CANADIAN MINERAL INDUSTRY EDUCATION FOUNDATION

CANADIAN MINERAL INDUSTRY EDUCATION FOUNDATION
MINING INDUSTRY SCHOLARSHIPS
Geology - Mining - Metallurgy - Engineering
The Canadian Mineral Industry Education Foundation is supported by most of the principal
mining companies in Canada with the objective of offering scholarships to students attending
Canadian universities who have a genuine interest in being employed in the mining industry.
Scholarships are awarded in April to students who will be attending university in September
2017.
Eligibility
To be eligible, applicants must meet the following requirements:
1. Be a Canadian citizen or landed immigrant in Canada.
2. Have successfully qualified to enter in September the second, third or fourth year of a
degree course in disciplines related to the mining industry at a Canadian university as a
full-time student.
To Apply
1.
2.
Complete this application form in full. If more space is required, attach separate sheets.
Forward the completed form, along with official transcripts of academic record or an
unofficial transcript signed and dated by the Registrar, and a letter outlining your
career aims and objectives to: (Please do NOT staple documents and please print
clearly.)
Jacqueline Blair, Secretary
Canadian Mineral Industry Education Foundation
P.O. Box 459
31 Adelaide Street East
Toronto, ON M5C 2J5
Tel: 416 869 0772 Fax: 416 367 3638
email: [email protected] www.cmief.ca
PLEASE NOTE
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The deadline for submission of applications is March 31, 2017.
APPLICATIONS RECEIVED AFTER MARCH 31 WILL NOT BE CONSIDERED.
The selection of scholarship awards will normally be based on the information received.
Applications may be supported by other documents in addition to those requested such as
a résumé, reference letters, publications, or any other items you feel are appropriate.
Ensure that your application is complete and that you forward all the necessary
documentation. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.
Applicants will be notified in May of the status of their application.
SURNAME: ________________________ FIRST _________________________
PRESENT ADDRESS:
___________________________________________________
___________________________________________________
___________________________________________________
TELEPHONE NUMBER: ____________________
email: _______________________
PERMANENT ADDRESS:
________________________________________________
(if different from above)
________________________________________________
________________________________________________
ARE YOU A CANADIAN CITIZEN?
YES _____ NO _____
ARE YOU A LANDED IMMIGRANT?
YES _____ NO _____
SOCIAL INSURANCE NUMBER: __________________
DATE OF BIRTH:
YEAR __________
MONTH _________ DAY _________
PREVIOUS EDUCATION (detail your previous secondary, trade, technical, college or
university education)
Institution Name
Course of Study
Years Attended
From - To
Graduated?
Yes or No
Diploma/Degree
Obtained
CURRENT EDUCATION:
UNIVERSITY: _____________________________
DATE OF GRADUATION: YEAR _______________
COURSE OF STUDY (check one)
Geology
Geological Engineering
Mining Engineering
Mining - Mechanical
______
______
______
______
MONTH _______________
Mineral Processing
Metallurgy
______
______
SCHEDULE: Record below your programme through to graduation, as to when you will be at
university and when you will be on a work term:
2017
MayAug
SeptDec
2018
JanApr
MayAug
2019
SeptDec
JanApr
MayAug
2020
SeptDec
JanApr
e.g. Work (W) or Academic (A)
OTHER SCHOLARSHIPS RECEIVED
__________________________________________________________________________
__________________________________________________________________________
2
EMPLOYMENT (attach to this application details of your previous summer, part-time, or fulltime employment or a résumé)
OTHER ACTIVITIES OR INTERESTS
___________________________________________________________________________
_
___________________________________________________________________________
_
___________________________________________________________________________
_
PLEASE READ BEFORE SIGNING
All of the information on this application and any attached documents are accurate and
truthful.
___________________
_____________________________________
Date
Signature of Applicant
3
EMPLOYMENT (detail your previous summer, part-time, or full-time employment)
Name and address of employer
Work description and responsibilities
Dates
to/from
Type of employment
(summer, part-time
etc.)