All Abilities Lucas MacIsaac Memorial Volunteer Scholarship

Pickering Football Club Inc.

1975 Clements Road, Pickering, ON, L1W 4C2

Telephone: 905-831-9803

Email: allabilities@pickeringfc.ca

Website: www.pickeringfc.ca

Introduction
The Pickering Football Club has been involved with the development of youth soccer in the City of Pickering for many years. We are an organization that promotes the drive of excellence both on and off the field of play.

The Pickering Football Club’s All Abilities Lucas MacIsaac Memorial Volunteer Scholarship has been created so that we may recognize those young men and women volunteering with our All Abilities program, who exemplify the “spirit” of Lucas MacIssac. Lucas was a dedicated Volunteer with the All Abilities Program traveling to and from our Pickering Football Club every Saturday morning from Campbellville, Ontario. His passion for the sport of soccer was evident as he mentored our young athletes, leading them in fitness, soccer skills and soccer games. In addition to volunteering with our All Abilities Program, he also jumped into training with our Blind Soccer program and team mates from the Canada Soccer Para Team. Sadly, Lucas passed away on Sunday, July 19, 2020 after an 8 year battle with cancer.

Scholarship Amount

One (1) $1000.00 Scholarship to be paid in one (1) installment in August each year.

Applicants must submit a completed application accompanied with at least (1) letter of recommendation to the All Abilities Program Coordinator. If a candidate fulfills all requirements, their respective application will be reviewed by an Executive Committee panel and an award recipient will be chosen. Upon selection, the Program Coordinator will contact the candidate to request any further documentation for verification, which may include:

Proof of acceptance to a recognized Canadian college or university
High School transcripts or final report cards for Grade 12

Failure to provide these may result in the selection of another candidate.

General Eligibility

A resident of Durham Region
A candidate has volunteered with the Pickering Football Club’s All Abilities Programs for a minimum of two (2) seasons (consecutively or non-consecutively).
A student enrolled in Grade 12 (or equivalent) and graduating during the current season.
A student who maintains a minimum average of 75% during both Grade 12 semesters.
A candidate that has best exemplified the aforementioned qualities of fair play, academic and athletic excellence and leadership skills both on and off the field.
A candidate that has been accepted to a recognized Canadian college or university.

Submission Deadline

July 7, 2024 at 11:59pm

We would like to thank the MacIsaac family for their generous support to our All Abilities Program and for making this scholarship possible.

The scholarship program will be reviewed annually and the Pickering Football Club reserves the right to make any necessary adjustments.

General Information

Name*

First NameLast Name

Parent/Guardian's Signature

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Email*

example@example.com

Name and Address of Current School

School*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Name of School Principal

First NameLast Name

Principal's Signature

	List in order of preference three (3) careers or occupations you are considering:
1
2
3

	List the post-secondary institutions to which you have applied:
1
2
3
4

Please complete the table below by listing the number of years that you have volunteered with the Pickering Football Clubs All Abilities Program.*

	Year	Program(ie Summer/ Winter)	Total Hours Volunteered
1
2
3
4
5
6
7

Extracurricular Activities

List extracurricular school/soccer activities in which you have participated and specify the nature of your involvement in each.*

	Year	Activity	Description
1
2
3
4
5
6
7

References (No Family Members)

Please submit a minimum of 3 references as follows: At least 1 reference must be from your soccer club, at least 1 reference from a member of staff at your school OR community organization other than the previously listed soccer club *

	Name	Organization	Telephone Number	Email address
1
2
3
4
5

Supporting Documentation

1) Write a short essay (approximately 500 words to be written or attached below) that explains the reasons you are applying for this award. Briefly describe yourself and why you feel you should be considered to receive this award. Include some learning experiences that you have garnered from this program.

2) At least (1) letter of recomendation from any of your references listed above. Optionally, you may also include any additional letters of recommendation. References will also be contacted by phone+email.

Write a short essay (approximately 500 words to be written or attached below) that explains the reasons you are applying for this award. Briefly describe yourself and why you feel you should be considered to receive this award. Include some learning experiences that you have garnered from this program. *

Submit a Document *

Browse Files

This application, with supporting documentation, is the primary basis upon which decisions are made.

I hereby certify that all the information provided on this application form and in all the documents accompanying it are true, accurate, and complete.

I authorize the release of any information to the PFC Scholarship Program relating to my application, which it may request from high school, university, the government, or community sources; including but not limited to personal evaluations and transcripts.

I understand the information resulting from such a request will be used for Scholarship purposes, which may include publicity or promotion.

Name*

First NameLast Name

Signature

Parent/Guardian Name*

First NameLast Name

Signature

Date*

Date