APPLICATION FOR ANNUAL EDUCATION AWARD

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YEAR:

1. Name in full (print)_______________________________________________

2. Birthdate:_____________Place:______________Citizenship:_____________

3. Mailing address: _________________________________________________

4. Home address: ____________________ Telephone:_____________________

5. Marital status:____________________ Dependants :____________________

6. Applicants statement: This application must be completed by a letter prepared by the applicant and containing information regarding study goals and awards won.

7. Please provide copies of all your study assessment records and transcripts.

8. Connection to The Scandinavian Businessmen’s Club of B.C., if any:

_______________________________________________________________

9. Date of application:_________________ Date received:__________________

10. Applicant’ssignature: _____________________________________________

11. Sponsor’s name (print):____________________________________________

12. Sponsor’s signature: ______________________________________________

13. Name of accredited university, college, or technical/vocational school where you are currently registered for attendance: _______________________________________________________________

14. Date of attendance:_______________________________________________

15. Study progress: Year 1____ Year 2____ Year 3____ Year 4____ Year 5____
Graduate_____Other:______________________________________________

16. List any previous institutions attended: (name, address and dates of attendance)

________________________________________________________________

17. Give a brief summary of your hobbies and skills and your interests and specific participation in school, community, college/university, church, team affairs etc.:
________________________________________________________________
If more space needed, please attach statement.

18. References: The executive board/selection committee welcomes any information which will assist in estimating the applicant’s merits with regard to 1. Scholastic record and ability at school. 2. Participation and achievement in the life and activities of the school and community (specific instances of interest in athletics, debating, public speaking, writing, dramatics music, youth organizations, volunteering etc. will be helpful. 3. Character, personal qualities, temperament. 4. Interest in others and ability to lead them. It is not expected that the person giving the reference will be able to comment fully on all aspects of the candidate’s application. The committee will be grateful if the reference giver deals mainly with those aspects of which he or she has definite and personal knowledge.

19. Financial needs: (please tell briefly about your costs of studying and income sources, if any):

_______________________________________________________________

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SCANDINAVIAN BUSINESS CLUB OF B.C. (for office use only)

20. Approved for award:_____________ Declined:_________________________

21. Date:____________________________________________________________

22. Signature of Executive Officer:_______________________________________

PLEASE NOTE THE AGE LIMIT FOR APPLICANTS IS 25 YEARS