APPLICATION
DISTRICT AUTHORITY AWARDS 2015
Application Submission Deadline is October 31.
Complete this form and return to your District Authority Award Counsellor.
School:
Date: ____________________________
___
Surname
___ ___ ___ - ___ ___ ___ - ___ ___ ___
SIN (attach photocopy of SIN card)
(Legal Given Names)
________________________
Address
_____
Phone Number
___
_____
PEN#
Canadian Citizen or Permanent Resident:
Postal Code
_
Birthdate (Y/M/D)
yes
no
District Authority Award Categories: Mark (X) in your project/program area.
Technical Trades & Training (enrolled in SD34 Career Programs (CTC Programs))
Project Areas in: Fine Arts, Applied Skills, Physical Activity, Second Languages
Community Service (Volunteer Activity)
All information requested is required prior to acceptance of this application.
Students are reminded that they can qualify for both the District Authority Award
and Provincial Scholarship program.
REGISTRIATION FEE: $25.00 (non-refundable). Please make cheque payable to SD#34 Abbotsford. Students with
financial hardship should see their Counsellor.
OUTLINE OF PROJECT: See next page to describe your project. Project description must be word-processed. Submit
page(s) with your application form and cheque.
Applicant’s Signature
Parent’s Signature
District Authority Award Project Information (please word process)
Please note that the project presentation date is tentatively set for April 22 @ Abby Senior. For those in Creative
Writing and Drama, scripts are required for Adjudicators by April 2nd.
Applicant’s Full Name:_
Project Category:
What is your project:
Name of your project Mentor/Advisor:
1. What are you creating? Describe specific features of your project.
Why this?
2. In planning and developing your project, what are some factors that you need to consider?
3. When and where will you work on your project?
4. What arrangements will you make with your mentor/advisor to provide you with critical feedback on standards
and work quality as you work through your project? How will you know if your project is scholarship quality?
5. 100 Hrs. with a minimum of 60% of the time invested is to be done outside of class time. Indicate how you will
document the number of hours you have invested in your project.
6. Each year a number of district scholarship students begin their projects but never complete. What steps will you
take to ensure that your scholarship project is completed and presented for adjudication?