BASC Undergraduate Award

Department Of Family Relations & Applied Nutrition

Application Form

Complete all parts of this form. Incomplete applications will not be considered.

Last Name:

First Name:

I.D. #:

University of Guelph E-Mail Address:

Major:

Credits Expected to be Completed by End Of Current Semester:

Local Phone #:

Permanent Phone #:

Local Address:

Permanent Address:

Award Name (One Award Per Application):

Notes:
1. Use this application form for BASC Awards only – one application per award.

2. If the award description states that other factors, in addition to academic merit, they will be
considered, please ensure that you attach a typed letter addressing these elements.
(for example, extracurricular activities, leadership qualities, future career goals, etc.)

3. Please complete and email this form and any supporting documentation to
bascprog@uoguelph.ca by the deadline listed in the award description on the Awards
search tool.

4. Only successful applicants will be notified.

I have read and understood the above terms and declare that the information provided, by me, is
complete and true to the best of my knowledge. If awarded this scholarship, I also agree to release
my name and contact information to the donor.

Applicant’s Signature:
Date: