Académique Documents
Professionnel Documents
Culture Documents
www.canucks.com/scholarship
Name of post-secondary school you plan to end. (If unknown, please list in order of preference the schools to which you have applied)
POST-
SECONDARY School Name: City Province/State
Simon Fraser University Burnaby BC
SCHOOL
INFORMATION School Name City Province/State
University of the Fraser Abbotsford BC
Valley
Major or Course of Study Degree Sought
General Studies
Bachelors
List all community service activities you have participated in during the past four years.
COMMUNITY (attach separate page with list only if necessary)
SERVICE Hours per Position From To
ACTIVITIES Organization Name & Activity Month Name Mo./Yr. Mo./Yr.
Zion Park Manor 10-30 Student July 2015 Present
-plan or help with activities Volunteer
Representative
-visit with the residents
Lord Tweedsmuir Pink Panthers 2.5-15 Student September Present
-winter gathering Volunteer 2015
-organize school events/decorate
school
-donate blankets to the womens
shelter
George Greenaway 6 hours Student September June 2016
-helped my old teachers in their each time I Volunteer 2014
would
classrooms come in
Lord Tweedsmuir Interact Club 5 hours Student September February
-volunteered in the Panther Post Volunteer 2014 2015
APPLICATION The student is responsible for submitting all materials to the Canucks for Kids Fund on time. Incomplete
and late applications will not be evaluated. This application becomes complete and valid only when you
CHECKLIST have submitted the following materials IN THE FOLLOWING ORDER:
Trevor Linden Community Spirit Scholarship Application Form
Essay
1 Letter of Reference
Current Complete Transcript of Grades
AGREEMENT The Canucks For Kids Fund has the sole responsibility of selecting recipients based on criteria as set forth
in the programs descriptive information. This application and essay becomes the property of the Canucks
for Kids Fund and contents may be shared publically via canucks.com or other channels (it is
recommended that you keep a copy for your files).
I acknowledge decisions of the Canucks for Kids Fund are final. I certify that I meet the basic eligibility
requirements of the program and the information I have provided is complete and accurate to the best of
my knowledge. If requested, I agree to provide proof of information I have given on this form.
Falsification of information may result in termination of any scholarship granted.
Applicants Signature Date
N/A N/A
Parents Signature Date
N/A N/A