Application form - Camosun College

Dr. Gordon L. Diewert Community
Service Entrance Award: $1,000
Awarded Annually
The Dr. Gordon L. Diewert [Dee-wert] Community Service Entrance Award was
established to foster and promote the prevention of drinking and driving.
It pays tribute to Dr. Gordon L. Diewert, an outstanding faculty member at
Simon Fraser University. Dr. Diewert died tragically on April 28, 1981, at the
age of 30, when an impaired driver slammed into his car at the intersection of
Gaglardi Way and Lougheed Highway, killing him instantly.
Award Deadline
April 20, 2015
Late applications are not accepted.
Criteria
You must:
•
•
Be a first year Camosun
College student attending
full-time, on the basis of
good academic high school
performance (minimum ‘B’
average in grade 12) and
leadership and/or
community service. The
award is intended to be
given to a student who has
recently completed grade
12, but any first-year
Camosun student may
apply.
Demonstrate participation
in volunteer activities
associated with the
prevention of drinking and
driving. Preference will be
given to a student who took
a leadership role in their
high school Dry Grad
activities.
For more information contact:
Financial Aid and Awards
at
[email protected]
Submit Application Package
1. Application Form (page 2); and
2. A one page double spaced application letter, providing:
o a brief description of their volunteer work related to the
prevention of drinking and driving;
o the reason for their participation and leadership in
prevention activities;
o their course of study at Camosun College; and
o their career plans.
3. A letter of reference from a high school teacher or counselor
verifying the student’s Grade 12 average of a minimum “B”
and the student’s suitability to be considered for the award.
Submit to
In Person: You can drop off during business hours at the
Financial Aid and Awards Office. Interurban Campus (Campus
Centre, 2nd Floor) or Lansdowne Campus (Dawson, 1st Floor)
 By Email: fi[email protected] with the subject line “Diewert
Award – your name”.
Selection Process
•
•
The Education Council Award’s Committee will review
applications and recommend a recipient. Incomplete
applications will not be considered.
The successful recipient will be notified no later than May
30th.
Dr. Gordon L. Diewert Community
Service Entrance Award: $1,000
Awarded Annually
Application Form
1
Full Name (First, Last)
2
Mailing Address
3
Telephone Number
4
Camosun Student #
5
Email Address
6
Application Package
Checklist:
Camosun College
Office Use Only
You must include the following with your application:
☐ A one page double spaced application letter, providing:
☐ a brief description of their volunteer work related to the
prevention of drinking and driving;
☐ the reason for their participation and leadership in
prevention activities;
☐their course of study at Camosun College; and
☐their career plans.
☐ A letter of reference from a high school teacher or counselor
verifying the student’s Grade 12 average of a minimum “B” and
the student’s suitability to be considered for the award.
Confirmed
☐ Application Information 1-5 Complete
☐ Application Letter; and
☐ Letter of Reference from high school teacher or counselor.
☐ Letter of Reference from high school teacher or counselor
confirming a Grade 12 average of a minimum “B”.
☐ Qualified Applicant
☐ Unqualified Applicant