The Township of Norwich Chamber of Commerce Essay Contest

Eligible for all Grade 12 Students in the Township of Norwich

1st place $500 scholarship 2nd place $250 scholarship Essay to be between 250-500 words. Topic is: Why is it important to support businesses in our Community, the Township of Norwich? Deadline for entry is March 17th, 2014 For information and entry forms please visit the school office. Please drop off finished essays at the office.

www.norwichchamberofcommerce.ca

The Township of Norwich Chamber of Commerce Scholarship Program Letter of Application Please type or print your answers clearly. If application is illegible it will be returned to you. 1. Last Name: First Name: 2. Email Address: 3. Mailing Address: Street:___________________________________________________________ City:__________________ Province:______________ Postal Code:__________ 4. Home Phone: Cell: 5. Date of Birth: Month Day Year 6. I certify that I am a resident of Norwich Township YES NO 7. Current School I am enrolled in: Current Grade: 12 8. I will be attending the following school(s) after Highschool: 9. Name & address of parent(s) or legal guardian(s): (Use reverse of application if you need more space) Name(s):_______________________________________________________________ Street:_________________________________________________________________ City:__________________ Province:________________ Postal Code:______________ 10. What will you be studying in post-secondary? 11. List your academic honors, awards and membership activities:

12.

List your community service activities, volunteering, hobbies, outside interests, and extracurricular activities:

13.

14.

Personal Essay Please answer the following question: Why is it important to support businesses in our community of Norwich Township? Submit your response on a sheet attached to this application. [500 words max] A. The following items must be attached to this application in order for the application to qualify to be reviewed by the scholarship committee. B. Your application will be returned to you if these items are not attached to this application (No exceptions) C. Circle YES or NO to be sure you have attached each item as required. YES NO Completed, signed application form [this form] YES NO Two (2) character references. (Cannot be immediate family) YES NO Required Signatures: School principal or teacher YES NO Personal Essay [250 words minimum & 500 words maximum] Why is it important to support businesses in our community of Norwich Township?

Statement of Accuracy I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I also consent that my picture may be taken and used for any purpose deemed necessary for this scholarship program. I hereby understand that if chosen as a scholarship winner. I must provide evidence of enrollment/registration at an accredited post-secondary institution before my scholarship funds can be awarded. Signature of scholarship applicant: ________________________________________________ Date: ___________________________ Signature of School Representative Name: _______________________________ Position: _______________________________ Signature:____________________________________________________________________ Date: _________________________ Remember The deadline for this application to be received at the school office by the end of the school day March 17, 2014. Scholarships will be paid to the student once proof of enrollment has been received. Judging is based on a combination of essay and items 11 and 12 on this application. Essays will be judged anonymously. If you have any questions concerning this application please email laura@laurabarker.ca.