Jan Courtin Superintendent of Education Bramalea/Chinguacousy/North Park Family of Schools

Franca Palmieri Assistant to Superintendent of Education

_____________________________________________________________________________________

KIWANIS CLUB OF BRAMPTON

BURSARY FOR GRADUATING SECONDARY STUDENTS______________________________________________________________________________________

ELIGIBILITY INFORMATION

The Kiwanis Club of Brampton has established a Bursary to be awarded annually to two (2) graduating students who have been in attendance at a Peel District School Board secondary school located in the City of Brampton or the Town of Caledon. The value of the Bursaries are $1250.00 each per year, renewable for up to four years.

The recipients of this Bursary will be graduating students who have achieved high academic standing and have demonstrated a keen involvement in extra-curricular activities, as well as making a strong contribution to the wider community of Brampton or Caledon. The students selected are planning to pursue post-secondary studies at a recognized Canadian college or university in September 2015 and for whom attendance at this college or university is challenged by limited financial resources.

Students who meet the selection criteria, along with their parents or guardians, are requested to complete the Bursary Application Form and submit to the Principal by the submission date of April 24, 2015. Please note that, under no circumstances, will the application deadlines be extended.

Applicants may be requested to attend a personal interview with the Bursary Selection Committee. The recipient of the Bursary will be informed before the end of June, 2015. The decision of the Committee is final.

Criteria for Selection

1. Demonstration that the Bursary will assist limited financial resources for the student to attend a recognized college or university in Canada;

2. High academic achievement;3. Involvement in extra-curricular activities;4. Contribution to the Brampton or Caledon community;5. Graduation in June 2015 from a Brampton or Caledon secondary school (Peel District School Board) and

having been in a Brampton or Caledon secondary school for a minimum of three (3) consecutive years.6. Attendance at a recognized college or university in Canada in September 2015.

Use of Bursary

Revised January 18, 2015

Reimbursement of tuition fees or other approved expenses to a maximum of $1250.00 annually for up to four consecutive years (upon submission of receipts).

________________________________________________________________________________________

KIWANIS CLUB OF BRAMPTON

BURSARY FOR GRADUATING SECONDARY STUDENTS

________________________________________________________________________________________

TIMELINES

DATE COMMITTEE ACTIVITYJanuary 2015 Distribution of packages to Brampton and Caledon secondary

schools Distribution of materials to Committee Members

April 24, 2015 Deadline for students to submit completed applications to Guidance Counsellor

May 8, 2015 Deadline for schools to submit selected applications to Jan Courtin, Superintendent of Education, North Field Office

May 15, 2015 Meeting of Selection Committee to screen applications, select candidates for interviews and prepare interview format

1:00 p.m. to 3:00 p.m. @ North Field Office (3rd Floor Conference Room)

May 22, 2015 Meeting of Selection Committee to interview candidates, make decision on recipient of Bursary

1:00 p.m. to 3:00 p.m. @ North Field Office (3rd Floor Conference Room)

Week of May 25, 2015 Information to all candidates to communicate decision of Selection Committee

SELECTION COMMITTEE

Ernie McDonald, Kiwanis Club of BramptonCarrie Andrews, Trustee, Peel District School BoardJan Courtin, Superintendent of Education, Peel District School BoardRevised January 18, 2015

Jan CourtinSuperintendent of EducationBramalea/Chinguacousy/North Park Family of Schools

Franca PalmieriAssistant to Superintendent of Education

Lee MacGregor, Curriculum Head of Guidance, David Suzuki S.S.

KIWANIS CLUB OF BRAMPTON BURSARY

2015

ELIGIBILITY INFORMATION

AND

APPLICATION FORM

Revised January 18, 2015

APPLICATION FORM

KIWANIS CLUB OF BRAMPTON BURSARY

2015

Please print using black ink

Student's Name:

Home address:

City (): Brampton Caledon

Postal code:

Telephone number(s):

Secondary school:

Principal:

******************************************************************************************************************************Deadline for submission to school Principal: April 24, 2015

It is recognized that the information in this document (sections 1, 2 and 3) will be made available to the members of the Selection Committee in order to select the recipient of the bursary.

Please attach a resume to your application package

Revised January 18, 2015

SECTION ONE: To be completed by the student

Proposed college or university to will be attending:

________________________________________________________________________________________

Proposed program of study you wish to pursue:

________________________________________________________________________________________

Academic Achievements (Please list any awards or recognition you have received throughout your years at secondary school)

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Extra-Curricular Contributions (Please list any sports, clubs, activities, organizations in which you have been involved throughout your years at secondary school)

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Revised January 18, 2015

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Contributions to the Community (Please list any significant contributions you have made to the Brampton or Caledon community throughout your years as a secondary student)

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Demonstrated Need for Bursary (Please provide specific details of financial need including budget for next year)

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Revised January 18, 2015

________________________________________________________________________________________

SECTION TWO: To be completed by the parent/guardian of student

Comments (Please provide any comments regarding your son’s/daughter's application for this Kiwanis Club of Brampton Bursary)

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Student's signature: __________________________________________________________

Parent's/Guardian's signature: __________________________________________________________

Date: __________________________________________________________

Please note the deadline for submission of this application is April 24, 2015.

Revised January 18, 2015

SECTION THREE: To be completed by the Principal

Academic Achievement (Please list the marks that were submitted earlier this year to OCAS / OUAC. Please list courses and marks)

_____________________________________________ _______________%

_____________________________________________ _______________%

_____________________________________________ _______________%

_____________________________________________ _______________%

_____________________________________________ _______________%

_____________________________________________ _______________%

_____________________________________________ _______________%

_____________________________________________ _______________%

Personal Strengths (Please comment on the strengths that this candidate brings to your school as part of the senior graduating class)

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Additional Comments (Please provide any additional information in support of this student's application for the Kiwanis Club of Brampton Bursary)

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Revised January 18, 2015

Other scholarships or bursaries that this student has applied for

________________________________________________________________________________________

________________________________________________________________________________________

Principal's signature verifies that the applicant has been a student in a Brampton or Caledon secondary school (Peel District School Board) for a minimum of three (3) consecutive years and is graduating this year:

Principal's signature: __________________________________________________________

Date: __________________________________________________________

Revised January 18, 2015