFEDERATION
COLLEGE
AWARD/SCHOLARSHIPx2
Forthese2,mustlivewithincitylimits
Pleasepickupadditionalformfrom
StudentServices&submitittoStudent
Serviceswiththispackage.
MustgotoConfederationCollege
SWCScholarshipCommitteenominatesstudentstobeconsideredfor
1Scholarship&1Award(mustlivewithincitylimitsfortheseonly).
1. Financialneed(award)
2.Scholarship(marks&schoolcontribution)
3.
CROSSROADSBESTWESTERN
MOTORINNAWARD
SCOTTSTEPHENSMEMORIAL
Graduatecontinuingtopost‐secondaryinaTechnicalProgram
4.
DANNYLEEMEMORIALBURSARY
Keeninterestintheoutdoors
Specialinterestinsmallengines
Completedoneormoreseniorlevelsmallenginecourses
5.
DAWSONEDUCATIONBURSARY
Graduatecontinuingtopost‐secondary
Goodcitizenship
Goodstudent
Financialneed
6.
DORAMIRONMEMORIALAWARD
Graduatecontinuingtopost‐secondary
Inaprogramthatwillleadtoworkingwithseniorcitizens(nursing,
practicalnursing,personalsupportworker,recreationaltherapy,
gerontology,prehealth)
7.
DR.THORSTENWALTHERSCHOLARSHIP
Graduatecontinuingtopost‐secondary
Highestmarkingrade12music
8.
FAITHDIBBLEYMEMORIALNURSING
BURSARY
Generousinencouragementtopeers
Compassionate,happytoshowrespect&diligentinstudies
Potentialtobringtonursingajoyfulattitude,competence&
leadership
9.
JIMCHEYNEMEMORIALBURSARY
Graduatecontinuingtopost‐secondaryinaTechnical
ProgramorApprenticeship
Positiveattitudetowardtechnicalsubjects
Readinesstoassistpeers&workbeyondminimumcourse
requirements
Respectsafeworkpractices,procedures&equipment
Minimumof2seniortechnicalcredits
10. JOHNANDREWSFOUNDATION
11. JORDANBROWNMEMORIAL
WRESTLINGSCHOLARSHIP
GraduatefromtheBaccalaureateProgramme
Academicexcellence
Proceedingtopost‐secondary,senseofprideandseveralyearsof
commitmenttoChurchill’sWrestlingprogram
Leadership&encouragementofotherstostrivetodotheirbest
Goodacademicstanding
12. KNIGHTSOFKALEVAAWARD
FinnishHeritage
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AWARDS/BURSARIES/SCHOLARSHIPS
13. LAKEHEADDISTRICTSCHOOLBOARD
STUDENTACADEMICANDATHLETIC
14. LAKEHEADLEARNINGFOUNDATION
15. THELIEUTENANTGOVERNOR’S
COMMUNITYVOLUNTEERAWARD
Attachanoutlineofyourinvolvementand
hours.Whywouldyouconsideryour
commitmentexemplary?
16. THELEONARDODAVINCIBURSARY
17. MICHAELM.YOUNGNORTHERNBURSARY
Pleaseattachabrief(1paragraph)
descriptionastowhyyouthinkyoufitthe
criteriaforthisaward
18. ONTARIOPOWERGENERATION
SECONDARYSCHOOLSTUDENT
ACHIEVEMENTAWARD
Mustidentifyyourpostsecondaryprogram
19. PETEMUSSELMANAWARD
20. RICHARDANDDANDAWSONAWARD
21. ROTARYCLUBOFFORTWILLIAMT.A.S
MCKEEBURSARY
22. SIRWINSTONCHURCHILLALUMNI
SCHOLARSHIP
23. STEPHANIELYNNMEMORIALAWARD
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CRITERIA
Graduatecontinuingtopost‐secondary
Goodstudent
Goodcitizenship
Financialneed
1male,1female
Excellenceinathletics&academic
Minimum2SSSAAsports
Minimum75%average
Graduatecontinuingtopost‐secondary
2destinations:1.Trade
2.General
Studentwhohasovercomechallenges(personallife,learning,
family)
Hasillustratedstrongworkethic
Studentwhowillprovideconfirmationofacceptancetopost‐
secondaryinstitutionorprogram
Exemplarycommunitycontributionoroutstandingachievement
throughvolunteeractivity.
Depthandbreadthofcontributionisconsidered,notsimplybased
onnumberofhours
Demonstrateschool,communityinvolvement
Highacademicachievement
Financialneed
Registeredforfirstyearcollegeoruniversity
Havetohaveajoballyearandsummeremploymentaswell
playsports
ApplyingtoacollegeoruniversityinOntarioandtaking
business,geologyorengineering
Graduatecontinuingtopost‐secondaryfocus
Engineering/Electronics,InformationTechnology,
Environment,Mathematics,PhysicsChemistryorBusiness
MinimumBaverage
Oral,writtencommunications&leadershipskills
Extra‐curricular&communityvolunteer
Graduatewhohasmadeexceptionaluseoftheirpotential
Makesagenuinecontributiontotheschool
Apprenticeshipboundstudent
Financialneed
Studentactivelyinvolvedintechnologyclasses
Goingaboveandbeyondclassroomexpectations
Graduatecontinuingtopost‐secondary
Goodstudent&citizen
Financialneed
Graduatecontinuingtopost‐secondary
Extra‐curricularinvolvement
Goodcitizenship
Positiverolemodels
Graduatingstudentwithapassion/giftforart
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AWARDS/BURSARIES/SCHOLARSHIPS
24. STUDENTCOUNCILAWARD
25. SACLEADERSHIPAWARD
26. THEJOHN,ANNIE,JOHNSEMEIIMEMORIAL
SCHOLARSHIP
27. THEPATERSONSCHOLARSHIP
28. THEPATERSONIBSCHOLARSHIP
Applicationisnotrequired
29. THUNDERBAYCHINESE‐CANADIAN
ASSOCIATIONAWARD
30. WILLREPO
31. W.P.LEHTOMEMORIALAWARD
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CRITERIA
Studentmayeitherbepursuinganeducationoracareerinthearts.
Thisindividualmaynotnecessarilybecontinuingtheireducation,
butcanbepursuingtheirpassionforart,ie.pottery,painting,etc.
Graduatecontinuingtopost‐secondary
Goodstudent
Contributiontoschool
Graduatecontinuingtopost‐secondary
Goodstudent
Contributiontoschool
Leadership
SACmemberorpastmember
HighestAcademics(NorthwesternOntario)inthefollowing
2Mathematics
1Physics
1Chemistry
2other4U/Msubjectsatthestudent’sdiscretion
Preferencegiventograduatecontinuingtopost‐secondaryin
ThunderBay
Schooland/orcommunityinvolvement
Goodstudent
PreferencegiventoIBgraduatecontinuingtopost‐secondaryin
ThunderBay
Schooland/orcommunityinvolvement
Goodstudent
Graduatecontinuingtopost‐secondary
70%averagein4subjects
Chinesedescent
Graduatecontinuingtopost‐secondary
Studentwhohasdemonstrateddesiretoovercomedifficultiesand
becomeapositiveinfluenceinschoolcommunity
Studentwhohasparticipatedactivelyinathleticprogramatschool,
andcontributedapositiveatmosphereinschool
Graduatecontinuingtopost‐secondary
Studentwhohasovercomeapersonaldifficulty
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STUDENTAPPLICATION2015
AWARDS/BURSARIES/SCHOLARSHIPS
NAME:_____________________________________SIN#:________________________________
Plansfornextyear:
(ifyouwishtobeconsideredforanyscholarship
youmusthaveyourSIN#)
CollegeUniversityOther(Specify):____________________________________________________
NameofPost‐SecondaryInstitute(s):1)________________2)_______________3)________________
Programs(s):1)_________________2)________________3)_________________4)_________________
CITIZENSHIP
CHURCHILLINVOLVEMENT
(Sports,Clubs,Band)
#OF
ORGANIZATION/
YEARS
ACTIVITY
COMMUNITYINVOLVEMENT
(VolunteerJobs,Clubs,OrganizationsAwards)
Name&phone
#referenceor
contactperson
#OF
YEARS
ORGANIZATION/
ACTIVITY
Name&phone
#referenceor
contactperson
a. Areyouemployedduringtheschoolyear?
GYES
b. Doyouplantoattendgraduationexercises? ***IfYES,pleaseorderandpayforyourGradGownin YES
StudentServicesWednesday,April22***
YES
c. AreyoureturningtoChurchillnextyear?
d. Isthereanyotherinfowhichyoufeelshouldbeconsidered? YES
IfYES,pleaseincludeanyinformationthatwemay
requirebelow(ie.Financialconsideration)orseeMs.
Christyoryourstudentservicescounsellor.
GNO Avg.#hrs/wk_________
NO
NO
NO
__________________________________________________________________________________________
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_
STUDENTAPPLICATION2015
AWARDS/BURSARIES/SCHOLARSHIPS
ApplicantName___________________________________________________________________
Whattypesofawardsareyouapplyingfor(i.e.financial,leadership,etc.)?
___________________________________________________________________________________
Comments to support your application. Include how you meet the criteria for the
award/scholarshipie.Communityservice,memberships,awards,certificates,financialneed,etc.
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
PLEASERETURNBYFRIDAY,APRIL17,2015TOSTUDENTSERVICES
1. Pleasenotethatanyorallofwhatyouwritemaybeusedbythescholarshipcommitteeto
supportyourapplicationtocommunitymember(s)ortheagencyresponsiblefortheaward.
2. Ihavereadtheappropriatecriteriafortheawards,bursariesandscholarshipsandhereby
submitmynameforconsideration.IdeclarethattheinformationIhaveprovidedonthis
applicationisaccuratetothebestofmyknowledge.
3. Ihavecompletedandregisteredmy40hoursofcommunityinvolvementYESNO Total#ofcommunityhours___________ifover500hrs.
Date:____________________Signature______________________________________
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WhodidyouprovidewiththeTeacherRefereeform?________________________________
Teacher’sname
AWARDSCHECKLIST
NAME:__________________________________________________
(Pleaseprintclearly)
ChecktheChurchillawards,bursariesandscholarshipsforwhichyouwouldliketobeconsideredand
reviewcriteriacarefully.Applyonlywhenthecriteriahasbeenmet.If“AdditionalInformation
Required”isXpleaseensurethatitisattachedtoyourapplication.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
LEGEND:C‐ContributiontoCommunity;F‐Financial;GS‐goodStudent;PS‐Post‐Secondary;
S‐ContributiontoSchool,O‐Other(readcriteriaprovided)
Additional
Checktobe
Info
Award/Bursary/Scholarship
Considered
Required
BalmoralLegalCentre‐PleaseIdentifyyourProgram:
X
CityofThunderBay,ConfederationCollegeAwardorScholarship–MUSTSUBMIT
X
ADDITIONALFORM(availablefromStudentServices)
CrossroadsBestWesternMotorInnAward–ScottStephensMemorial
DannyLeeMemorial
DawsonEducationBursary
DoraMironMemorialAward‐Programthatwillleadtoworkingwithsenior
X
citizens
Dr.ThorstenWaltherScholarship
FaithDibbleyMemorialNursing
JimCheyneMemorialAward
JohnAndrewsFoundation
JordanBrownMemorialWrestlingScholarship
KnightsofKalevaAward
LakeheadDistrictSchoolBoardAcademic&AthleticAward(1M,1F)
LakeheadLearningFoundation–Circleone:Destination‐TradeorGeneral
X
TheLieutenantGovernor’sCommunityVolunteerAward(Pin)–attachasummary X
ofyourvolunteeractivities
LeonardoDaVinciBursary
MichaelM.YoungNorthernBursary–attachbriefparagraphastohowyoufit
X
criteria
OntarioPowreGenerationSecondarySchoolAchievementAward(Pin)–attacha
X
summaryofyourvolunteeractivities
PeteMusselmanAward
Richard&DanDawsonAward
RotaryClubofFortWilliamT.A.S.McKeeBursary
SirWinstonChurchillAlumniScholarship
StephanieLynnMemorialAward
StudentCouncilAward
SACLeadershipAward
TheJohn,AnnieJohnSemeIIMemorialScholarship–attachmarksforidentified
X
courses
ThePatersonScholarship
ThePatersonScholarshipIB–Applicationnotrequired
N/A
N/A
ThunderBayChineseCanadianAssociationAward
WillRepo
W.P.Lehto
StudentSignature:
Date:
ReturnthisformbyFriday,April17,2015toStudentServices
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Criteria
PS
PS,F,GS,S
PS
GS
PS,C,GS,F
PS
PS,GS
G,S,C
PS,GS
PS
PS,S
PS,GS,C,F
GS,S
PS,GS
C,S
PS,F
PS
C,S
GS,S
GS,F,O
PS,C,GS,F
PS,C
O
PS,S,GS
PS,GS,S
GS
PS,S,GS,C
PS,S,GS,C
PS,GS
PS,C,GS,S
PS,GS
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TEACHERREFEREE–DuetoStudentServicesbyFriday,April17,2015
Studentpleasecompletetopthreelinesofthisform.Thissheetistoberemovedandgiventoone
teacherwhowillactasarefereeforyou.Thisform,oncecompleted,isconfidentialforusebythe
ChurchillScholarshipCommittee,andistobehandedinbythe(teacher)referee.
Applicantsname_______________________________________________________________
TypeofAwards/Scholarshipsapplied___________________________________________________
Referee’sname_______________________________________________________________
Oneofthetopfew
Not
Below
Average
Good
Excellent
Ihaveeverencountered
Applicable
Average
AcademicMotivation
AcademicGrowthPotential
Creativity
Self‐discipline
Leadership
Self‐confidence
EmotionalMaturity
PersonalInitiative
RespectAccordedbyFaculty
RespectAccordedby
Students
Haveyouagreedtobetherefereeforanyotherstudent?Yes_____No_____
IfYES,forwhom:__________________________________________________________________________________
Howwouldyouratethisstudentcomparedtotheothersyouarethereferee1st_____2nd_____3rd_____
Iftherearespecificawardsforwhichyoufeelthisapplicantshouldorshouldnotbeconsidered,pleasecomment
__________________________________________________________________________________________________
__________________________________________________________________________________________________
*Referee,pleasecompletethisformandsubmittoStudentServicesbyFriday,April17,2015.
FailuretocompletethisformandhanditinbyApril17mayjeopardizethisapplicantschances.
Referee’sSignature_________________________________
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