Application form

Application Form

School Perserverance Scholarship 2026
The SSVPM School Perseverance Scholarship seeks to recognize elementary and secondary school students who, despite personal, family, socio-economic, or academic challenges, demonstrate consistent effort, determination, and a strong commitment to their educational path.

This scholarship, valued at $250 at the elementary level and $500 at the secondary level, provides concrete support to foster the development of the selected students’ potential.

This application form, submitted exclusively by school staff, aims to present a comprehensive portrait of the student by highlighting their personal context, the steps taken to support their learning progress, their engagement in the classroom and school community, as well as their responsible, autonomous, and collaborative behaviours. Particular importance is also given to the student’s perspective, in order to acknowledge their active involvement in the application process.

Finally, as every student deserves encouragement in their educational journey, students who are not selected will receive a book generously provided by La Courte Échelle Publishing House, a partner of the SSVPM.
Questions related to reading interests will allow for the selection of a book that supports the student’s enjoyment of reading and motivation.

Thank you for completing this form carefully to highlight and recognize the perseverance and educational journey of the nominated student.
Warning

Any application submitted by a parent will be automatically rejected.

Any identity theft will be subject to prosecution.
Please ensure that you fill out the form carefully, paying attention to the spelling of the student's first and last names. This information is necessary for issuing the scholarship check.
Student identification
Name*

First NameLast Name
Address*

Street Address

Complément d'adresse

CityÉtat/Région

Postal Code
Phone number*
Name of the Primary or Secondary school*
Candidate's level of education :*
Reception Class*

YesNo
Special Needs Class*

YesNo
Number of children in the family*
Person in charge of the application
Name*

First NameLast Name
Fonction*
Phone number*
Email address*
Complete Name of the school*
Name of the School Board*
School disadvantage index*
Private School*

YesNo
Is the student a Scholarship recipient ?*

YesNo
Confirmation of the person responsible for the application
I confirm that I am the person responsible for nominating the student.*
Signature of the person in charge of the application *

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Please answer the questions by clearly demonstrating the student's motivation with specific examples that highlight their progress.

It is important that the student answers the last question.

Be sure to explain to the student that being selected is an achievement in itself.
Student profile (socioeconomic, family, and academic background) *
Demonstrate that the student is in a situation of socioeconomic vulnerability (for example, receives special support such as the “Breakfast Club” or “La Cantine pour tous” (Canteen for All), etc.).
What has the student done to improve their academic learning?
E.g.: Demonstrates consistent effort, exceeds teachers' expectations, utilizes community resources (remedial teaching, psychoeducation, etc.), participates in homework assistance and/or remedial classes.
How does the studentparticipate in class life?
E.g.: Asks relevant questions, participates in group activities, helps classmates, takes initiative, etc.
How is the student involved in school life?
E.g.: Participates in school activities, gets involved in extracurricular activities, leads games during recess, sits on various committees, etc.
How does the student demonstrate responsible, considerate, and collaborative behavior?
E.g.: Shows respect for others, accepts other people's ideas, has good attendance, is able to resolve conflicts, etc.
Student comment:

Demonstrate the student's involvement in submitting their application.
Explain in your own words why your teacher was right to nominate you for the scholarship. *
You may also attach a file to your submission to answer this question. (E.g., drawing)
File (optional)

Cancelof
As part of the OBM Scholarships, each student who is not selected will receive a book from La Courte Échelle publishing house, a partner of the SSVPM.

Could you and your student please fill out these two questions, which will help us select a book based on their interests? Thank you.
What is the student's reading level?*

BegginerIntermediaryAdvanced
What type(s) of literature interests the student? Several choices are possible.*

Humorous storiesInvestigationRomanceHorrorFictionPoetryFantasticDocumentaryIllustrated NovelsAlbums
Should be Empty:

Student identification

Person in charge of the application

Confirmation of the person responsible for the application

Student comment: