The Brian Maxwell Memorial Scholarship is awarded each ...
Brian Maxwell Memorial Scholarship Application
Scholarships are awarded annually to grade 12 male and female students who meet the following:
1. Competition in an OFSAA middle distance event of 800 meters or greater, or OFSAA Cross Country event
2. Graduation from grade 12 having attained 80% + average in school
3. Attended grades 10 and 11 in Canada
4. Participation in high school extra-curricular activities
5. Community involvement, such as volunteering, coaching, fund raising, overseas projects
6. Involvement in other sports and activities such as dance etc.
7. Scholarship to go towards education at a recognized Canadian college or university.
Scholarships winners will be ranked and awarded at the following levels:
MALE FEMALE
Gold $ 8,000 Gold $ 8,000
Silver $ 6,000 Silver $ 6.000
Bronze $ 2,000 Bronze $ 2,000
PLEASE INCLUDE WITH YOUR APPLICATION:
1. A personal narrative, in your own words, stating why you feel you qualify for the scholarship. The narrative must not exceed 500 words, have proper grammar and paragraph spacing and using 12 point type fonts or greater.
2. Maximum of 2 letters of reference (from either a coach/teacher/community member) not to exceed 200 words and using 12 point or greater.
3. Your current report card & official school transcript.
4. A summary OFSAA participation using the attached summary sheet.
5. A summary of any other major athletic achievement.
Applications can be sent by email attachment to: brianmaxwellscholarship@
Applications may also be sent by fax to: OFSAA office at (416) 426-7317
Incomplete or late applications will not be accepted.
All receipt of applications will be acknowledged but only scholarship winners will be notified directly and posted in the OFSAA website.
Please type or print neatly.
Name: ____________________________________________ Male___ Female____
School graduation year: __________________
Home address: _________________________________________________________________
_______________________________________Postal Code ______________________
Phone number: _______________________________
Date of birth: __________________________
Email address: ___________________________________
Parents’ names: Mother_______________________Father_____________________________
High school name: ____________________________________________________________
School address: ______________________________________________________________
_______________________________________________Phone No. ___________________
Principal name: __________________________________Email:_______________________
Athletic dept. head name: __________________________Email: _______________________
CANADIAN COLLEGES/UNIVERSITIES YOU ARE CONSIDERING ATTENDING
School/Diploma/Degree Focus
__________________________________________________________________________ __________________________________________________________________________
__________________________________________________________________________ __________________________________________________________________________
__________________________________________________________________________
Attach a separate sheet if you require additional space
LIST OTHER SCHOLARSHIPS AND AMOUNT THAT YOU HAVE RECEIVED
(or expect to receive) Attach a separate sheet if extra space is needed
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
School involvement such as students’ council, house league sports, clubs etc.
Activity name followed by a brief description of your involvement (Add a separate page if needed)
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________
Community involvement such as coaching, volunteering, organizing, fund raising
Activity name followed by a brief description of your involvement. (Add a separate page if needed)
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
List your hobbies, interests, or major causes that you participate in
______________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
OFSAA PARTICIPATION SUMMARY
Cross Country
Date Team Placement Individual Placement
GRADE 12 ____________ ______________ _____________
GRADE 11 ____________ ______________ _____________
GRADE 10 ____________ ______________ _____________
GRADE 9 ____________ ______________ _____________
Middle Distant Track Events (800m to 5,000 m)
Event (s) Date Placement Time
GRADE 12 _____________ ____________ _________ __________
_____________ ____________ _________ __________
____________ ____________ _________ __________
GRADE 11 _____________ ____________ _________ __________
_____________ ____________ _________ __________
______________ ____________ _________ __________
GRADE 10 _____________ ____________ _________ __________
_____________ ____________ _________ __________
______________ ____________ _________ __________
GRADE 9 _____________ ____________ _________ __________
_____________ ____________ _________ __________
______________ _____________ _________ __________
OTHER MAJOR TRACK ATHLETIC ACHIEVEMENTS
Competition name Event Placement Time
____________________ ____________ _________ __________
____________________ ____________ _________ __________
____________________ ____________ _________ __________
____________________ ____________ _________ __________
____________________ ____________ _________ __________
OTHER NON-TRACK ACHIEVEMENTS
On a separate attachment, describe one or two meaningful achievements unrelated to athletics
Thank you for completing the Application for the Brian Maxwell Memorial Scholarship
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