Student First Name * Student Last Name * Name of Scholarship (i.e. Loran, Schulich, etc.) * PEN * Father's (Guardian #1) name * Father's (Guardian #1) occupation * Mother's (Guardian #2) name * Mother's (Guardian #2) occupation * Briefly describe specific characteristics, talents, etc. that you wish the reference letter (or this application) to emphasize. * 1st Choice Post-Secondary and program * 2nd Choice Post-Secondary and program * After post-secondary study, what profession or employment * Grade 11 courses and percent * Grade 12 courses and current percent * List academic achievements and school awards – be specific as to the grade each was awarded. * List any school extracurricular achievements and participation (sports, music, drama, service). * List community achievements, participation, and volunteer work. * Other hobbies, interests, or additional information you consider pertinent. * Brief job history – position, role, or duties; indicating length of time at each job and the years involved. * Leave this field blank Submit