Portuguese Association at York University Merit Award Application for Students Entering York University in Fall 2014

Transcription

1 Portuguese Association at York University Merit Award Application for Students Entering York University in Fall 2014 Portuguese Association at York University (YUPA) 4700 Keele Street 002B Winters College, Toronto, Ontario, M3J 1P3 Tel: ext

2 Information Form Instructions for all YUPA merit awards are outlined in this application form. Please read carefully. For inquiries contact YUPA at or ext These awards are for students entering York University in fall of ***PLEASE RETURN ALL APPLICATIONS TO THE ATTENTION OF SAMANTHA DOREGO FROM THE PORTUGUESE ASSOCIATION AT YORK UNIVERSITY AND INDICATE RE: SCHOLARSHIP APPLICATION ENCLOSED TO 4700 KEELE STREET, 002B WINTERS COLLEGE, TORONTO, ONTARIO, M3J 1P3*** INSTRUCTIONS: 1. Write or type all information within the space provided or on an attached sheet. 2. Proofread all information and make sure that everything is filled out to the best of your ability. 3. Sign and date Section F and have your endorser sign and date the section as well. 4. Attach a sealed original transcript to date as well as a copy; also, please make a copy of the entire application and include it in the application package to be submitted. ELIGIBILITY: High school, college, and mature students (those out of school for 2 years or more) entering into their first year at York University are eligible if they are/have: 1. A Canadian citizen or landed immigrant of Portuguese descent/descendent of a Lusophon nation and/or 2. An international student of Lusophone origin 3. Attending York University in fall 2014, provided they are accepted to the University 4. A minimum average in their graduating year of 75% 5. Participated in at least 3 extracurricular activities while in high school (each year counts as a separate volunteer example, list it accordingly). 1

3 CALENDAR AND DEADLINES: Deadline for this application is May 2 nd, Successful candidates will be notified of their final standing and offered the scholarship by June 2, Recipients will be asked to attend our annual scholarship event (June 2013) in their honour to accept their award IF AWARD IS GRANTED AND ACCEPTED RECIPIENTS WILL RECIEVE: 1. A one-time award between $500 and $1500 (given that documentation is provided proving their acceptance to York University). 2. Free Membership to the Portuguese Association at York University (YUPA) for their first year of university. 3. An invitation to the Portuguese Association at York University s Scholarship Ceremony held at York University in June 2014 honouring all recipients. 4. A renewing scholarship between $200 and $500 for the academic year (recipient s second year) provided that: During the academic year recipient attends a minimum of three YUPA meetings per semester or contributes a minimum of five hours per semester towards YUPA initiatives, which include but are not restricted to: attending meetings, tabling, assisting at a YUPA run event (ie. set up and clean up), recruiting new members, promoting events, etc. Recipient attends YUPA s Annual Winter Ball in 2014, as well as at least one of YUPA s other three main events during the academic year, which are: o YUPA s Halloween Party o Multicultural Week at York University o YUPA s Charity Event 2

4 Personal Information Form IMPORTANT: Please do not forget to include TWO FULLY COMPLETED COPIES of this form in the application package that you will be submitting to the association. Please type or print clearly (blue or black ink only). The information contained in the personal information form will be used for all association correspondence. Please ensure that the information you provide is complete, accurate, and up to date. Last Name: First Name: Middle Name: Gender: Female Male Other Home Address: Apt: City: Province: Postal Code: Home Telephone Number: Mobile: Date of Birth (YYYY/DD/MM): Place of Birth: Address: Status for academic years (please select one of the following): Out of school Public/Catholic high school Private school College/Professional school Name of School (if presently in school): School address: Telephone: City: Province: Postal Code: How did you learn about this scholarship? Guidance counsellor(s) teacher(s) friend(s) website community group Advertisements (posters) other: The program you applied for at York University belongs to the faculty of: Health Science Science & Engineering Fine Arts Schulich School of Business Liberal Arts & Professional Studies Other (please specify): Citizenship and Background (please select one of the following): Canadian Citizen of Portuguese descent (includes Lusophone descent (Portuguese-speaking)) Canadian and Portuguese citizen Portuguese citizen only Other (please specify): What language(s) do you speak? English Portuguese Other (specify): 3

5 SECTION A: Name of mother/guardian: Deceased Home Address (if different from applicant): apt: City: Province: Postal Code: Home Telephone Number: Occupation: Name of father/guardian: Deceased Home Address (if different from applicant): apt: City: Province: Postal Code: Home Telephone Number: Occupation: How many siblings do you have? Are any of your siblings currently attending/have completed post-secondary education? YES NO SECTION B: (for applicants entering a post-secondary institution as a mature student) Marital Status: # of Children: Age(s): Current Occupation: If married, what is your spouse s current occupation: SECTION C- ACADEMICS: Please select the square that represents your official grade average from the previous year (i.e. based on grade 11 average if presently graduating in grade 12). Be sure to include 1 original copy of your transcript and one photocopy: Please list ANY academic scholarships, special recognition, honours or awards at the school, district, regional or national level that you have achieved in school or in a community related activity within the last four years:

6 SECTION D- COMMUNITY SERVICE: Please answer the following questions on a separate sheet. Keep your responses to a MAXIMUM of 500 words each. Be sure to double space your responses and include your name (last name, first name) on each page. 1. Describe how you have contributed to the Lusophone community and describe what issues it faces today. Please be sure to include one example, from your school community or community where you live, etc. Also offer at least one suggestion on how to address this community s needs 2. Please list three experiences you contributed to as part of an extracurricular activity. How did these experiences influence the group? What have you learned from these experiences? SECTION E - FINANCIAL NEED: Please answer the following questions to the best of your ability. 1. Have you applied for or are going to apply for OSAP? Yes No 2. Will you be living on campus if accepted to York University? Yes No (If you responded yes, please go to question 5) 3. What will be your method of commuting to and from York University? 4. Approximately how many kilometres do you live from York University? 5. Have you received any scholarships? Yes No If so, which ones? 6. Briefly describe the method of how you will finance your post-secondary education during the academic year (i.e. scholarships, OSAP, bank loan, working, etc.) If you plan on working throughout the academic year, how many hours per week approximately will you work? 7. Are there any special family/personal circumstances that impact your situation and/or do you wish to include any other information? If none, indicate by placing N/A (For question 7, attach a sheet with your response (if any) briefly describing your circumstances / situation. Be sure to double space your responses, and include your name (last name, first name) on any attached page.) 5

7 SECTION F- CERTIFICATION AND RECOMMENDATIONS: Teacher/ Advisor/ Guidance Counsellor I certify that the information provided in this nomination form is true and correct. Full name: Title: Telephone Number: I have known the applicant from - in my position as a. Print Name Signature Date Student I certify that the information provided in this nomination form is true and correct. Print Name Signature Date 6

8 Alliance of Portuguese Clubs and Associations (ACAPO) Scholarship Award Night All of the associations, clubs and student groups affiliated with ACAPO have been asked to offer students of Portuguese descent a one-time academic scholarship. The Portuguese Association at York University (YUPA) is proud to say that we have been awarding scholarships to deserving students for over 10 years and will be awarding one of our scholarships at ACAPO s Scholarship Award Night. If you would like the opportunity to be eligible for the scholarship that the Portuguese Association at York University will be presenting at the ACAPO Scholarship Award Night on the date of May 3 rd 2014, please submit this scholarship application to YUPA by APRIL 25 th, Important Information Regarding the ACAPO Scholarship: All requirements listed on the first and second page of this application form must still be met and completed. The winner will receive a post-dated cheque on the award night, as well as a plaque from the ACAPO. Once the Portuguese Association at York University receives confirmation that the winner will be attending York University come fall 2014, then the cheque may be deposited. The winner will also be asked to attend the Portuguese Association at York University s Scholarship Ceremony in June 2014, where YUPA will be handing out the remainder of their scholarships. The recipient will receive all the same benefits as the other YUPA scholarship recipients listed on page two of this application. Please note that the Alliance of Portuguese Clubs and Associations (ACAPO) will be given a copy of your application for their own records. Keep in mind that the ACAPO Scholarship Award Night will be a large event opened to the entire Portuguese community. Family and friends may purchase tickets for this event. As the recipient of the Portuguese Association at York University s scholarship, you will be called up to the stage to receive your award in front of the community. There will be media present at the event. The Winner will be given two free tickets to the dinner courtesy of the ACAPO. 7

9 CIRV Radio Scholarship This year, for the second time, CIRV Radio has offered YUPA $ to be given to a student pursuing Journalism at York University. You can be eligible for this scholarship provided that you will major in Journalism or a related field. If so, please indicate your major:. Important Information Regarding the CIRV Radio Scholarship: All requirements listed on the first and second page of this application form must still be met and completed. The recipient will be asked to attend the Portuguese Association at York University s Scholarship Ceremony in June 2014 and will receive their scholarship along with YUPA s scholarship recipients. The recipient will receive all the same benefits as the other YUPA scholarship recipients listed on page two of this application. 8