Reference - Transfer Leadership/Service Scholarship
Referee Information
Your Name
*
First Name
Last Name
Position
*
Organisation
*
Name of School or Organisation
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Relationship to Applicant
*
Applicant Information
Student Name
*
First Name
Last Name
Student's Post-Secondary Institution (If known)
This scholarship is designed to recognise a student's outstanding leadership and service contributions in the last two years.
Please indicate which leadership/service positions the student held
*
Post-secondary - SA/Class Officer
Post-secondary - Team Captain
Post -secondary - Yearbook staff
Post-secondary - Other
Church Leadership position
Community Organisation position
Other
Short Answers
A response is required. If the area does not pertain to the student's involvement please write "N/A"
Post-secondary Leadership/Service Involvement
*
Please provide details of the student's involvement in leadership or service at the post secondary level in the last two years. Please include their position, responsibilities, time involved and commitment levels.
Community Leadership/Service Involvement
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Please provide details of the student's involvement in leadership or service in the community in the last two years. Please include their position, responsibilities, time involved and commitment levels.
Please indicate the year(s) of service
*
If none indicate N/A
Church Leadership/Service Involvement
*
Please provide details of the student's involvement in leadership or service in the church in the last two years. Please include their position, responsibilities, time involved and commitment levels.
Please indicate the year(s) of service
*
If none indicate N/A
Were any of the above positions paid employment?
If you wish to attach a separate reference letter please do so here.
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