2017 Scholarship APPLICATION FORM All applications must be post-marked by Wednesday, April 15, 2017 (Midnight MT). Awards may be granted on the basis of need and/or merit. Award merit may be decided on the following criteria: • Community leadership and future life plans • Academic achievment • Need Awards vary from $250 $3,000 with most grants ranging from $250 - $1,500.
Successful applicants will be notified in June 2017.
Documents required: {{ Application form. Download this PDF application form and then complete all sections A to F in the fillable fields*.
Forward your complete application including documents above to:
{{ One copy of your 2016 tax return
Advisory Committee on Grants Jewish Community Foundation of Calgary 1607 - 90 Avenue SW Calgary, AB T2V 4V7 email: mail@jcfc.ca
{{ Two reference letters (Can be sent directly to the Advisory Committee)
For all inquiries you can contact: Wendy Kennelly, Manager mail@jcfc.ca | 403-640-2273
{{ One official transcript
* If you find there is not enough space alloted in the PDF to answer a question, please feel free to attach additional documents.
Please note, you cannot fill out the form within the browser, you must download to your computer first. Complete all sections below. When filling it out, use the “Tab” key to move to next box or click any box to select it.
Section A: General Information
Name:
SIN:
Current Address: City:
Postal Code:
Phone:
Age:
Province:
Country: Date of Birth:
Email: Have you applied for a JCFC scholarship before?
Yes
No
Section B on the next page...
Section B: Academic Background
Highest level of education: School or Institution: Dates Attended:
to
Grade/Degree
Name of Jewish/Hebrew School (if attended one): Dates Attended:
to
Grade/Degree
Attach an official school transcript. Describe academic honors, awards or types of recognition that you have received:
2017 Scholarship Application Form
Section C: Leadership Your community involvement(s) (organizational commitments, clubs, music or artistic interests, sports, etc.) Name of Organization: Contact Name: Phone:
Position Email:
Briefly describe your involvement:
Name of Organization: Contact Name: Phone:
Position Email:
Briefly describe your involvement:
Name of Organization: Contact Name: Phone:
Position Email:
Briefly describe your involvement:
2017 Scholarship Application Form
Section D: Career Plans and Future Goals Course/program description;
School: City:
Country:
Course Description: Year in course:
Start Date:
Brief description of the course above and whether the program of study is at the undergraduate, master or doctorate level. Note whether you have applied, have been accepted or are currently enrolled in the program:
Section E: Financial Information Estimated cost of program of study: Provide the following information on your income:
Tuition Fees:
Attach a copy of your last year’s tax return. Travel Costs: Living Costs:
$ 0.00
Personal Income:
*Other :
$ 0.00
If under the age of 25 years, parental income:
*Specify other costs: If married, spouse’s income:
Please note that funds are limited and we rely on your integrity.
Total:
2017 Scholarship Application Form
$ 0.00
Section F: Remarks Make any additional remarks which may help in the evaluation of your application. For example, why you need the money and what you intend to do with it.
2017 Scholarship Application Form
Section G: References Two letters of reference must be attached or forthcoming from persons other than relatives. For example, Rabbi, professor, or employer. Please have them addressed and sent to: Advisory Committee on Grants, Jewish Community Foundation, 1607 90 Ave SW, Calgary, AB T2V 4V7
REFERENCE NO. 1
REFERENCE NO. 2
Name:
Name:
Address:
Address:
Phone:
Phone:
Position:
Position:
Section F: Certification I hereby certify all the information on this form is true and complete to the best of my knowledge and I accept the terms and conditions of the Advisory Committee on Grants. If requested, I agree to provide additional information and give further proof of the academic and financial information that I have presented on this form.. Applicant Signature: Applicant Name (printed): Date:
Please note: make sure to include all documents requested throughout the application then email to mail@jcfc.ca, Attention: Wendy Kennelly, Manager.
2017 Scholarship Application Form