2018 For the Love of Curling SCHOLARSHIP APPLICATION

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1 2018 For the Love of Curling SCHOLARSHIP APPLICATION Application Deadline: June 30, 2018 Applicants will be notified by August 20, 2018 Please read the Eligibility and FAQ document, found at to ensure you are eligible to apply for the scholarship. Handwritten or incomplete applications will not be reviewed. YOUR RESPONSES MUST BE TYPED Name: Address: City: Postal Code: Province: Mobile: Date of Birth: (M/D/YYYY) Name of Curling Club: SECTION I: PERSONAL INFORMATION If you are under 18 years of age, please complete the following: Name of Parent(s)/Guardian(s): Name of post-secondary education institution you are/will be attending: Program of Study: Full program length (i.e. 4 years): SECTION II: UNIVERSITY / COLLEGE [5 Points]

2 GPA for your last full year of completed schooling (Must be equivalent to 70%, B- or 2.7 GPA or greater see chart below): What inspired you to select this program of study and how will it play into your postgraduate plans? Percentage to GPA Conversion for Canada Percentage Range Grade Grade Point 90% - 100% A+ 4 85% % A- 4 80% % A % % B % % B 3 70% % B % % C % % C 2 60% % C % % D % % D 1 Below 49.99% F 0 If a first year student: Have you received an acceptance letter? YES NO If a continuing student: Year you started in the program:

3 SECTION III: Curling [10 points] (Point form is acceptable.) a) List your personal top curling accomplishments (1-2 in each applicable level of competition) within the last 3 years, identifying the competition or event (please include dates), your involvement and results. 1. Local club or school program: 2. Provincial level of competition: 3. National level of competition: 4. International level of competition: b) Are you involved in any Curling Canada technical programs (i.e. Coaching, instructor, Technical Development)? If yes, list which courses you have completed.

4 SECTION IV: VOLUNTEERING [10 Points] (Point form is acceptable.) a) List your involvement with your curling club, outside of your own personal curling, (i.e. volunteering; coaching; mentoring; instructing) and any examples of how you have been an ambassador for curling in your community or school. b) List any non-curling volunteer activities you have undertaken in the community (i.e., mentoring, volunteering at local charities ).

5 SECTION V: ACHIEVEMENT [5 Points] (Point form is acceptable.) c) List any awards or recognition that you have received in the last 3 years, including academic, athletic and other awards. Please also list any scholarships you are currently receiving.

6 SECTION VII: Letter of Agreement In consideration of the Canadian Curling Association also known as Curling Canada (CCA) awarding me a Curling Canada Foundation 2018 For the Love of Curling Scholarship, I, hereby agree to the following: 1. I acknowledge that I have reviewed the Code of Conduct (Code) made available through 2. I hereby agree to comply with all provisions of the Code and understand that the Code is an intrinsic part of the sport of curling generally and of this Award in particular, and I agree to abide by this Code. 3. I have read the disciplinary proceedings provisions of the Code and agree that any conduct in contravention of the Code that I might engage in will be dealt with by those provisions. 4. I consent to the CCA and their agent or appointees: a) Photographing; b) videotaping; c) filming and/or; d) recording my voice and further; e) Exhibiting, publishing, and broadcasting my name or any photographs, videotapes, films, or other likenesses of me or any sound recordings of my voice in any promotion, reports, or advertising about or in connection with the CCA. 5. I hereby waive the right to any payments or royalties in connection with the actions described above, regardless of whether such exhibition, publication or broadcast is on a commercial basis and regardless of whether a fee is paid to anyone in connection with such exhibition, publication or broadcast. 6. For the purpose of building awareness for the Canadian Curling Association/Curling Canada, the Curling Canada Foundation, the For the Love of Curling scholarship program and the sport of curling, I consent to: a) Being readily available for interviews for the purposes of creating communications to be used for fundraising. b) Write one blog post, in coordination with the Foundation Manager, to be used in the promotion of the scholarship program or as stewardship for CCA donors. c) Organize one fundraising event or initiative in support of the Curling Canada Foundation national youth programs. d) Act as an Ambassador for Curling Canada Foundation national youth programs, by volunteering at one CCA event or initiative, as schedules and geographic locations permit. e) Wearing logos, name badges and other CCA identification on apparel provided by the CCA.

7 7. I have read and agree to the eligible expenses and terms of reimbursement. I understand that the CCA has final say in the determination of eligible expenses. 8. I have been given the opportunity to obtain independent legal advice prior to signing this agreement, and fully understand its provisions. Printed Name Date: Mailing address (during the school year): City: Province: Postal Code: Phone Number: Address: I HAVE DULY EXECUTED THIS AGREEMENT AS ATTESTED BY MY SIGNATURE BELOW (if under 18 to be signed by parent or guardian) Signature

8 SECTION VIII: REQUIRED ATTACHMENTS In addition to the completed application form and signed letter of agreement, please include: Personal Essay [30 Points] Write a personal essay (maximum 2 pages), that demonstrates how; a) the undeniably strong sense of community in our sport has played a positive role in your personal curling journey, b) our sport has helped to shape the person you are today on and off the ice and c) you are and will be an ambassador for youth curling in Canada. Note: The essay is given careful consideration by the selection committee. Please ensure your essay is given significant attention in your application. It need not be longer than 2- pages. Two (2) Letters of recommendation [10 Points] o Please ensure those providing a reference letter include their name, phone number, length of time they have known you, and reasons why they believe you are deserving of a scholarship. A copy of your Grades or Transcript for the last academic school year. Acceptance letter from a university or college if this will be your first year. A head and shoulders photo, of high enough quality to be used in digital and print publications JPG format. It is the applicant s responsibility to contact Curling Canada to verify that all required forms are on file by the deadline date. SECTION IX: SIGN OFF I certify that the information contained in this application is correct to the best of my knowledge. Printed Name: Signed: Signature of applicant s parent or guardian, if applicant is under 18 years of age Send completed, signed application and support material by to donor@curling.ca IMPORTANT: Please scan all documents into one file, with the exception of the photo which should be sent as a separate attachment, and save as FTLOC 2018 Last Name, First Initial & FTLOC 2018 Photo Last Name, First Initial. Or mail to: For the Love of Curling Scholarship, Curling Canada, 1660 Vimont Court, Orleans, ON K4A 4J4 Application deadline is midnight (Eastern Time) June 30, 2018.

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