CORSAGE COMMUNITY AWARD APPLICATION FORM
Please visit our website www.corsageproject.ca and click on scholarships for information including the selection process. The deadline for submission is Friday, May 3rd, 2019.

In addition to responses to the questions below, The Corsage Project requires one letter of reference from someone in your community who knows you well. This could be a letter from a teacher, employer, guidance counsellor, or other member of your community. Please have this individual send the letter to corsagescholarships@gmail.com by the deadline, Friday, May, 3rd 2019.

All information submitted on this form is confidential.

Email address *
Name: *
Your answer
Address: *
Your answer
Phone Number: *
Your answer
What is your expected month and year of graduation? *
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Which post-secondary institution will you be attending? *
Your answer
Have you received acceptance to this program? *
What is your planned area of study? *
Your answer
Describe an academic success you are particularly proud of. *
Your answer
Please describe how you have influenced your school environment in a positive way through leadership or active participation in teams, fundraising, school council, or other activities. *
Your answer
Please describe how you have contributed to your community as a whole. *
Your answer
Describe a personal challenge you have overcome. *
Your answer
In approximately 200 words, please write a personal essay that discusses the importance of continuing education and/or why you feel it’s important for youth to make active contributions to their communities. *
Your answer
I agree that I meet the eligibility criteria set forth on the Corsage Project website www.corsageproject.ca. *
I hereby authorize and agree to allow the Corsage Project to use my name, likeness, image and biographical information in connection with the Corsage Community Award. *
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