Donna Holwell Scholarship Application Form

Donna Holwell Scholarship for Eldercare Application Form

Application Deadline - July 1, 2022
I. Personal Data:

Tell us about yourself
Full Name *

First Name Last Name
Birthdate: *

Month Day Year
Mobile No. : *

Area Code Phone Number
E-mail : *
Where the confirmation will be send to
Home Address : *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
II. Eligibility
Are you a resident of Orangeville, Mono, Amaranth, East Garafraxa, or North Caledon (west of Airport Road/north of Olde Base Line) - either living there currently or a resident at the time of completing high school

Yes No
Are you currently enrolled or planning to enroll in a post-secondary field of study related to eldercare such as PSW, nursing, social work, medicine, and other studies relating to the care and well-being of seniors.

Yes No
If yes, please provide details of your program of study including the name of the educational institution, your year of enrollment and your anticipated year of graduation.
What is your Career Objective:

0/300
III. Essay
Your essay should be 300-500 words. Please tells us why a scholarship is important to you. Include any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of scholarship consideration.
Essay:

0/500
If you would rather upload your essay, please do so. Optionally, you may also upload any other documents relevant to this application such as letters of reference or a resume.

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IV. Other Disclosures
Do you have a relationship with anyone affiliated with The Rotary Club of Orangeville Highlands (This is not a disqualifying condition.)

Yes No
If yes, please provide the details of that relationship.
V. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature: *
We're sorry but this application is only open to applicants who currently reside in Orangeville, Mono, Amaranth, East Garafraxa, or north Caledon (west of Airport Road/north of Olde Base Line) or were a resident at the time of completing high school.

Applicants must also be currently enrolled or planning to enroll in a post-secondary field of study related to eldercare such as PSW, nursing, social work, medicine, and other studies relating to the care and well-being of seniors.
Should be Empty:

Donna Holwell Scholarship for Eldercare Application Form

I. Personal Data:

II. Eligibility

III. Essay

IV. Other Disclosures

V. Applicant's E-Signature