David Thompson Scholarship Application 2016-17 General Student Information Last Name: Student Number: First Name: PEN Number: Mailing Address (include postal code): Telephone Number: Date of Birth (MM-DD-YYYY): Country of Birth: Citizenship Status: Canadian Citizen Elemantary School Information Landed Immigrant/ Permanent Resident Other Write down all the elementary schools you attended in Canada and the grades that you attended those schools starting with the most recent (the one where you completed Grade 7). David Thompson Information How many years have you attended David Thompson? 1 2 3 4 5 In what grades have you made honour roll? (check all that apply): Awards Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 List all the Academic awards you have earned while attending David Thompson. Be specific. For each award, list the name of the award and the year that you earned that award. 1 P a g e
List all the Athletic awards you have earned while attending David Thompson. Be specific. For each award, list the name of the award and the year that you earned that award. List all the Fine Arts awards you have earned while attending David Thompson. Be specific. For each award, list the name of the award and the year that you earned that award. List all the Technical Studies/Applied Skills awards you have earned while attending David Thompson. Be specific. For each award, list the name of the award and the year that you earned that award. What leadership contributions have you made to the school and/or community in the past five years? 2 P a g e
Grade 12 Level Courses List all Grade 12 level courses you have taken at David Thompson, the name of the teacher, and the grade you were in when you took the course. Do *not* include online courses or summer school courses. Year you took course (20xx-xx) Term 1 and Term 2 Grade Course Name Teacher EX Biology 12 Ms. Henderson 2016-17 T1 84 / T2 86 EX Accounting 12 Ms. Douglas 2014-15 88% Final Grade Post-Secondary Plans What are your immediate plans after high school? I plan to seek full-time employment I plan to attend a post-secondary education program Other: If you plan to attend post-secondary, which college or university? In what subject area? Arts, Business, Sciences, Trades, etc. What are your career goals or what career options are you considering? 3 P a g e
Financial Need Many students require financial assistance to attend a post-secondary institution. Do you have exceptional circumstances that will make it difficult to do so? (e.g., parent recently unemployed, illness in family, etc.). Will you need to seek part-time employment next year while attending school? Please explain. School and Community Involvement School Service List extensive and sustained school service for which no course credit or remuneration was granted (e.g. sound/lighting tech crew, student council, library club). Include description, dates, number of and name/rmation of reference. Total number of School Service : 4 P a g e
School Activities List extensive and sustained involvement in activities such as drama, sports teams, special interest clubs. Include description, dates, number of and name/ of reference. Total number of School Activity points: Community Service List sustained service including but not limited to work in community centres, religious organizations, coaching, etc.) Include description, dates, number of and name/contact info of reference. Total number of Community Service : 5 P a g e
Community Activities List sustained involvement in clubs, teams, fine arts outside of school courses, cadets, Duke of Edinburgh, etc.) Include description, dates, number of and name/ of reference. Total number of Community Service : Employment List paid work (see key at the beginning of this section) and name/ of reference. Organization/description Total number of Employment : Are you in an Apprenticeship program? If yes, which one? 6 P a g e