AREVA Resources Canada Inc Northern Scholarship Program - Application Form

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1 AREVA Resources Canada Inc Northern Scholarship Program - Application Form I. PERSONAL INFORMATION NAME: MAILING ADDRESS: PHONE: CELL: II. NORTHERN ADMINISTRATION DISTRICT (NAD) STATUS (*Please see attachment for definitions and map of the NAD*) Community of origin in the NAD: Which year(s) have you resided in the NAD: (ex current, , etc.) Total length of residence within the NAD (please answer in years): Reason for leaving or moving to a region outside of the NAD (please check one): [ ] Personal [ ] Educational [ ] Currently Residing in NAD III. PREVIOUS ACADEMIC ACHIEVEMENT COMPLETED TO DATE: (*Please answer in full) Name of High School: Year Completed: Post-Secondary Institute: Year Completed: Post-Secondary Major: IV. ACADEMIC GOALS: (*Please see attachment for examples to help you complete this section correctly) Type of institute you have applied to: [ ] University [ ] Technical [ ] Trades (minimum 24 weeks) Name of Post-Secondary Institute: Location of Post-Secondary Institute: Type of Program/Course: [ ] Certificate [ ] Diploma [ ] Degree [ ] *Other If *other, please describe Field of Study (include a major, if applicable) Year you started Post-Secondary education: Number of Semesters Completed To Date: What Year of Post-Secondary Study are you entering? [ ] 1 st Year [ ] 2 nd Year [ ] 3 rd Year [ ] 4 th Year In the past, have you entered an educational institute and then withdrawn? [ ] Yes [ ] No Are you taking Full Time or Part Time Studies? [ ] Full Time [ ] Part Time If you are taking part time studies, are you working part time? [ ] Yes [ ] No

2 V. ADDITIONAL INFORMATION REQUESTED: Have you worked at AREVA as a summer student before? [ ] Yes [ ] No If yes, which year? Have you received a scholarship from AREVA in the past? [ ] Yes [ ] No If yes, which year? Have you received a scholarship from any other organization in the past? [ ] Yes [ ] No If yes, which organization? How do you feel your chosen area of study will provide benefit to the Northern Administrative District of Saskatchewan? What information would you like to share with the Scholarship Selection Committee when reviewing and considering your application? APPLICATION DEADLINES: 1. The Scholarship application form must be complete in full and returned by June 30 th, 2017 Please note: Resumes and Cover Letters are not required Send applications to the attention of: AREVA Resources Canada Inc. c/o Manager, Northern Affairs P.O. Box 900 La Ronge SK S0J 1L0 Phone (306) or Fax (306) laronge@areva.ca 2. Transcripts of previous academic record must be submitted by July 14 th, Letter of acceptance (non-conditional) from the education institute must be submitted by July 14 th, 2017 *(Please see attachment to ensure that you are submitting the correct acceptance letter) This certifies that I have read, understand and submitted information to the AREVA Northern Scholarship Program that is true and accurate: Applicant Signature Date Printed Name: ENCLOSURE (2): AREVA Scholarship Application 2017/2018 Definitions and Examples, NAD Map

3 SUPPLEMENTARY INFORMATION; DEFINITIONS AND EXAMPLES: DEFINITIONS: Please refer to [Section II. NORTHERN ADMINISTRATIVE DISTRICT (NAD) STATUS] of application form. Northern Administrative District (definition provided from the Human Resource Development Agreement): (a) A person who has resided in Saskatchewan s North for a period of 10 years or one half his or her age, whichever is the lesser. Such a person: Shall not lose status by relocating outside of Saskatchewan s North for educational purposes; Shall not lose status by relocating outside of Saskatchewan s North for five years or less; and Shall regain status if he or she has lived outside of Saskatchewan s North for more than five years but re-establishes primary residency in Saskatchewan s North at the time of hire. (b) A person who transfers from one mine operation in Saskatchewan s North to another, or is reemployed within one year after leaving mine employment in Saskatchewan s North, and who met the criteria of a Resident of Saskatchewan s North contained in the applicable Human Resource Development Agreement at the time of recruitment to that operation. (c) A person who has been designated by the Minister to be a resident of Saskatchewan s North. EXAMPLES: Please refer to [Section III. PREVIOUS ACADEMIC ACHIEVEMENT COMPLETED] and [Section IV. ACADEMIC GOALS] of application form Name of Technical Institution (Certificate or Diploma Program) SIIT (Can be University or Technical) DTI (Can be University or Technical) Sask. Polytechnic (Can be University or Technical) Northlands College, (Can be University or Technical) North West Regional College Haileybury School of Mines Post-Secondary Institute Examples Name of University Institution (Degree Program) SIIT (Can be University or Technical) DTI (Can be University or Technical) Sask. Polytechnic (Can be University or Technical) Northlands College, (Can be University or Technical) University of Regina, University of Saskatchewan Edwards School of Business Field of Study and/or Major Examples Bachelor of Commerce Environmental Science Technician Practical Nursing Program Bachelor of Science Instrumentation Engineer Technician Registered Nursing Bachelor in Social Work Civil Engineering Technology Dental Hygiene Bachelor of Arts Chemical Technology Early Childhood Education Bachelor of Education Radiation Technology Community Service Addictions Business Administration Water Resource Health Care Aide Transcripts: 1 Supplementary Information; Definitions and Examples

4 We will accept marks from the University of Saskatchewan, University of Regina, SIAST, SIIT, NORTEP, Northlands College, FNUC, etc. Please ensure that the marks submitted are written on letterhead, include an official stamp, and are signed by the principal, director, or registrar. If submitting your high school grade 12 transcripts, please ensure they are up to date and state that the highest level achieved is grade 12 Acceptable Unacceptable Acceptance Letters: Please note that your acceptance letter must state the program that you are majoring in or the Field of Study (Bachelor of Science is too generic; please see examples in table above). We will not accept letters that are conditional and/or outdated. An acceptance letter must be for the corresponding year in which the student is applying. Types of Conditional Acceptance Letters (Unacceptable): -Requires student(s) to complete a class and then send the educational institute proof of completion. -Requires student(s) to pay tuition first. -Based on successful completion of a previous year. **To avoid these types of letters, request an updated acceptance letter as soon as you have met your conditions and then send the updated acceptance letter to AREVA before our deadline (shown on the application form). 2 Supplementary Information; Definitions and Examples

5 3 Supplementary Information; Definitions and Examples

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