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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