Education Assistance Grant - Application

Full Name *

Date of Birth (DD/MM/YYYY) *

Phone Number (000) 000-0000 *

Email *

Current Address *

City/Town *

Postal Code *

Parent/Guardian's Address *

Parent/Guardian's City/Town *

Parent/Guardian's Postal Code *

Scholarship(s) being appliced for (choose ALL that are applicable)

South-East (Zone 1) Yes

Regina (Zone 2) Yes

South-West (Zone 3) Yes

East Central (Zone 4) Yes

Central (Zone 5) Yes

Saskatoon (Zone 6) Yes

North-West (Zone 7) Yes

North-East (Zone 8) Yes

U18 AAA Yes

Junior B/C Yes

Senior Yes

Female Yes

Official Yes

SODM Official Yes

Hockey Background (i.e., Season / Role / Team or Association) *

type	Start Year (i.e. 2021)	End Year (i.e. 2022)	Role (Official / Coach / Player)	Team or Minor Hockey Association
Role #1
Role #2 (N/A if not applicable)
Role #3 (N/A if not applicable)

Educational Institution Enrolled At *

Field of Study *

Date Courses Commence (DD/MM/YYYY)

Enclosed are the following:
1. A copy of my most recent academic marks, one of which should be:

a) Statement from the Department of Education or "Transcript of Secondary Level Achievement"
b) If using post-secondary marks, also enclose a copy of Grade 12 marks.

2. A brief summary of activities in the community and/or school that I have participated in the role I played in each. Please be sure to include all activities.
3. Two (2) letters of reference.

NOTE: Must be going to attend a Saskatchewan-based university, affiliate college or Saskatchewan Polytechnic within four (4) years of awarding the scholarship.

Statement from the Department of Education or "Transcript of Secondary Level Achievement" *

No bigger than 5MB

Grade 12 Marks *

No bigger than 5MB

Community Activities *

Letter of Reference (1 of 2) *

No bigger than 5MB

Letter of Reference (2 of 2) *

No bigger than 5MB

I Have Read the Criteria Governing the Education Assistance Program and I Believe That I Qualify * Yes

NOTE: Final application date is August 31st of the hockey season.