Application Form

Print Blank Form

Name:
Mailing
Address
Street:
City: Province:
Postal Code:
County:
Telephone: ( )
 
Permanent
Address
Street:
City: Province:
Postal Code:
County:
Telephone: ( )

Email Address:

Highest grade completed in:
High School
Post Secondary
Other


Presently enrolled at:

Course of study:

Length of course:
Estimated date of completion:

Are you currently a member of any professional associations? yes
If yes, which one(s)?

Please answer the following questions (do not attach more than three (3) pages in total for these questions).

  1. What are you planning to do upon graduation?
  2. What activities have you participated in (inside and outside of school) that have helped you reach your personal and professional goals? Please include information about volunteer work and other extracurricular activities.
  3. How will you advocate, promote, or enhance the success of women through your business, personal or professional development?
How did you find out about the GWIN scholarship?
Professor / Teacher Awards Office
Bulletin Board Newspaper
Radio Internet
Other:

I certify that the information in this application is accurately complete to the best of my knowledge. I authorize Guelph Women in Networking (GWIN) and/or the GWIN Scholarship Selection Committee to verify my application and references. If I am selected for the GWIN Scholarship, I agree to have my name and/or photograph used in any publicity that GWIN deems appropriate.

Signature:
Date:

Yes, I have included
One application form, fully completed and signed.
Two letters of recommendation.
Up to three pages containing the answers to the questions.
Transcripts from all of the post-secondary institutions you have attended, and high school if you are presently enrolled in your first year of post-secondary study.
Resume or C.V.



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