ALBERTA BLUE CROSS ENTRANCE SCHOLARSHIP FOR INDIGENOUS STUDENTS

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ALBERTA BLUE CROSS ENTRANCE SCHOLARSHIP FOR INDIGENOUS STUDENTS Alberta Blue Cross has established three awards for indigenous students who are completing their high school education and entering their first year of post-secondary study at an accredited institution.

PURPOSE These scholarships are based primarily on community involvement, personal goals and financial need. Scholastic achievement will also be considered. The amount of the award varies according to the institution the student will be attending. APPLICATION DEADLINE The application process opens September 1 and closes January 15 each year. ELIGIBILITY CRITERIA Requirements Applicants are a member of a first nation or band, or have Inuit, Métis or Indian Status as referenced on the Indigenous and Northern Affairs Canada website. Applicants must be enrolled in the first year of any full-time post-secondary certificate or diploma program of two or more years duration. Applicants must clearly describe their community involvement, personal goals and financial need. Applicants must have been residents of Alberta during their most recent year of study. Applicants must submit three reference letters for evaluation. Applicants must be accepted to an accredited post-secondary institution from the list below. LIST OF ACCREDITED INSTITUTIONS Alberta College of Art & Design Ambrose University College Athabasca University Augustana University College (U of A) Blue Quills First Nations College Bow Valley College Burman University Concordia University College Grande Prairie Regional College King s University College Lakeland College Lethbridge College MacEwan University Maskwacis Cultural College Medicine Hat College Mount Royal College NAIT NorQuest College Northern Lakes College Olds College Old Sun Community College Portage College Red Deer College SAIT St. Mary s University College University of Alberta University of Calgary University of Lethbridge Information about other scholarships offered by Alberta Blue Cross is available on our website at ab.bluecross.ca. VALUE Alberta Blue Cross issues three awards each year. Awards range from $750 to $1,500. PRESENTATION OF THE AWARD Successful applicants will be notified by February 5, 2019. Scholarships will be disbursed by February 28, 2019.

WHAT TO INCLUDE IN YOUR APPLICATION Information and application forms are available on the Alberta Blue Cross web site at ab.bluecross.ca/aboutus/aboriginal-scholarships.php Note: incomplete applications will not be considered. Your application must include the following: Part 1: Within this application form the Alberta Blue Cross Scholarship for first-year indigenous students (page one); a list or description of your involvement with community or school-sponsored events or organizations over the past two years (please use the space provided in the application form on page two or provide as an attachment to your application); a short (500 to 1,500 word) story about yourself, including your financial reasons for applying for the scholarship, your educational and personal goals and how you would like to give back to your community. (Please use the space provided in the application form on page three or provide as an attachment to your application); and a signed declaration (page four). Part 2: Additional pieces you will need to provide proof of your status or membership (for example, a photocopy of your Métis Status card, Indian Status card or band or First Nations membership card); a letter confirming your attendance from one of the accredited post-secondary educational institutions named within this application (most registrar s offices can provide this for you); a copy of your Alberta Education High School transcript; and reference letters from relevant individuals or organizations, including your high school, someone within the indigenous community or a program director or supervisor from an indigenous association with which you ve been involved.

Page 1 Alberta Blue Cross scholarships for first-year indigenous students We are collecting the personal information on this form under the authority of Section 33(c) of the Freedom of Information and Protection of Privacy Act (FOIP Act), as being directly related to and necessary to determine your eligibility for a scholarship. If you have any questions about the collection of this information please contact Alberta Blue Cross, Corporate Communications, 10009-108 Street, Edmonton AB T5J 3C5, (780) 498-8100 ext. 8108. 1. LAST NAME FIRST NAME AND MIDDLE INITIAL 2. STREET ADDRESS (INCLUDE APT. OR BOX NUMBER) TOWN/CITY PROV. POSTAL CODE EMAIL ADDRESS TELEPHONE 3. BIRTH DATE DAY MONTH YEAR HOW LONG HAVE YOU LIVED IN ALBERTA? DO YOUR PARENTS RESIDE IN ALBERTA? SINCE MONTH YEAR YES NO 4. SECONDARY EDUCATION DATE OF HIGH SCHOOL COMPLETION NAME OF HIGH SCHOOL TOWN/CITY/PROVINCE MONTH YEAR 5. WHICH POST-SECONDARY EDUCATIONAL INSTITUTION DO YOU PLAN TO ATTEND? NAME OF INSTITUTION (must be one of the institutions listed in this application) LOCATION ENTRY DATE FOR PROGRAM PROGRAM NAME DEGREE OR DIPLOMA SOUGHT PROGRAM LENGTH 6. OTHER SCHOLARSHIPS/FUNDING Will you be receiving additional scholarship money or funding for the current academic year? Yes No If you answered Yes to the above, please provide details below on the amount and nature of this funding. Please note that you are ineligible for this scholarship if you are receiving more than $7,000 in other awards, bursaries or scholarships for the current academic year.

7. COMMUNITY INVOLVEMENT Please list or describe your involvement with community or school-sponsored events or organizations over the past two years. Attach additional information if more space is required. Page 2 You can hand write your community involvement on this page or attach a typed copy. Check here if you have provided additional information or have typed and attached your community involvement.

8. TELL YOUR STORY In 500 to 1,500 words, please provide a short story about yourself, including your financial reasons for applying for the scholarship, your educational and personal goals and how you would like to give back to your community. Please use the space below or attach your typed response to your application. You can hand write your community involvement on this page or attach a typed copy. Check here if you have provided additional information or have typed and attached your story. Page 3

IS YOUR APPLICATION COMPLETE? Page 4 In order to be considered for this scholarship, your application must be complete. CHECKLIST Part 1 Within this application form Completed Scholarships for first year indigenous students: Page 1: Personal information form (Questions 1 to 6) Page 2: Community involvement (Question 7) (or an attached typed copy) Page 3: Tell your story (Question 8) (or an attached typed copy) Page 4: Signed Declaration Part 2 Additional pieces you will need to provide Proof (photocopy) of status or membership A letter confirming your admission to a post-secondary educational institution (list under eligibility criteria section) A copy of your Alberta Education High School transcript Reference letters (minimum one) DECLARATION OF APPLICANT I HAVE READ AND UNDERSTAND THE INSTRUCTIONS AND DECLARE THAT a. all information provided is true and complete and I understand it is subject to audit; b. I will be a full-time student at the institution named for the period stated; and c. I will immediately notify Alberta Blue Cross if I withdraw from full-time studies before completing one semester of studies. I authorize Alberta Blue Cross to release information, including my name and the award value, if I receive a scholarship. Please check one: Yes No SIGNATURE OF APPLICANT DATE Part 3 Submission Collect the items listed under the checklist sections Part 1 and Part 2. Ensure your application is complete and error free. Email or mail your application to the address listed below. Application forms must be emailed or mailed to scholarships.indigenousstudents@ab.bluecross.ca Alberta Blue Cross, Corporate Relations 10009-108 Street NW, Edmonton AB T5J 3C5 *The Blue Cross symbol and name are registered marks of the Canadian Association of Blue Cross Plans, an association of independent Blue Cross plans. Licensed to ABC Benefits Corporation for use in operating the Alberta Blue Cross Plan. Blue Shield is a registered trade-mark of the Blue Cross Blue Shield Association. ABC 81096 2018/08