Entrance Scholarship Application – College of the Rockies

Personal Information
Name*
First Last
Student number
Please enter your College of the Rockies student number (if you have one) in this format: 01234567
Citizenship*
You must be either a Canadian citizen or a Permanent Resident/Landed Immigrant to be eligible for this scholarship.
You must be either Canadian or a Permanent Resident/Landed Immigrant to be eligible for this scholarship.
Date of birth*
Month
Day
Year
Address*
Street Address Address Line 2 City Province Postal Code
Phone*
Email*
Are you related to a member of CORFA (College of the Rockies Faculty Association)?*
- Yes
- No
CORFA member name and relationship to you*
Essay Required*
Please submit a short essay (approx. 250 words) stating how this award will benefit you in your future goals.
Are you related to a member of CUPE Local 2773?
- Yes
- No
CUPE member name and relationship to you
Academic Information
Grade 11 school*
Please use full name of high school, eg: Mount Baker Secondary, not MBSS.
Grade 11 school location*
City State / Province / Region
Grade 12 school*
Please use full name of high school, eg: Mount Baker Secondary, not MBSS.
Grade 12 school location*
City State / Province / Region
Expected graduation date*
YYYY slash MM slash DD
Official High School Transcript

After you have completed your Grade 12 first semester and your final marks are submitted, you must order a transcript to be sent directly to College of the Rockies through the Ministry of Education.

You should also make sure that you have applied for your program of choice at College of the Rockies online through EducationPlannerBC as you can only receive a Entrance Scholarship once you have applied to the College.

The Entrance Scholarship application must be submitted online to the Financial Aid Office and must be received as well as your transcript, by March 31.
Program applied for at College of the Rockies*
Post Secondary Education Plan
Academic goal*
Career goal*
Why attend College of the Rockies*
How many years do you expect to attend College of the Rockies?*
Please enter a number from 1 to 10.
Community Service/Leadership
Briefly describe your activities*
Consent*
Your personal information is collected, used, and disclosed by your academic institution under the Freedom of Information and Protection of Privacy Act (FIPPA) sections 26(c), 26(e), 27(1)(b), 27(1)(c)(i), 32(a), 32(b) and 33(2)(d). This information will be used by your institution to manage, administer, and report on program enrolments, completions, and evaluate applications for scholarships, bursaries, and awards.

By signing this form, you are:

• Providing your consent to have your personal information, including your Social Insurance Number, disclosed to, and used by, BC provincial ministries and CRA.
• Authorizing the Academic Awards Committee, if necessary, to report your name, address, program, and award status to the donor(s) of any awards you may receive, and to use your name in various public relations publications, presentations, and announcements to promote the College of the Rockies and its awards programs.

Questions about the collection of this information may be directed to awards@cotr.bc.ca

I agree to the privacy policy.
Signature*
Date*
Month
Day
Year
Name
This field is for validation purposes and should be left unchanged.

Personal Information
Name*
First Last
Student number
Please enter your College of the Rockies student number (if you have one) in this format: 01234567
Citizenship*
You must be either a Canadian citizen or a Permanent Resident/Landed Immigrant to be eligible for this scholarship.
You must be either Canadian or a Permanent Resident/Landed Immigrant to be eligible for this scholarship.
Date of birth*
Month
Day
Year
Address*
Street Address Address Line 2 City Province Postal Code
Phone*
Email*
Are you related to a member of CORFA (College of the Rockies Faculty Association)?*
- Yes
- No
CORFA member name and relationship to you*
Essay Required*
Please submit a short essay (approx. 250 words) stating how this award will benefit you in your future goals.
Are you related to a member of CUPE Local 2773?
- Yes
- No
CUPE member name and relationship to you
Academic Information
Grade 11 school*
Please use full name of high school, eg: Mount Baker Secondary, not MBSS.
Grade 11 school location*
City State / Province / Region
Grade 12 school*
Please use full name of high school, eg: Mount Baker Secondary, not MBSS.
Grade 12 school location*
City State / Province / Region
Expected graduation date*
YYYY slash MM slash DD
Official High School Transcript

After you have completed your Grade 12 first semester and your final marks are submitted, you must order a transcript to be sent directly to College of the Rockies through the Ministry of Education.

You should also make sure that you have applied for your program of choice at College of the Rockies online through EducationPlannerBC as you can only receive a Entrance Scholarship once you have applied to the College.

The Entrance Scholarship application must be submitted online to the Financial Aid Office and must be received as well as your transcript, by March 31.
Program applied for at College of the Rockies*
Post Secondary Education Plan
Academic goal*
Career goal*
Why attend College of the Rockies*
How many years do you expect to attend College of the Rockies?*
Please enter a number from 1 to 10.
Community Service/Leadership
Briefly describe your activities*
Consent*
Your personal information is collected, used, and disclosed by your academic institution under the Freedom of Information and Protection of Privacy Act (FIPPA) sections 26(c), 26(e), 27(1)(b), 27(1)(c)(i), 32(a), 32(b) and 33(2)(d). This information will be used by your institution to manage, administer, and report on program enrolments, completions, and evaluate applications for scholarships, bursaries, and awards.

By signing this form, you are:

• Providing your consent to have your personal information, including your Social Insurance Number, disclosed to, and used by, BC provincial ministries and CRA.
• Authorizing the Academic Awards Committee, if necessary, to report your name, address, program, and award status to the donor(s) of any awards you may receive, and to use your name in various public relations publications, presentations, and announcements to promote the College of the Rockies and its awards programs.

Questions about the collection of this information may be directed to awards@cotr.bc.ca

I agree to the privacy policy.
Signature*
Date*
Month
Day
Year
Name
This field is for validation purposes and should be left unchanged.

Personal Information

Academic Information

Official High School Transcript

Post Secondary Education Plan

Community Service/Leadership

Personal Information

Academic Information

Official High School Transcript

Post Secondary Education Plan

Community Service/Leadership