EPILEPSY ASSOCIATION OF NOVA SCOTIA MEMORIAL SCHOLARSHIP 2018 DESCRIPTION

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2018 DESCRIPTION The Epilepsy Association Memorial Scholarship is open to all students who live with epilepsy in the Maritime Provinces and applicants must have an average of 80 or above. If you have applied for a scholarship, you may also apply for a bursary if you meet the criteria and all applicants will be considered. Program Description: Any recognized post secondary program (worldwide) Scholarship Value: $500 Application Deadline: June 8, 2018 Award Date: June 22, 2018 Eligibility: Application must include: 1. Under the care of a physician for treatment of epilepsy 2. Accepted for study at a recognized post secondary institution 3. A permanent resident of Nova Scotia, New Brunswick or PEI 4. Have an average of 80 or above 5. Previous recipients may reapply 1. Checklist completed indicating all accompanying documents 2. Application completed signed by a physician 3. Referees two individuals who can speak of your accomplishments who are not relatives 4. Goals education and career (no longer than 2 pages) 5. Resume 6. Acceptance letter from recognized post secondary institution 7. Official transcripts of your marks from secondary and if applicable, post secondary institution INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED. CHECKLIST MUST ACCOMPANY ALL APPLICATIONS.

2018 CHECKLIST s Memorial Scholarship is available to all students in the Maritimes who carry an average of 80 percentile and above. This scholarship is awarded based on scholastic achievements, work experience, community involvement (volunteerism) and extracurricular activities. If you have applied for a scholarship, you may also apply for a bursary but you must meet the criteria and all applicants will be considered. To have your application considered, you MUST include this checklist and each item listed below: 1. Checklist 2. Application Completed 3. Referee Form 4. Goals 5. Resume 6. Acceptance Letter 7. Official Transcripts

APPLICATION FORM 2018 Name Address Email Address Phone Cell Recommending Physician s name Address Telephone Number Physician s Signature References two individuals (not relatives) who can comment on your ability to accomplish your stated goals. Give each reference a referee form. References will complete and mail or Email with electronic signature directly to the Epilepsy Association of Nova Scotia before June 8, 2018. 1. Name 2. Name How did you find out about this scholarship? Signature Date INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED. CHECKLIST MUST ACCOMPANY ALL APPLICATIONS.

REFEREE FORM 2018 Name of Referee Occupation Email Name of Applicant How long have you known the applicant in what capacity? Please comment on the applicant s achievements and ability to achieve their educational goals. Please attach additional pages if required. Signature of referee Date PLEASE RETURN TO THE ADDRESS ABOVE BEFORE JUNE 8, 2018 BY MAIL OR EMAIL WITH ELECTRONIC SIGNATURE

GOALS FORM 2018 Please list below your goals for your education and your career. Tell us what your goals are in each category, what do you need to do to achieve those goals and any anticipated challenges, particularly pertaining to your epilepsy. Your goals must be no longer than 2 pages. GOAL EDUCATION GOAL CAREER Please attach one additional page if required