For Office Use Only
SCHOLARSHIP / BURSARY
2019-
2019 Application Form Awards may be granted on the basis of need and/or merit including: • Community leadership and future life plans • Academic achievement • Need Awards vary from $250 - $3,000 with most scholarships ranging from $250 - $1,500.
Documents required: {{ Application form. Download this PDF form and complete sections A to H in the fillable fields. {{ One official (most current) transcript {{ Most recent tax return {{ Two reference letters * If you find there is not enough space alloted in the PDF to answer a question, please feel free to attach additional documents.
Forward your complete application including all documents to: Grants & Allocation Committee Jewish Community Foundation of Calgary 1607 - 90 Avenue SW Calgary, AB T2V 4V7 email: mail@jcfc.ca For all inquires please contact: Brenda Sapoznikow, Foundation Administrator mail@jcfc.ca | 403-640-2273
All applications must be post-marked by Friday, April 14, 2019 (Midnight MT).
Successful applicants will be notified in June 2019. Please note, Fillable .pdf’s work best when completed from your desktop rather than an internet browser. Save this form to your desktop using the file name format FirstNameLastName.pdf below prior to completion. 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? If YES, please list the years:
Section B on the next page...
Yes
No Award Amounts: $
For Office Use Only
2019Section 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:
2019 Scholarship/Bursary Application Form
For Office Use Only
2019Section C: Leadership Your community involvement(s) (organizational commitments, clubs, music or artistic interests, sports, etc.) Name of Organization: Breifly describe your involvement:
Name of Organization: Breifly describe your involvement:
Section D: Career Plans and Future Goals Course/program description.
Institution: City:
Country:
Education/Training: Length of Program:
Start Date:
Breif description of program: Copy of Acceptance letter or email.
2019 Scholarship/Bursary Application Form
Year Entering:
For Office Use Only
2019Section E: Financial Information
»» Keep in mind that this budget is for your upcoming academic year (an 8-month period), not your entire program. »» Enter amounts into the blue boxes for the line items that are relevant to you. (NOTE: total resources, total expenses and total shortfall fields automatically calculate based on the amounts that you enter into the shaded boxes.) »» Most line items ask for annualized amounts. However, housing, living and travel expenses call for monthly amounts, as monthly billing is typical for these types of expenses. In these sections, the form will automatically translate your monthly expenses into a total amount for an 8-month academic year. RESOURCES for the upcoming academic year:
EXPENSES for the upcoming academic year:
SAVINGS (Annual Amount)
PROGRAM COSTS (Annual Amount)
Personal Savings:
$
RESP Withdrawl:
$
Other savings*:
$
EMPLOYMENT INCOME (Annual Amount)
After tax earnings from summer employment:
$
SCHOLARSHIPS & BURSARIES (Confirmed) $
Bursaries for this academic year:
$
TOTAL RESOURCES
$
$
Books & Supplies:
$
Housing Expenses*:
$
ANNUAL HOUSING TOTAL
$
0
LIVING & TRAVEL (Monthly Amount)
$
Scholarships for this academic year:
Tuition & Fees:
HOUSING (Monthly Amount)
* And other income such as other investments, parental contributions, student loans, spousal income etc.
After Tax earnings from part-time employment:
TOTAL
0
Food & clothing expenses:
$
Transportation expenses:
$
Communication expenses:
$
Other Personal expenses:
$
ANNUAL LIVING TOTAL
$
0
TOTAL EXPENSES
$
0
SHORTFALL (Surplus is shown as negative number)
$
0
*Examples of housing, living and travel expenses include: Housing (rent, residence fees, utilities, etc.); Transportation (gas, car insurance, transit, parking, car payments, maintenance, etc.); Communication (cell phone, internet, etc.); Other Personal Expenses (medical and dental insurance, prescriptions, entertainment, groceries, personal grooming, etc.)
2019 Scholarship/Bursary Application Form
For Office Use Only
2019Section F: Statement of Intent
Please 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.
2019 Scholarship/Bursary Application Form
For Office Use Only
2019Section G: References Two letters of reference must be attached or forthcoming from persons other than relatives. Please have them addressed and sent to:
Grants & Allocation Committee, Jewish Community Foundation of Calgary, 1607 - 90 Ave SW, Calgary, AB T2V 4V7
REFERENCE NO. 1
REFERENCE NO. 2
Name:
Name:
Address:
Address:
Phone:
Phone:
Position:
Position:
Section H: Certification I certify that the thoughts and ideas that I have presented in the Section F are my own. I also verify that all the information on this form is true and complete to the best of my knowledge. If requested, I agree to provide additional information. Applicant Signature: Applicant Name (printed): Date:
Notice: All applications become the property of the Jewish Community Foundation of Calgary and may be reproduced or published by the Foundation. The deadline for entries is midnight MST, April 14, 2019. We reserve the right to consider late entries.
The JCFC reserves the right to not award a prize if, in the opinion of the judges, none should be awarded. Inquiries may be directed to JCFC via email to mail@jcfc.ca or by telephone to 403-640-2273. Please note: make sure to include all documents requested throughout the applications then email to mail@jcfc.ca, Attention: Brenda Sapoznikow, Foundation Administrator.
2019 Scholarship/Bursary Application Form