Congress of Black Women of Canada

Le Congress des Femmes Noires du Canada

Oshawa/Whitby Chapter

11 Lloyd Gibson Crescent Whitby, Ontario L1R 2H7

1 866 986 (CBWC) 2292 www.cbwoshawawhitby.org

Leave a Legacy Scholarship Application Form

The Congress of Black Women of Canada - Oshawa/Whitby Chapter Leave a Legacy Scholarship is valued at $500.

Eligibility:

You are eligible to apply if:

You are an Afro-Canadian Single Mother pursuing post-secondary education. You must be from the Oshawa/Whitby area entering your 2nd year at Durham College, The University of Ontario Institute of Technology or Trent University Oshawa.

Applicants must meet the following criteria:

1.  Possess strong academic achievement;

2.  Is in need of financial assistance;

3.  Must demonstrate evidence of some community involvement;

Application Requirements:

o  Completed application form

o  A letter of not more than 500 words

o  A letter of reference from a teacher/professor

o  A letter of reference from someone associated with an organization where you have volunteered

o  College/University first year marks

o  One passport size photo

Deadline for Applications:

Applications must be received on or before 5:00 pm, on April 12, 2013.

Decision:

Recipient will be notified by April 30, 2013 and will be required to provide a passport size picture for our program booklet. The recipient will also be required to attend our Mother’s Day Brunch on Sunday, May 12, 2013, to accept the scholarship award. Funds will be paid directly to Durham College/UOIT/Trent.

Leave a Legacy Scholarship Application Form

Criteria for this scholarship: Afro-Canadian Single Mother entering her 2nd year of studies at Durham College or The University of Ontario Institute of Technology or Trent University Oshawa.

The applicant:

1.  Must possess strong academic achievements;

2.  In need of financial assistance;

2. Must demonstrate evidence of community involvement

Application Information

Name (first) (middle) (last)

Address Postal Code

Telephone ( ) Date of Birth / /

(Y) (M) (D)

E-mail Address ______

Program of Study: ______

Career Goals: ______

Two letters of reference; one letter must be from a teacher at Durham College/UOIT/Trent U, the other from an individual associated with an organization where you have volunteered (church, charity, not-for-profit or community).

Name Address

Occupation Phone #

Name Address

Occupation Phone #

Leave a Legacy Scholarship Application Form

Write a 500 word letter outlining why you should be chosen for this Scholarship. Include your academic achievements, community service/volunteer activities, sports/cultural, most important accomplishments and future goals.

______

A personal interview will be part of the selection process.

Signature: Date

Completed Application must be received by April 12, 2013, via email or Canada Post to:

Congress of Black Women of Canada Oshawa/Whitby Chapter - Leave a Legacy Scholarship

11 Lloyd Gibson Crescent, Whitby ON L1R 2H7

For more information please contact us by email at or . You may also visit our website at www.cbwoshawawhitby.org.