Online Application - Black & McDonald Centennial Scholarships

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Basic Information

Student Applicant Name(Required)

First Last

Student Applicant Address(Required)

Street Address City Province/State Postal/Zip Code Country

Student Applicant Phone Number(Required)

Student Applicant Email Address(Required)

Enter Email Confirm Email

Student Applicant Birth Date(Required)

MM slash DD slash YYYY

Gender(Required)

Male

Female

Other

Prefer Not to Answer

Name of Related Black & McDonald Employee(Required)

First Name Last Name

Relationship to B&M Employee(Required)

Black & McDonald Region(Required)

British Columbia Region

Alberta Region

Saskatchewan Region

Manitoba Region

Northern Ontario Region (Ottawa/ESAP)

Quebec Region

Atlantic Region

Southern Ontario Utility Region

Southern Ontario Electrical Mechanical Region

Southern Ontario FMO & Service Region

Southern Ontario Fabrication, Engineering & Design Region

Western Utility Region/Western Industrial Region

Southwest Ontario Region (Stoney Creek)

Roberts Onsite

Power Generation Region

Canadian Base Operators

Corporate Services Group/Corporate Office

United States

Northeast United States

Academics

Schools to which you are applying / school to which you are returning (if you are not a first-year student)(Required)

School 1

Schools to which you are applying / school to which you are returning (if you are not a first-year student)

School 2

Schools to which you are applying / school to which you are returning (if you are not a first-year student)

School 3

Programs you are considering / program you are currently enrolled in (if you are not a first-year student)(Required)

Program 1

Programs you are considering / program you are currently enrolled in (if you are not a first-year student)

Program 2

Programs you are considering / program you are currently enrolled in (if you are not a first-year student)

Program 3

References

Please list one educator and at least one member of the community who would recommend you for a scholarship.

Reference 1(Required)

First Last

Position(Required)

Position

Reference Phone Number(Required)

Reference Phone Number

Email(Required)

Reference 2(Required)

First Last

Position(Required)

Position

Reference Phone Number(Required)

Reference Phone Number

Email(Required)

Reference 3 (Optional)

First Last

Position

Reference Phone Number

School/Community Activities/Employment

List the names of any clubs and your years of participation. If you volunteered, list the name of the organization and what your volunteer role involved. If you worked, list the company and length of time. Attach an additional sheet or resume if necessary.

School Activities

Community Service/Volunteer Activities/Community Awards

Sports Participation and Other Special Interests

Employment Experience

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File

Upload your attachment in .pdf, .doc, .docx, .jpg, .png. or .gif format.

Drop files here or

Accepted file types: pdf, doc, docx, jpg, png, gif, Max. file size: 20 MB.

Personal Statement

Include 300-500 words addressing your goals, your program of choice, what you intend to do with your education, why a scholarship is important to you, and why you are a qualified and unique candidate for the Black & McDonald Centennial Scholarship. Some criteria to consider: 1) Academic accomplishments (include honours, GPA); 2) Non-academic accomplishments (volunteering, athletic achievement); 3) Unique experiences (special interests, community contributions)

Personal Statement

Enter below or attach as an additional document.

Attachment

Upload your attachment in .pdf, .doc, or .docx format.

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 10 MB.

Personal Statement

Should there be any special needs or circumstances of which the selection committee should be aware, please include below or attach as an additional document.

Attachment

Upload your attachment in .pdf, .doc or .docx format.

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 10 MB.

Application Date(Required)

MM slash DD slash YYYY

Typed Signature(Required)

{all_fields}

Terms and Conditions(Required)

I confirm that I meet the eligibility criteria of the Black & McDonald Centennial Scholarships program.

Phone

This field is for validation purposes and should be left unchanged.

Black & McDonald Centennial Scholarships Application Form

Basic Information

Academics

References

School/Community Activities/Employment

Personal Statement