Ivan Tennant Memorial Scholarship
2016-2017 Kitchener Rangers/Ivan Tennant Memorial Scholarship Award The Kitchener Rangers/Ivan Tennant Memorial Scholarship Award is an award available to students from the Region of Waterloo entering first-year undergraduate studies in a Canadian post-secondary institution.
STUDENT DETAILS Name of Student: _______________________________________________________________________ Mailing Address: _______________________________________________________________________ _________________________________________________________ Postal Code: _________________ Phone: ________________________________ Email: _______________________________________ Secondary School Attended: ______________________________________________________________ Post-Secondary Institution: _______________________________________________________________ Program: _________________________________________ Student Number: ____________________ Do you have any present or prior association with the Kitchener Rangers Hockey Club? Yes: ________ No: ________ (If yes, please specify) ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________
APPLICANT ELIGIBILITY To be eligible, students must (please check): Be a graduate of a secondary school in the Waterloo Region. Be registered in a first-year undergraduate program in a recognized Canadian post-secondary institution. Have a solid academic performance. Demonstrate leadership and involvement within the community.
SELECTION The Scholarship Committee will evaluate the nominations and applications together with all supporting documents and make the final selections.
APPLICANT INSTRUCTIONS A completed application must include three (3) copies of (please check): A fully completed application form. A copy of the applicant’s high school transcript. A statement outlining how the applicant meets the criteria, exemplifies leadership and community involvement, as well as details on their career/life ambitions and why they have chosen their particular post-secondary program. The statement should also demonstrate initiatives the applicant has personally undertaken to finance their post-secondary education. The statement must be composed by the student and must not exceed 1,000 words. Signed Declaration and Consent.
AWARD PRESENTATION Applicants will be notified by September 30th. Awards will be paid in the second semester and directly to the recipient’s Post-Secondary Institution. Successful recipients will be invited to attend a Kitchener Rangers hockey game and participate in a pre-game on-ice ceremony in recognition of their award.
DECLARATION AND CONSENT To the best of my knowledge, all information submitted with this application is accurate, and I confirm that my intention is to further my education with registration at a recognized post-secondary institution in the immediate autumn term. I agree that the Kitchener Rangers Hockey Club may use my personal information in the form of my Photographs and my name/school, likeness or biographical information supplied under the authority of Ontario’s Freedom of Information and Protection of Privacy Act.
Print Name: _________________________________________ Date: ________________________ Applicant’s Signature: ________________________________________________
Kitchener Rangers Hockey Club – Scholarship Committee 1963 Eugene George Way Kitchener, Ontario N2H 0B8 (519) 576-3700 DEADLINE TO APPLY: MONDAY, JULY 11, 2016
STUDENT DETAILS Name of Student: _______________________________________________________________________ Mailing Address: _______________________________________________________________________ _________________________________________________________ Postal Code: _________________ Phone: ________________________________ Email: _______________________________________ Secondary School Attended: ______________________________________________________________ Post-Secondary Institution: _______________________________________________________________ Program: _________________________________________ Student Number: ____________________ Do you have any present or prior association with the Kitchener Rangers Hockey Club? Yes: ________ No: ________ (If yes, please specify) ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________
APPLICANT ELIGIBILITY To be eligible, students must (please check): Be a graduate of a secondary school in the Waterloo Region. Be registered in a first-year undergraduate program in a recognized Canadian post-secondary institution. Have a solid academic performance. Demonstrate leadership and involvement within the community.
SELECTION The Scholarship Committee will evaluate the nominations and applications together with all supporting documents and make the final selections.
APPLICANT INSTRUCTIONS A completed application must include three (3) copies of (please check): A fully completed application form. A copy of the applicant’s high school transcript. A statement outlining how the applicant meets the criteria, exemplifies leadership and community involvement, as well as details on their career/life ambitions and why they have chosen their particular post-secondary program. The statement should also demonstrate initiatives the applicant has personally undertaken to finance their post-secondary education. The statement must be composed by the student and must not exceed 1,000 words. Signed Declaration and Consent.
AWARD PRESENTATION Applicants will be notified by September 30th. Awards will be paid in the second semester and directly to the recipient’s Post-Secondary Institution. Successful recipients will be invited to attend a Kitchener Rangers hockey game and participate in a pre-game on-ice ceremony in recognition of their award.
DECLARATION AND CONSENT To the best of my knowledge, all information submitted with this application is accurate, and I confirm that my intention is to further my education with registration at a recognized post-secondary institution in the immediate autumn term. I agree that the Kitchener Rangers Hockey Club may use my personal information in the form of my Photographs and my name/school, likeness or biographical information supplied under the authority of Ontario’s Freedom of Information and Protection of Privacy Act.
Print Name: _________________________________________ Date: ________________________ Applicant’s Signature: ________________________________________________
Kitchener Rangers Hockey Club – Scholarship Committee 1963 Eugene George Way Kitchener, Ontario N2H 0B8 (519) 576-3700 DEADLINE TO APPLY: MONDAY, JULY 11, 2016
