Application for Scholarship

Scholarship

Copnick/Hilliard Scholarship

Sun Life Financial Peer Support Scholarship

Scholarships *

The Chopnick Hilliard Scholarship is open to any post-secondary student who has a spinal cord injury and who is living in Canada. There are three scholarships worth $500 each. The Sun Life Financial Scholarship is open to any post-secondary student with a spinal cord injury who is living in Canada, and who is also a peer support volunteer with one of SCI/CPA corporate members. To be eligible, the applicant will need a letter of support from his/her corporate member stating that he/she is a peer support volunteer. There are three scholarships worth $500 each.

Applicants must meet all of the following criterial to be eligible.

The applicant must have a spinal cord injury (verified in writing by a physician or other health care professional).
The applicant must be a Canadian citizen or landed immigrant.
The applicant must be attending, or will be attending, a recognized post-secondary institution in Canada.
The applicant has provided a copy of his/her most recent two years of transcripts (unless the applicant has not been in school for the past five years).
Three letters of reference are required, recognizing the applicant’s outstanding initiative, scholastic achievement and contributions to the community.
For the Sun Life Financial Peer Support Scholarship, the applicant must be engaged as a peer volunteer with one of the SCI Canada Federation members and provide a letter of support from the organization.

Personal Information

Name Prefix

First Name *

Middle Name

Last Name *

Birth Date *

Year

Month

Day

Street Address *

City *

Postal Code *

Country *

State/Province *

Phone Number *

Mobile Phone Number

Email *

Educational Information

What is your career goal? *

Name and address of the school you will be attending this year *

Starting Date of Program *

Year

Month

Day

Anticipated completion date of program *

Year

Month

Day

What courses are you planning to take in each semester this school year?

Fall *

Winter *

Spring/Summer *

Have you ever not completed an educational program you began? *

Yes

If yes, please provide details *

Financial Information

Are you receiving a scholarship or bursary this coming school year from any other source? *

Yes

If yes, what is the amount?

Are you eligible for Employment Insurance Reachback Funds? *

(For instance, if you collected EI benefits in the last 3 years, you might be eligible. You can contact your local Human Resources Development Canada office for more information)

Yes

Don't know

Have you been approved for a Canada Student Grant? *

Yes

Please explain why you need this scholarship and how it will help you pursue your career goal *

What is your annual tuition cost? *

Have you ever received a scholarship from SCI Canada before? *

Yes

If yes, which scholarship did you receive, what was the$ amount and when? *

References

Please provide three (3) reference letters, with at least one (1) from an academic source. Letters should address the applicant’s outstanding initiative, scholastic achievement and potential contributions to their community.

Reference Letter #1 *

More information

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.

Reference Letter #2 *

More information

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.

Reference Letter #3 *

More information

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.

By signing this document, I am stating that to the best of my knowledge, the above answers are correct and complete. I hereby authorize Spinal Cord Injury Canada to verify information that I have provided in this application with organizations such as educational institutions and funding agencies. I understand that false or complete information will result in automatic disqualification of my application.

Date *

Year

Month

Day

Full Name *

Contact

Spinal Cord Injury Canada