Scholarship Application
Centre Street Church Emerging Leader Scholarship &
CSC Chuck Matson Memorial Emerging Leader Scholarship
Up to $5000
Deadline: / 4:00 pm – March 28, 2014

PLEASE NOTE: For a complete list of the Terms and Conditions and Frequently Asked Questions (FAQ), please visit: www.cschurch.ca/scholarships/

Before submitting, please ensure that your application package includes:
Completed Signed Application Form (original and five (5) stapled copies).
Official University/College Transcripts (One copy – sealed envelope). If one or fewer full semesters have been completed at a university or college, please include other post-secondary or High School transcripts. Please note a minimum GPA of 3.0 (72%) is required to be eligible to apply.
Resume of Student Activities at CSC or Affiliated Ministries.
Resume/Curriculum Vitae (not to exceed 3 pages).
Evidence of acceptance at the educational institution including receipts.
Three Written Evaluations by Referees (not to exceed 1 page each). At least one referee should come from a CSC ministry and represent the applicants’ most significant involvement at CSC.
§  Please download this application form and the accompanying FAQ’s from the website shown above and enter text in the spaces provided.
§  Successful applicants will receive either the Centre Street Church Emerging Leader Scholarship, or the CSC Chuck Matson Memorial Emerging Leader Scholarship, both of which are valued up to $5,000. Any one student cannot receive both scholarships at the same time. The Scholarship will be paid to the educational institution on the students’ behalf one semester at a time.
§  Applications that are late, incomplete and/or that do not have the required information provided in the manner requested will not be considered.
§  To be eligible, you must be enrolled full-time at an accredited Canadian post-secondary educational institution for a school year which includes a minimum of two full semesters or equivalent, engaged in study that better qualifies the student to engage in full-time Christian ministry. Students attending Accredited Post-Secondary Educational institutions outside Canada will be considered if the institution is listed on the Canada Revenue Agency Qualified Donee “List of prescribed universities outside Canada”.
§  The student has exhibited a commitment to Christian ministry and exhibited leadership qualities through their involvement at CSC or its affiliated ministries.
§  Some applicants will be invited to attend an interview with the CSC Scholarship, Bursaries and Awards (SBA) Committee at a meeting to be scheduled on or about April 17, 2014.
§  Only successful applicants will be advised. Applicants who have not heard from the SBA committee by May 15, 2014 will not have been successful.
§  Applications become the property of Centre Street Church and will not be returned to the applicants. Applicant information will be managed according to the Privacy policy of Centre Street Church.
Please submit full application package to:
Centre Street Church
c/o Kervin Raugust
3900 2 St NE, Calgary, AB T2E 9C1
(403) 293-3900 (CSC); 403-520-1202 (Direct line)
E-mail:


Centre Street Church Emerging Leader Scholarship

Application Form

SECTION A: STUDENT

The student must complete this part of the application.

Date
Family name of student / Given name and initial(s) / Student Identification Number
Academic Institution Presently Enrolled in:
Academic Institution:
Degree / Faculty / Department
(if applicable) / How many years have you completed towards this specific degree? / Year and month of expected degree completion
yyyy/mm
SCHOLARSHIPS & OTHER AWARDS RECEIVED OR PENDING
Please list any scholarships, awards, etc. that you have received or that are pending for the current academic year.
Name of Award / Received or Pending / Amount ($) / Period held (yyyy/mm – yyyy/m)
ReceivedPending
ReceivedPending
ReceivedPending
ReceivedPending
ReceivedPending

Personal Written Statement indicating why the student believes they should be considered for the scholarship, and why the intended institution and course of studies is preferred (Not to exceed 2 pages)

Continue on next page if required

Personal Written Statement Continued

OTHER STUDENT INFORMATION

Citizenship
Canadian citizen / Permanent resident / International student
Current Address (include postal code) / Permanent mailing address (if different from current address)
If current address is temporary, indicate leaving date / Telephone number at permanent mailing address
Telephone number at current address / E-mail address

SIGNATURE

I hereby agree to abide by the Terms and Conditions governing CSC Scholarships. / Student Signature

SECTION B

Enrollment details

Name of Official Confirming Enrolment / Position of Official (Registrar or Dean) / Institution
Telephone Number / Email Address
Address
SIGNATURES
I hereby certify that the student is enrolled full-time in the above named institution.
Signature
Date

OFFICE USE ONLY

Awarded / Declined
Date Received

CSC Scholarships - 5