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NorKam Secondary School Scholarship & Bursary Awards Application

Deadline: April 16th, 2015 – 3:00pm

(PLEASE TYPE OR PRINT IN BLACK INK)

Name: ____________________ ___________________ (First) (Last)

School: NorKam Secondary

Address: __________________________ email: _______________________________________ (Street Address)

_____________________, BC _______ - _______ Phone Number: _____ - ______ - ______ (City) (Postal Code)

Application Procedure

Submit Completed Applications to your School Counsellor – Scholarship Committee Member*Note – Incomplete &/or LATE applications will NOT be considered.

For all of the awards listed on this scholarship & bursary application, proceed as follows:1) Read the specific criteria for each award as described on pages 2-6, being sure you meet all of the criteria for the awards you wish to be

considered for.2) Check off the awards you are applying for in the table starting on page 7.3) Complete pages 8 to 11. Note: 0 is only required for Bursary applications.4) Attach the following to this application form:

a) Personal letter of application addressing the criteria for the awards and outlining:i) Future goals and objectivesii) School involvement

iii) Community involvementiv) Athletic and/or Fine Arts activities

v) Specific requirements for individual awards

b) Two letters of reference supporting the above.c) Diploma Verification (Request from the Counselling Office).d) Supplementary Forms if applicable.e) Proof of acceptance, conditional acceptance or registration at a post secondary institution.

5) Complete the Envelope Cover Sheet & attach it to the outside of the envelope (See Page 18).

Scholarship & Bursary Awards Description and Criteria – NorKam SecondaryThe objective of the scholarship and bursary funds is to provide one or more scholarships and/or bursaries to one or more graduating students of NorKam Secondary School who intend to pursue further post secondary education. The NorKam Secondary Scholarship Committee will make the selections.

1. Bert Edwards PAC Award – 1 @ $500* Must be a former Bert Edwards Elementary student.

2. Brian Hitchens (A.E. Perry) Award – KF – 1 @ VARIES* Must be former A.E. Perry Elementary student, who plans to pursue post-secondary education.* Must have a C+ or higher average.* Involved in school and/or community activities - 70% Citizenship / 30% academics.

3. Brock Central Lions Club Bursaries – 4 @ $ 500* Two (2) Bursaries awarded for the trades* Two (2) Bursaries awarded for academics* Students must be planning to pursue full time studies at a post-secondary institution* Demonstrate school and community involvement as well as financial need

4. Brock Cooper's Foods – 1 @ $500* Interested in pursuing post secondary education in a business related field.* Community oriented individual.* Demonstrates great effort and work ethic.* Student must show proof of registration to a post-secondary institution.

5. Brock Middle School Scholarship – 4 @ $500* Must have attended and completed at least one full academic year at Brocklehurst Middle School * Minimum 73% average over the first three Grade 12 terms.

1NorKam Graduation Award Application Package, Updated January 2015

* Must have earned all “G” effort marks over the first three Grade 12 terms.* Demonstrate good citizenship through school/community involvement and/or volunteering.

6. Don Mackenzie Memorial Award (Top Geography 12) – KF – 1 @ VARIES* Demonstrate strength in Geography 12.* Planning to pursue career/education in a Geography-related field.

7. Fraser Valley Vending Ltd. Bursary – 1 @ $250* Financial Need is a factor* Community oriented individual

8. Interior Savings Credit Union Bursary – 1 @ $1000* ISCU member in good standing ___yes ____no; for at least 12 months ___yes ___no.* Student must exhibit financial need, good character and potential for their chosen field.* Students must be planning to pursue full-time studies at a post-secondary institution.Applicant names will be submitted to Interior Savings to determine eligibility for the award.

9. Josh Guido / Mike Young Memorial Bursary – KF – 1 @ VARIES* Candidate will have overcome adversity in their life.* Strong affiliation with the outdoors and/or love of animals.

10. Kamloops Blazers Hockey Club Scholarship Please complete separate application (page 14).* Must be involved with Community and School groups and/or activities.* Athletic Participation combined with community/school involvement an asset.* Must have maintained at least a C+ average.* Must be planning to pursue post-secondary studies (academic, trades or technical).

11. Kamloops Storm Academic Award – 1 @ $200* Must be a player on the Kamloops Storm Hockey team.* Have the highest marks in 3 of your academic courses.

12. Kamloops Rotary Bursary – 1 @ $500* This award is based on financial need.* Weighted as follows: Financial Need (60%), Academics (20%), Service & Citizenship (20%)* A cover letter that includes the following is required:

- A clear statement regarding future plans and goals: demonstration of service to the school and/or community; a clear statement how your school and/or community service experiences have influenced your life.

* Must be attending a post-secondary institution before September 2015.

13. Kamloops North Rotary Bursaries – 4 @ $250* Must demonstrate involvement in community/school.* Based on financial need.

14. Kamloops Thompson Principals & Vice Principals Award – 1 @ $500* Academic success and school involvement are required.* Recipient will be planning to pursue a career in Education.

15. Kamloops Thompson Teachers' Association Scholarship OR Bursary – 1 @ $500* One award available for each Secondary School in the KTTA region. * Scholarship Criteria: Outstanding academic achievement, personal recommendations.* Bursary Criteria: Reasonable academic achievement, financial need, personal recommendations.* Preference is given to the son/daughter of a KTTA member.* Please complete the Supplementary Form (page 15) for this award and submit with the NorKam application package.

16. Kay Bingham Elementary PAC Bursary – 1 @ $500* Must be a former Kay Bingham Elementary student.* Minimum 73% average over the first three terms.* Must have all “G” effort marks over the first three terms.* Must demonstrate good citizenship through school/community involvement.* Must demonstrate financial need.

17. Kyle Price Memorial Award – KF – 1 @ VARIES* Citizenship 80% / Academic 20%* The recipient will be recognized for his/her positive attitude and cheerful demeanor, who promotes care

and kindness toward others.


18. NorKam Grad Fund Award – KF – 1 @ VARIES* Student actively participates in fund raising and organizing of the graduation activities.* Student’s marks must be a B minimum.* Financial Need is a factor.* Student must have recommendation from the Vice-Principal overseeing graduation and a letter from the Parent

Graduation Committee.

19. NorKam Millennium Awards – 4 @ $500* 60% Academics / 40% Citizenship.

20. NorKam Music Society Award – KF – 1 @ VARIESSeparate application form (page 16 & 17) to be completed * Awarded to a NorKam band student.* Two categories available for consideration:

1) Student pursuing post-secondary studies in music. 2) NorKam music student pursuing other (non-music) post-secondary studies.

21. NorKam PAC Scholarship - academic focus - 4 @ $250* Student must be in good standing.* Highest marks in core subjects* Minimum 73% average.* 2 Dogwood students, 1 IB student, 1 Dogwood preference given to student in Trades & Technology.

22. NorKam PAC Bursary – 2 @ $250* Student must be in good standing.* Based on financial need (supply SASIF form).* Minimum 73% average in core subjects.* 1 Dogwood student, 1 IB student.

23. NorKam PAC Scholarship – fine arts – 1 @ $250* Student must be in good standing * Minimum 73% average.* Ability to demonstrate talent in chosen area.* Preference may be given to a student entering a Fine Arts program.

24. NorKam PAC Scholarship – First Nations – 1 @ $250* Student must be in good standing* Recipient will have First Nations Ancestry.* Plans to pursue post-secondary education.* Minimum 73% average in core courses grade 11/12

25. NorKam PAC Scholarship – physical education – 1 @ $250* Student must be in good standing.* Passion and promotion of physical health and well being.* Minimum 73% average.

26. NorKam PAC Scholarship – service/leadership – 2 @ $250 * Student must be in good standing.* Exceptional service to school and community.

27. NorKam PAC Scholarship – applied skills – 2 @ $250(Trades and Tech Ed., Home Ec., Business Ed., Hairdressing, Restaurant Training)* Student must be in good standing.* Home school is NorKam.* Minimum 73% average.* Has clearly demonstrated skill/ability in their subject area.* Cooperative student with a good positive attitude.* Preference may be given to a student pursuing post-secondary education in applied skill.

28. NorKam PAC Scholarship – work experience – 1 @ $250* Student must be in good standing.* Work Study/Work Experience Student.

29. NorKam Spirit of Youth Award PAC – Linda Sanderson – 1 @ $100 + plaque* Consistently achieved Academic/Effort Honour Roll in senior years.* Attended NorKam Secondary grades 10-12.* Intention to pursue post-secondary education.* Involved in school athletics (athlete or coach) and/or school leadership activities.* A good citizen (thinks of others before self).

30. NorKam Staff Award – 1 @ $ VARIES


* 50% academics / 50% service.* Top overall grade 12 student.

31. Parkcrest Elementary PAC Bursary - 1 @ $500* Must be a former Parkcrest Elementary student.* Minimum 73% average over the first three terms.* Must have all “G” effort marks over the first three terms.* Demonstrate good citizenship through school/community involvement.* Student must demonstrate financial need.

32. PEO Sisterhood Bursary 1 @ $500* Female student planning to pursue post-secondary studies.* Based on financial need.

33. Phyllis Bepple Memorial Award – 1 @ $200* Awarded by the North Shore Business Improvement Association.* Student should have completed four or more Business Education courses.* Above average achievement.* Actively participates in school activities.

34. Rayleigh Elementary School Award – 2 @ $500Two awards offered: one for an academic-oriented student and one for trades/technology-based* Must have attended Rayleigh Elementary from grades 4 through 7.* Must have involvement in community and school as a volunteer or for extracurricular activities.* Must be pursuing post-secondary education.* Student must be a resident in Rayleigh at the time of graduation.

35. Right Photography Ltd. Bursary – 2 @ $ VARIES* Student will demonstrate service to school community.* Financial need is a factor. * Hard working diligent individual.

36. Sam Seright – Young Artist Bursary – KF – 1 @ $ VARIES* Must be pursuing post-secondary studies in Fine Arts.* Excellent work ethic.* Student should have maintained an “A” average in their Art course(s).

37. Sharon Ann Kask Memorial Award – TRU F – 1 @ $ VARIES* Only FEMALE applicants.* Must be registered at TRU, and planning to pursue a career in Elementary Education .* Good academic standing (C+ average or higher).* Involved in school community as a volunteer, coach, tutor, etc.

38. T & H Auto Pro Scholarship NOTE: Additional Essay required – 1 @ $300 * Student must be nominated by the Automotive teacher at school. * The student is required to WRITE AN ESSAY outlining their career plan and why they are planning to be an

Automotive Service Technician. Essay must also indicate why they should be considered for the scholarship.* Student must indicate desire to continue working in automotive trade and must be enrolling in the AST1 class at TRU.

NorKam Secondary School - Scholarship & Bursary Awards ApplicationName: ________________________________

Please check the awards for which you wish to be considered:

Awards Applied For NorKam Secondary – Scholarships & Bursaries*Note: Funds may vary from year to year. Values are approximate.

Names will be submitted to Bert Edwards PAC Award


Bert Edwards PAC to determine eligibility.

1 @ $500

Brian Hitchens (A.E. Perry) Award - KF 1 @ $ VARIES

Brock Cooper's Foods Award 1 @ $500

Must write an essay and submit thank you card to qualify.

Brock Central Lions Club Bursaries 4 @ $500

Brock Middle School Scholarships 4 @ $500

Don Mackenzie Memorial Award (Top Geography 12) - KF 1 @ $250

Fraser Valley Vending Ltd. Bursary 1 @ $250

Names will be submitted to Interior Savings to determine eligibility.

Interior Savings Credit Union Bursary 1 @ $1000

Josh Guido/Mike Young Memorial Bursary 1 @ $600

Supplementary Form Required. (Page14)

Kamloops Blazers Hockey Club Scholarship 1 @ $150

Kamloops Storm Academic Award 1 @ $200

Kamloops Rotary Bursary 1 @ $500

Kamloops North Rotary Bursaries 4 @ $250

Kamloops Principals & Vice Principals Association Bursary 1 @ $250 - Financial Need is a factor

Supplementary Form Required. (Page 15)

Kamloops Thompson Teachers’ Association Scholarship OR Bursary 1 @ $500 – Financial Need is a factor for the Bursary

Kay Bingham PAC Bursary Number of awards may vary from year to year @ $500

Financial Need is a factor.Kyle Price Memorial Award – KF

1 @ $300NorKam Grad Fund Award - KF @ $ VARIES

NorKam Millennium Awards 4 @ $500

Supplementary Form Required. (Page 16/17)

NorKam Music Society Award - KF @ $250

2 Dogwood students, 1 IB student, 1 Dogwood preference given to student in Trades & Technology

NorKam PAC Scholarship – academic focus 4 @ $250

NorKam PAC Bursary 2 @ $250

NorKam PAC Scholarship – fine arts focus 1 @ $250

NorKam PAC Scholarship – first nations focus 1 @ $250

NorKam PAC Scholarship – physical education focus 1 @ $250

NorKam PAC Scholarship – service/leadership focus 2 @ $250

NorKam PAC Scholarship – applied skills focus 2 @ $250

NorKam PAC Scholarship – work experience focus 1 @ $250

NorKam Spirit of Youth Award – Linda Sanderson 1 @ $100 + plaque

NorKam Staff Award 1 @ $

Names will be submitted to PAC to determine recipient.

Parkcrest Elementary PAC Bursary 1 @ $500

Names will be submitted to PEO to determine recipient.

PEO Sisterhood Bursary 1 @ $500

Phyllis Bepple Award 1 @ $200

Names will be submitted to Rayleigh Elementary School Award – academic focus


PAC to determine recipient. 1 @ $500Names will be submitted to PAC to determine recipient.

Rayleigh Elementary School Award – trades or technology focus 1 @ $500

Right Photography Ltd. Bursary 2 @ $ VARIES

Sam Seright Young Artist Bursary - KF 1 @ $ VARIES

Sharon Ann Kask Memorial Award – TRU F 1 @ $300

Supplementary essay to be handed in with the NorKam

application package

T & H Auto Pro Scholarship 1 @ $300

Supplementary forms that must be submitted in order to be considered for the following awards:

Kamloops Blazers Hockey Club Bursary Kamloops Thompson Teachers’ Association Scholarship/Bursary NorKam Music Society Scholarship Application T&H Auto Pro - Essay

Page 10 must be completed for all Bursary applications.


School District #73 Bursary Awards Application – Financial Need Section

NAME: ________________________________

NOTE: This section must be completed if you are applying for a bursary. Bursaries have specific requirements regarding evidence of financial need. You will not be considered for a bursary if this section is omitted.

Disclosure of Available Funds:A B C D EFamily Member Occupation Total Income

Line 150 from your Income Tax Return

Net IncomeLine 236 from your Income Tax Return

Parent’s Initials

Mother / Guardian $ $Father / Guardian $ $Applicant $ $ Other Funds / Savings $ Total of funds listed in Column D $

Names & ages of dependent siblings and/or other family dependents:Name: Age: Name: Age:

1. 5.

2. 6.

3. 7.

4. 8.

Other information concerning financial circumstances:

I attest that the above information is correct: ________________________________________________ (Applicant’s Signature)


Scholarship/Bursary/Awards Application – Grades Submission Section

Name: ___________________________________

PART 1:

The applicant’s academic average will be determined using the following 5 courses: Language Arts 12 with a minimum school mark of 73%:

◦ English 12, English 12 First Peoples, Français Langue Première 12 or Communications 12 3 highest marks from qualifying grade 12 curriculum based courses. The top mark from remaining qualifying grade 11 or 12 courses. NOTE: TRU Start will be considered if a final mark is available for the course. Final School Marks and April Report Card % will be used for calculations.

The following courses will NOT be considered for Scholarship/Bursary/Award purposes: Secondary Apprenticeship (SSA) Work Experience (WEX)

Teaching Assistants; Peer Helping; Leadership (YED)

Independent Directed Studies (IDS) Knowledge of Learning (KOL)

Please request a Diploma Verification from the Counselling Office in order for marks to be verified.◦*Note: Please insert the course name beside each asterisk in the columns below.

Language Arts 12 (73% Minimum)

% Top 3 Qualifying Grade 12 Courses

% Top Remaining Grade 11 or 12 Course

%

* * *

*

*

Academic Average: Counsellor Signature:* Qualifying Grade 12 Courses include:

Biology 12 Geography 12 BC First Nations 12Calculus 12 History 12 Any approved second language 12Chemistry 12 Physics 12 e.g. French 12, Spanish 12, German 12 etc.English Literature 12 Pre-Calculus 12Law 12 Foundations of Math 12

PART 2:

Post Secondary Institution: ________________________________________________________________________

Program of Study: _______________________ Intended Career: ________________________________________

Courses taken to support your Post Secondary program of study and admission requirements.Please list Grade 11 and 12 courses in this section.

School District #73 Scholarship & Bursary Awards Application – Activity Record

NAME: ________________________________

IN-SCHOOL ACTIVITIES: Fine Arts, Athletics, Service Clubs etc.Activity Name Role &/or Duties

Grade Level: 12 11 10

Hours/Week

Weeks/Year

Total Hours


Please attach a separate sheet if needed.

COMMUNITY ACTIVITIES: Fine Arts, Athletics, Service Clubs etc.Activity Name Role &/or Duties

Grade Level: 12 11 10

Hours/Week

Weeks/Year

Total Hours


School District #73 Scholarship & Bursary Awards Application – Additional Information

NAME: ________________________________

RECENT WORK EXPERIENCE:


AWARDS/CERTIFICATION RECEIVED Grade 8-12 (Academic, Athletic, Fine Arts, Contests, First Aid etc.)



Other things I consider important or accomplishments of which I am proud:



KAMLOOPS BLAZERS HOCKEY CLUB AWARD APPLICATION

NAME: ____________________________________________________________________________

ADDRESS: _________________________________________________________________________

SCHOOL: NorKam Secondary

EDUCATION PLANS: ________________________________________________________________

COMMUNITY/SCHOOL INVOLVEMENT: (Use an additional sheet if necessary.)

ATHLETIC PARTICIPATION: (Use an additional sheet if necessary.)

ATTACHMENTS: Transcript indicating a minimum of 2.5 GPA or C+ average. One letter of support from the community and one from the school specific to this award. Include this form with the NorKam Application Package.

$500 KTTA School-Based Bursary &/or Scholarship Application

NorKam Secondary School

Please check: _____ I am applying for the scholarship only._____ I am applying for the bursary only._____ I am applying for both the scholarship and bursary.

Name: ____________________________________________ Age: _________________

Address: ____________________________________________ Phone: ____ - ____ - ______

____________________________________________

School: NorKam Secondary School

Scholastic Awards/Honours you have received: ____________________________________________________________________________________

What are your immediate educational plans? ____________________________________________________________________________________


What are your long term educational plans? ____________________________________________________________________________________

What are your vocational plans? ____________________________________________________________________________________

____________________________________________________________________________________

Please include a 250 word autobiography addressed to the KTTA Scholarship Committee.

Date: ____________________________ Signature: _________________________________


NorKam Secondary School Scholarship & Bursary Awards Application

Due April 16th @ 3pm.

Student Name: _________________________________________

Date Submitted: ________________________________________

Please submit your application to the Counselling office and ensure you have included the following documents in your package:

Envelope Cover Sheet Covering letter 2 Letters of Reference Current Diploma Verification of Grades Proof of acceptance or conditional acceptance or registration in a post-secondary program. NorKam Secondary School Scholarship & Bursary Application Form. Supplementary forms for the following awards:

o Kamloops Blazers Hockey Club Bursaryo Kamloops Thompson Teachers’ Association Scholarship/Bursaryo NorKam Music Society Scholarship Applicatino T&H Auto Pro Essay

Envelope Cover Sheet


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