Leadership Reference
Leadership/Service Entrance Scholarship
Referee Information
Your Name
*
First Name
Last Name
Position
*
Organisation
*
Name of School or Organisation
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Relationship to Applicant
*
Applicant Information
Student Name
*
First Name
Last Name
Student's name of High School (If known)
Graduation Year
This scholarship is designed to recognise a student's outstanding leadership/service positions in Grade 11 and 12.
Please indicate which leadership positions the student held in Grade 11 and 12 only.
Grade 11
Grade 12
Outside of High School
Class President
Student Association President
Newspaper Editor
Yearbook Editor
SA/Class Officer
Newspaper Staff
Yearbook Staff
Residence Hall Assistant
Section Leader (Choir/band/orchestra)
Sports Team captain/team officer
Community Organisation position
Church Leader position
Other
Short Answers
For each area checked off above please provide supporting details. A response is required. If the area does not pertain to the student's involvement please write "N/A"
Grade 11 and 12 High School Leadership/Service Positions
*
Please provide details of the student's involvement in leadership or service in Grade 11 or 12 in the school environment. Please include their position, grade/year involved, responsibilities, time involved and commitment levels.
Grade 11 and 12 Community Leadership/Service Positions
*
Please provide details of the student's involvement in leadership or service in Grade 11 or 12 in the community. Please include their position, grade/year involved, responsibilities, time involved and commitment levels.
Please indicate the grade/year of service
Grade 11 and 12 Church Leadership/Service Positions
*
Please provide details of the student's involvement in leadership or service in Grade 11 or 12 in the church. Please include their position, grade/year involved, responsibilities, time involved and commitment levels.
Please indicate the grade/year of service
Were any of the above positions paid employment?
Was the student's involvement affected by COVID-19 restrictions. Please provide details.
If you wish to attach a separate reference letter please do so here.
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