In Course Scholarship Application

On-line Application:

Please Read Carefully:

This application is not for Entrance Scholarships or Bursaries.

This application form is to be used for In Course Scholarships Requiring Application presented by the University of Victoria, which require that an application be made to the Senate Committee on Awards. Refer to the Terms of Reference section for specific details about awards - then complete and submit this form via teh internet, before the application deadline date. The deadline is April 30, unless specified otherwise in the Terms of Reference.

Title: Mr Ms Miss Mrs

First Name:
Last Name:
Student Number:
Telephone:	( ) -
Date of Birth: (year/month/day)
Social Insurance Number:
E-Mail:

1. This Section is to be completed by all Applicants

Select ONE AWARD on each application:

* BC PARAPLEGIC ASSOCIATION/ROTARY CLUB OF VICTORIA SCHOLARSHIP

Indicate Disability:
* THE L. AND G. BUTLER SCHOLARSHIP FOR THE DISABLED

Indicate Disability:
CATHERINE O. CAMERON MEMORIAL SCHOLARSHIP

Must be a female student in the 2nd, 3rd or 4th year of the Department of Geography. Preference will be given to students who can demonstrate financial need. Although you may apply on-line, please note that you are required to submit a Budget Sheet (pdf format). Please return the budget sheet to Student Awards and Financial Aid by April 30.
* THE COLUMBIA COAST MISSION SCHOLARSHIP

Indicate School where you completed elementary or secondary education while residing in Columbia Coast Mission District:
LUCY AND MARGARET CORBET SCHOLARSHIP

Premedical - Must be proceeding to med school in September. Copy of letter of acceptance to med school must be provided.
* THE DR. VALENTINE GUY CRISWICK SCHOLARSHIP

Premedical. Must be 3rd or 4th year standing.
Provide details of plans for future medical school attendance on the application form:
JOHN CARLING FRASER MEMORIAL SCHOLARSHIP

Two scholarships of $2500 each are awarded to 3rd or 4th year students in the Faculty of Science, with a declared major in Biology, Microbiology or Biochemistry. Preference will be given to students who are active in student politics and/or volunteer work with youth groups in the community, especially Scouts Canada. Students should submit a letter or resume as part of their application in which they describe their contributions to such volunteer/youth organizations. Please indicate activities in the box below or submit to Student Awards and Financial Aid by April 30.

Please indicate your activities in student politics and/or volunteer work with youth groups:
* THE MRS. ANNIE GRESKIW SCHOLARSHIP IN PREMEDICAL STUDIES

Premedical. Must be 3rd or 4th year standing.
Provide details of plans for future medical school attendance on the application form:
* EDYTHE HEMBROFF-SCHLEICHER SCHOLARSHIPS

Female premedical students only.
Provide details of plans for future medical school attendance on the application form:
MICHIEL HORN SCHOLARSHIP

Must be awarded to a 3rd or 4th year Honours History or Honours History/English student. Preference will be given to a student who can demonstrate financial need.

Although you may apply on-line, please note that you are required to submit a Budget Sheet (pdf format).

Please return the budget sheet to Student Awards and Financial Aid by April 30.
* THE ALLARDICE LANCASTER SCHOLARSHIP

Must be entering 4th year of a Honours program in the Faculty of Humanities.
Indicate university or community activities on application form:

MELOCHE MONNEX SCHOLARSHIP

Must be entering 3rd year and be a child or grandchild of an alumnus/alumna of UVic.

REQUIRED: BIOGRAPHIC INFORMATION OF ALUMNUS/ALUMNA
First Name:
Middle Name:
Last Name:
Previous/Maiden Name:
Date of Birth: (year/month/day)
Social Insurance Number:

Relationship to Alumnus/Alumna: Child or Grandchild

* THE TOM PERRY AWARD FOR SOCIAL RESPONSIBILITY

Letter of application from student plus letters of reference required.
Mail to:

Scholarships Officer
Student Awards and Financial Aid
University of Victoria
PO BOX 3025 STN CSC
Victoria BC
V8W 3P2
* THE HELEN RODNEY MEMORIAL SCHOLARSHIP

Must be graduating and proceeding to a graduate program in library science or a related discipline.
* ANDREW SOLES MEMORIAL SCHOLARSHIPS

Must be registered in a B.A. program and be or have been resident in the Kootenay region of B.C.
Indicate on application area of Kootenay region of BC in which you resided:
* THE UNIVERSITY CHALLENGE SCHOLARSHIPS

Must have high academic standing and have outstanding service to the community or UVic.
Indicate university or community activities on application form:
PAMELA VALENTINE MEMORIAL SCHOLARSHIP

Must indicate family or historical link to the Saanich Peninsula on application form:
VICTORIA REAL ESTATE BOARD AWARDS

Must be a dependent of a member of the Victoria Real Estate Board.
List name of Victoria Real Estate Board member and relationship on application:

2. This Section is to be completed by all Applicants

Mailing Address:

In which Faculty are you registered?

What program do you intend to pursue in the coming year? Give a brief outline of courses:

What is your proposed field of specialization or professional goal?

By submitting this application I authorize the following: "If I receive a scholarship, I agree that my name may be released to scholarship donors, my secondary school or college, and appear in a published list of awards."

To submit the form, press this button:

To clear the form, press this button:

Freedom of Information/Protection of Privacy:
The University of Victoria complies with the Freedom of Information/Protection of Privacy legislation of the Province of British Columbia. Information collected on application forms is used in the normal course of University operations in accordance with this legislation.

For details on how the information is used, please request an information sheet from our office. If you wish to have information on the status of your application released to a friend or relative, you must provide written permission.

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STUDENT AWARDS AND FINANCIAL AID

In Course Scholarship Application

On-line Application:

Please Read Carefully:

1. This Section is to be completed by all Applicants

2. This Section is to be completed by all Applicants