Scholarship - 2009 - Professional Engineers Ontario



ENGINEERING SCHOLARSHIPSSecondary school students in Simcoe County and the District of Muskoka are invited to apply for post-secondary scholarships offered by the Simcoe-Muskoka Chapter of the Professional Engineers of Ontario.Award Criteria:The scholarships will be awarded on the basis of academic performance, community contributions, intra and extracurricular activities, leadership positions taken on during High School years and the student's intention to make a career in the profession of Engineering.Eligibility:To qualify for this award, students must be in their final year of secondary school within the Simcoe Muskoka Chapter Boundary and be accepted to an accredited engineering program at an Ontario University.Award Presentation:Awards will be presented at a Chapter Event held in the fall of each year. Candidates, or their representative, must attend to receive their award.How to Apply:The Application Form for this award can be downloaded from our Chapter website at send the completed form and attachments to the Education Director at: education@peo- Applications will be accepted up until August 31stImage Release FormI hereby irrevocably consent to and authorize the use by the Simcoe-Muskoka Chapter of Professional Engineers of Ontario (PEO-SMC), of any and all photographs, video, voice recordings, or other media taken of me including derivative works thereof (collectively, the “Images”), and any reproduction of them in any form in any media whatsoever, whether now known or hereafter created, throughout the world in perpetuity. I also consent to the use of my name or likeness, in connection with the exhibition, distribution, merchandising, advertising, exploiting and/or publicizing of Images or PEO-SMC. I hereby release and discharge PEO-SMC, its trustees, officers, employees, licensees, and affiliates from any and all claims, actions, suits or demands of any kind or nature whatsoever, in connection with the use of Images and the reproduction thereof as aforesaid. I understand and agree that PEO-SMC will be the exclusive owner of all rights, including, but not limited to, all copyrights, in and to the Images in whole or part, throughout the universe, in perpetuity, in any medium now known or hereafter developed, and to license others to so use them in any manner PEO-SMC may determine in its sole discretion, without any obligation to me. I hereby waive any right that I may have to inspect and/or approve the use of the Images or any reproductions thereof, by PEO-SMC.Date: __________________________Signature: __________________________Print Name: __________________________Address: ________________________________________________________________________________________________________If the above named has not reached the age of majority, a parent/guardian must sign.Parent/Guardian Name: __________________________Parent/Guardian Signature: __________________________Engineering Scholarship - Application FormProvide complete information. All provided information is confidential and will be used solely to determine successful applicants.Personal Information:Name: FORMTEXT ?????Address: FORMTEXT ?????Telephone Number: FORMTEXT ????? E-mail Address: FORMTEXT ?????Please tell us how you heard about this scholarship (school, the web, newspaper, etc.): FORMTEXT ?????Are you a relative of a current Simcoe-Muskoka executive member? FORMCHECKBOX Yes FORMCHECKBOX NoIf “Yes”, please state the name and relation: Name FORMTEXT ????? Relation FORMTEXT ?????Academic Information:Secondary School Currently Attending: FORMTEXT ?????Your current grade average in school (e.g. 85%, B+): FORMTEXT ?????(IMPORTANT: please attach a transcript (OUAC) and any letters of recommendation you may have received – e.g. summer jobs, volunteering - during your High School years)Ontario University that you will be attending in the Fall: FORMTEXT ?????Engineering discipline accepted into: FORMTEXT ?????Secondary School Contact Information:Name of teacher as reference: FORMTEXT ?????Telephone # of School: FORMTEXT ?????E-mail address of teacher: FORMTEXT ????? Extracurricular Activities Information:Please describe your extracurricular activities, such as athletics, counselling, hobbies, clubs, etc. and explain why you chose to be involved in these activities (300 words maximum) FORMTEXT ?????Leadership Activities during High School years:Please describe any leadership activities you took on during your High School years. (300 words maximum). A list will suffice if you have had several. FORMTEXT ?????Community Service Information:Every student must complete 40 hours of volunteer service to graduate. Please describe how you met this requirement plus any activities that you were able to carry out that went beyond the 40 hours. (300 words maximum) FORMTEXT ?????Why are you interested in studying Engineering and becoming a Professional Engineer?Please explain why you want to study engineering and become a Professional Engineer, including what you think are the values of the engineering profession to the public, and what your responsibilities would be as a Professional Engineer. (300 words maximum) FORMTEXT ?????I hereby certify that the information I have provided is true and accurate to the best of my knowledge.Signature of Applicant: __ FORMTEXT ?????___________________________ Date:___________ ? ................
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