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Section A: Your Personal Profile

1) Last name/Family name*

2) First name*

3) Middle name(s)*

4) Date of birth*

5) Gender (indicate)*

6) Home telephone number*

7) Mobile telephone number *

8) Email address *

9) Citizenship: What is your current citizenship status? *

Canadian Citizen

Permanent Resident of Canada

10) Permanent Canadian Address

A permanent Canadian address is mandatory. If you don’t have one because you are currently residing outside of Canada, then enter the address of a friend or relative living in Canada.

Street Number and name, rural route, or post office box*

Apartment #*

City, town or post office *

Province*

Postal code (e.g. M5T 3M4)*

11) Mailing Address: Is your mailing address the same as your permanent Canadian address?*

Yes

No

Street Number and name, rural route, or post office box*

Apartment #*

City, town or post office *

Country*

Province*

Postal code (e.g. M5T 3M4)*

Section C: Your Academic Achievement

Note: Answer 21 or 22, but not both.

21) Your Academic Transcript (University/College)
If you were enrolled in a university or college prior to the academic year 2019-20, provide an original copy of your university/college academic transcript. Your university/college may stamp your transcript with the term Issued to Student before providing it to you. We will accept this. At the time you submit your application, we welcome receipt of a copy of your academic transcript in PDF format. However, we will require you to submit a hardcopy original version of your transcript. Your university/college may prefer to mail your official transcript directly to the BBPA National Scholarships, and this could result in the document being received (by the National Scholarships) after the June 30 application deadline. Should this happen, act as follows:

a) submit your scholarship application on-time by the May 31 deadline,
b) electronically submit a PDF copy of your transcript to the BBPA Office (See the National Scholarships email address in Section G) the moment you receive your transcript from your school), AND
c) mail/deliver the hardcopy edition of your transcript to the BBPA National Scholarships so that it arrives no later than June 30. (See the National Scholarships address in Section G)

I have submitted a PDF of my university/college transcript to the National Scholarships email address (i.e. by May 31), AND the hardcopy version has been mailed to the BBPA’s office with the expectation it will be received by the National Scholarship no later than June 30.

I have not yet obtained my high-school transcript but I will electronically submit a PDF version of it to the National Scholarship, AND I will ensure the hardcopy version is delivered to the National Scholarship no later than June 30. (See the BBPA NS address in Section G)

I have not yet obtained my hardcopy university/college transcript. However, my university/college has agreed to mail it directly to the BBPA’s Office so that it is received by the BBPA NS no later than June 30.

22) Your Academic Transcript (High School)
If you were not previously enrolled at a college or university, you must submit your high-school academic transcript with your application. At the time of applying, you should submit a copy of your high-school transcript in PDF format. Thereafter, you must submit a hardcopy original version of your high-school transcript. Should there be a delay in obtaining your high-school transcript, act as follows:

a) submit your scholarship application on-time by the May 31, deadline,
b) submit your high-school transcript in PDF format the moment you receive it (see the National Scholarship email address in Section G), AND
c) mail/deliver the hardcopy edition of your transcript to the BBPA NS Office (See the BBPA NS address in Section G), but make sure it is received by the NSF by June 30.

Please select and check one.

I have submitted my high-school transcript in PDF format to the BBPA NS email address (i.e. by May 31), AND the hardcopy version has been mailed to the BBPA’s office with the expectation it will be delivered no later than June 30.

I have not yet obtained my high-school transcript but I will electronically submit a PDF version of it to the BBPA NS, AND I will ensure the hardcopy version is delivered to the National Scholarships no later than June 30. (See the BBPA NS address in Section G)

23) Letter of Recommendation from your Teacher:
Along with this application, you are required to submit a letter (PDF format only) from a teacher (high school, college or university), guidance counsellor, principal or vice-principal who knows you well and can write about your academic accomplishments and other outstanding attributes. Ideally, this letter should be written on official letterhead. To reinforce your academic standing, we recommend the letter reference any major academic awards you were granted. If you are currently in university/college and prefer having your letter from your former high school, this is acceptable. If you recently changed high school and prefer a letter from your former high school, this is acceptable. This letter should support your case for a scholarship.

Please verify*

I will act to submit my teacher’s letter of recommendation, in PDF format, and send it to the BBPA NS via separate email (using the submission process described in Section G).

Section E: Your Record of Community Service

30) Your Record of Community Service
In the space below, list a maximum of four occasions when you provided important volunteer service to your community. To build your case, (i) describe the service activity, (ii) the role you performed, (iii) any leadership roles you held, (iv) the duration you were active in this particular activity (by start/stop dates), (v) why you chose this volunteer activity, and (vi) the impact your contribution made. If you prefer to use ‘bullet format’ to make your case, please do.

(Maximum 600 words)*

31) Letter of Recommendation from a Member of Your Community
This letter (PDF format only) should be written by someone outside your school but within your community. This person may be an employer, coordinator of volunteer community services, someone from the faith community, a member of the Black community or a leader of an organization to which you belong. Ideally, this person should know you well enough to highlight and verify your record of community service, and also to add context to your family situation and challenges you have faced. If possible, this letter should have an official letterhead.

Please verify*

I will act to submit a letter of recommendation from someone from my community, in PDF format, and send it to the BBPA NS via separate email (using the submission process described in Section G)

Section G: Submitting Your Application and Documents

34) Submitting Your Application *
Use the built-in on-line protocol for submitting your application. Immediately thereafter, submit supporting documents in a separate email to the NSF as noted in Item 35. Submit your application by the deadline of Friday, June 16, 2017.

35) Electronic Submission of Supporting Documents *
Immediately after submitting your scholarship application, you must send an email to the BBPA National Scholarship Fund (scholarships@bbpa.org) with the following documents attached in PDF format:

i: A Letter of Recommendation from your Teacher: PDF format
ii: A Letter of Recommendation from a member of your Community: PDF format
iii: Your Academic Transcript: PDF format.

Should you experience a delay in obtaining your hardcopy original transcripts, we will extend the receipt of your transcript to a June 30, 2017 deadline.

Note: Indicate your name (Surname, Given Name) on the subject line of all emails sent to the NSF Office. (Example: Doe, John)

36) Submitting Your Hardcopy Original Transcript *
You must submit a hardcopy original of your academic transcript to the NSF Office no later than Friday, June 30, 2017. It must be received by the NSF by June 30, 2017. Refer to Items 21 and 22 of this application form for details about your academic transcript. (See the NSF’s address in Item 36)

37) Communicating with the BBPA National Scholarship Fund *

i: Email Address : scholarships@bbpa.org

ii: Postal Address: The postal address of the National Scholarship Fund is:
The Board of Trustees
The National Scholarship Fund
180 Elm Street
Toronto, Ontario
M5T 3M4

iii: Phone: 416 504 4097