GEORGE PIETERSMA SCHOLARSHIP APPLICATION

GEORGE PIETERSMA SCHOLARSHIP APPLICATION

APPLICATION DEADLINE IS APRIL 15, 2026
The George Pietersma Scholarship is currently open to U18-aged FSMH (Fury or Ranger) players best exhibiting the qualities of volunteerism in the community

Applications are reviewed in April and awarded by the committee at the FSMH AGM each year. The deadline for submission is April 15, 2026

Please ensure you complete the application in full and provide all relevant supporting documentation. Incomplete applications may not be considered. The committee requires all information requested to make an informed decision.

Award amount - $1000.00

No applications will be accepted after April 15, 2026, if selected as the winner funds will be held in trust until confirmation of post-secondary acceptance.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
DATE OF BIRTH

MonthDayYear
Date
FSMH TEAM
SCHOOL CURRENTLY ATTENDING
GRADE LEVEL:
Where have you volunteered in our community, and the details?
Education Ambitions
Career Ambitions
Hobbies & Interests
Please attach an essay of 200 words or less on "Why I choose to volunteer?"

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Two References reflecting the character of the applicant.

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Report card including final term 1 results

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Signature

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Should be Empty: