SCHOLARSHIPS, BURSARIES, AND AWARDS APPLICATION FORM Please print clearly LAST NAME ADDRESS FIRST NAME STUDENT ID UPEI EMAIL PROGRAM & YEAR OF STUDY OTHER EMAIL ELIGIBILITY CRITERIA It is the student s responsibility to refer to the University of Prince Edward Island Academic Calendar or website to ensure he/she reads the eligibility criteria for specific awards and includes all the necessary documents (reference letters, essays, etc.). It is not necessary to include a UPEI transcript. APPLICATION PROCESS All applications must include a short essay explaining: 1. How, in your opinion, you meet the criteria of the bursary/scholarship for which you are applying; 2. A list of extracurricular activities (i.e., volunteer work, sports, and part-time employment), course of study, and aspirations for the future; and 3. Financial Need form, if applicable. Please note that only completed applications will be considered. Application materials should be submitted by October 15 to Scholarship and Awards Committee Department of Student Services, W. A. Murphy Student Centre 550 University Avenue, Charlottetown, PE C1A 4P3 Fall Scholarships, Bursaries, and Awards GENERAL North Nova Scotia Highlanders Memory Club Bursary full-time student; based on Dr. Peter and Donna Meincke Alumni Scholarship full-time student scheduled to graduate (4th year); based on academics and Earl F. Nicholson Alumni Scholarship full-time student scheduled to graduate (4th year); based on academics and Bill Ledwell Alumni Scholarship full-time student scheduled to graduate (4th year); based on academics and H. Wade MacLauchlan Scholarship renewable, for returning (3rd year) student; based on academics and Constable Bernard Mullally Bursary full-time student; based on PEI Literacy Alliance (William J. Hancock Bursary) mature student who has conquered literacy challenges in the past Canadian Federation of University Women for mature female students, any faculty; based on ARTS John and Elsie Cuthbertson Memorial Music Bursary full-time music student; based on ; preference given to a voice student who is a Canadian citizen
D.A. Murchison Memorial Scholarship in Music returning student in the Music program who is in good academic standing and has displayed extraordinary volunteerism and leadership on campus and in the greater community Dr. Elaine Harrison Award 2nd-, 3rd-, and 4th-year, full-time student who is talented and in Winifred Paton Award 2nd-, 3rd-, and 4th-year, full-time student who is talented and in BUSINESS The William Van Rooyen Sr. Memorial Bursary student entering 3rd- or 4th-year business who is specializing in accounting and intends to enter the chartered accounting profession; ; and an agricultural background will be given preference D.A. Murchison Memorial Scholarship in Business entering 3rd- or 4th-year business in good academic standing and has displayed extraordinary volunteerism and leadership on campus and in the greater community CIBC Bursaries at UPEI awarded to undergraduate full-time students in Business Administration who are in NURSING Margaret (Griffin) Mullen Bursary a 2nd-year, full-time, Island student who is a single parent (male or female) and in Charlottetown Hospital Nurses Alumnae Bursary an alumna from the Charlottetown Hospital School of Nursing pursuing post-rn studies, or a child of an alumnae enrolled in the bachelor of nursing program. If no alumnae or their children eligible, award will go to a nursing student entering 4th year at UPEI Alumnae Association of the PEI Hospital School of Nursing 4th-year nursing student; based on and not in receipt of any other financial assistance at or above $500 Sister Mary Gabriel Bursaries Island students; based on academics and The Adele Gardiner Nursing Bursary (Prince County Hospital Auxiliary) 2nd-, 3rd-, and 4th-year Island student from Prince County, or nursing student who received high school education in Prince County; based on academics and Dr. Margaret F. Munro Entrance Bursary for Nursing 1st-year student entering UPEI School of Nursing; based on Joan Millar Entrance Scholarship for Nursing Students full-time student entering the UPEI School of Nursing; applicants who have a licensed practical nursing (LPN) designation or who have children will receive preference The Alumnae Association of the PEI Hospital School of Nursing Class of 1960 Bursary 3rd-year nursing student who displays excellent bedside nursing skills, is in good academic standing, and C. Jean (Ross) MacKay, RN Nursing Scholarship awarded to a returning nursing student who intends to pursue an international experience as part of their UPEI education SCIENCE The Marguerite Jobe Maloney Award in Family & Nutritional Sciences returning foods & nutrition student pursuing his/her education in the face of obstacles such as physical, financial, family, or social PEI Advisory Council on the Status of Women Engineering Bursary female engineering student entering 3rd year, who maintains a passing average and is in Metro Credit Union Scholarship returning student who has declared a minor in environmental studies, in good academic standing, and has demonstrated a commitment to service and social responsibility in his/her community Flora Murchison Memorial Scholarship in Applied Human Sciences returning student majoring in Foods & Nutrition or Family Science in good academic standing and has displayed extraordinary volunteerism and leadership on campus and in the greater community
OTHER (Note: The following bursaries/scholarships have specific eligibility requirements) Austin A. Scales Scholarships rural students from Prince Edward Island in their 2nd year of studies (one for each of the three counties of the province); based on academics and Provincial IODE Scholarship Island resident in 2nd year; graduate of a PEI high school; based first, on academics and second, on Dr. Albert Bing Ching Young Memorial Scholarship Island resident who has attended an Island high school and is entering the first year of full-time studies at UPEI; academics and are major considerations; not available to students already on scholarship Senator Elsie Inman Memorial Scholarship Island resident who has completed at least one year at UPEI and is registered in a program designed to enable him/her to work in an agriculture-related field and intending to pursue that career on PEI Zonta Club of Charlottetown 40th Anniversary Single Mother Bursary single mother in and attending UPEI on a full-time basis MAPUS Bursaries part-time mature students in Lloyd B. MacDonald Memorial Bursary male student in PEI Service Memorial Scholarship awarded annually to a student who is a PEI resident who serves/served, or has ancestors or family members who served, in the Canadian Armed Forces, Royal Canadian Navy, Canadian Army, Royal Canadian Air Force, Royal Canadian Sea, Army, or Air Cadets The Dr. John H. Maloney Scholarship for an undergraduate student in business or science who has expressed inquisitiveness and desire to learn; shows leadership; is a team player; contributes to UPEI or the general community in a meaningful manner; and in The UPEI Adult Education Award for an adult learner (an individual who has been out of high school at least seven years) studying part-time toward a degree, diploma, or certificate and has identifiable community service through volunteerism and has ; applicants must have completed two courses in the previous year The Association of Community Living Ruby Smallman and Rossie Pierce Awards awarded to two students with intellectual disabilities who access the supports offered through UPEI s Accessibility Services Captain Nichola K.S. Goddard Scholarship student who is engaged in a project with a focus on issues relevant to indigenous peoples, whether in Canada or internationally. The project should be for academic credit at UPEI. Student s proposal should include a description of project and timeline Dr. Barbara R. Campbell Inspiration Award returning student who is a single parent in good academic standing with preference given to a student who has demonstrated volunteerism on campus and/or community, intends to pursue an international experience as part of his/her UPEI education, and/or desires to become a global citizen Moonlight Scholarship returning student in good academic standing who has expressed an interest in the Buddhist faith as evidenced by successful completion of one or more of the following; Religious Studies 102, 221, 251, 261 or 352 and is not in receipt of other scholarships greater than $5,000 per semester
Financial Need Form 18785/11-11 949 Completed form must be returned to the Student Services scholarships and awards coordinator. Incomplete applications will not be processed. Please include this 2-page form with your application package. Scholarships and Awards Coordinator, Department of Student Services, UPEI, 550 University Avenue, Charlottetown, PE C1A 4P3 Phone: (902) 566-0358 Fax: (902) 628-4319 STUDENT INFORMATION Last name First Middle Student number Email Program Year of study Permanent Address Street address Home phone number ( ) P.O. Box City/Town Province Postal code Local Address Street address Home phone number ( ) P.O. Box City/Town Province Postal code IF YOU ARE DEPENDENT ON (OR LIVING WITH) YOUR PARENTS, COMPLETE THE FOLLOWING SECTION Father s name Occupation Employment status Mother s name Occupation Employment status Parents combined income $ Ages of non-working siblings who are 19 years of age or younger IF YOU ARE MARRIED/COMMON-LAW, COMPLETE THE FOLLOWING SECTION Spouse s/partner s name Occupation Employment status Spouse s/partner s income $ IF YOU HAVE DEPENDANTS (CHILDREN), COMPLETE THE FOLLOWING SECTION First and Last Names Relationship to Applicant Age 1/2 continued on page two
2/2 continued from page one STATEMENT OF FINANCIAL AID Financial need will be determined from the budget below. The Estimated Resources section MUST be completed; incomplete applications will not be considered. Estimated Expenses MUST be stated based on an 8-month academic year (i.e., rent at $400 per month must be stated as $3,200) Estimated Resources Estimated Expenses Based on an 8-month academic year Amount per year Based on an 8-month academic year Amount per year PERSONAL CONTRIBUTIONS Income from summer employment/savings Income from part-time employment while attending school Student loan and/or grant from student aid Credit card/bank loan/student line of credit Bursaries, scholarships, fellowship assistance, awards from other government departments and agencies and charitable donations, etc. Stocks/bonds/RESP Income from investments, rent, and salary Tuition/research grants from other sources Employment insurance benefits while studying Family benefits/child tax credit Other income (please specify) Tuition and fees Books and supplies Room/apartment/rent/residence fees Roommate(s) Yes No Instruments/tools/equipment Medical insurance Transportation (local) Field trips Heat Lights Food/meal plan Child care Telephone/internet Other (itemize) OTHER CONTRIBUTIONS Contributions from parents Contributions from spouse/partner Total resources per academic year $ Total expenses per academic year $ Provide information on any special circumstances that you feel should be considered in your case that are not accurately reflected in the financial statement. Given that some awards are given based on, recipients can choose as to whether they are publicly recognized or not. Please indicate your preference I wish to be recognized publicly I do not wish to be recognized publicly I hereby make the following declaration: 1. I have answered all questions which are applicable to me, and the answers given by me are true. 2. I will be a full-time student for the academic year/semester in respect of which this application is made. (Some part-time students bursaries are available.) 3. Financial assistance is essential to enable me to continue my education. 4. I have stated my financial situation based on an 8-month period. Permission is hereby granted for the awards committee to obtain any further information required from appropriate individuals or agencies. Signature of applicant...date...