Online Application Alberta Junior Hockey Scholorship Online Application NOTE: A CURRENT ACADEMIC TRANSCRIPT MUST BE INCLUDED WITH THIS APPLICATION Please ensure that you have a digital copy of your transcript in the correct format (pdf, jpeg, tiff, png) prior to proceeding with this application. If you are a first year post-secondary student, please also submit a high school transcript. Player Information Team Nominating the Player (required) Name of Player (required) Player Phone (required) Player Address (required) Player City (required) Player Province (required) AlbertaBritish ColumbiaSaskatchewanManitobaOntarioQuebecNewbrunswickNova ScotiaPrince Edward IslandNewfoundlandYukonNorthwest TerritoriesNunavut Player Postal Code (required) Player Date of Birth (required) Player Email (required) Parent(s) or Legal Guardian(s) Information Name of Parent(s) or Legal Guardian(s): (required) Parent(s) or Legal Guardian Address (required) City (required) Province(required) AlbertaBritish ColumbiaSaskatchewanManitobaOntarioQuebecNewbrunswickNova ScotiaPrince Edward IslandNewfoundlandYukonNorthwest TerritoriesNunavut Postal Code (required) School(s) Information 1) List in chronological order the secondary schools you have attended and are currently attending: Name of School / City or Town / Graduation Date / Grades Completed / / / / / / 2) List in chronological order the post-secondary schools you have attended and are currently attending: Institution / Date of First Registration / / / Hockey Information 3) Position (please check one): Player Athletic Trainer / Therapist On-Ice Official 4) Hockey History - List junior teams played for and in what season played: / / / 5) Have you agreed to play for a USA College or University: YesNo 6) Name and position of your Junior Team Official: General Information 7a) If you are currently employed while attending the current fall semester, please provide in an short essay format, the number of hours per week that you are working, and the nature of your employment.: 7b) In an essay format, fill in or attach a document to this application, outlining your volunteer work AND community involvement that you personally have or currently are participating in that is not connected with a commitment that your current team has in this area: 7c) Outline in an essay format, fill in or attach a document to this application, the volunteer work, and community involvement that your current team supports, and how you are involved with the team in this area: 8) In an essay format, fill in or attach a document to this application, your future plans and goals beyond your junior hockey playing days, and upon graduation from your post secondary school: DECLARATION OF APPLICANT I have read the instructions, and hereby make application for a scholarship, and I declare: a) that to the best of my knowledge, the information provided in this application is true and complete; b) that I propose to be a full-time student at the institution named for the period stated; c) that I am an Alberta resident, as defined by the Alberta Heritage Scholarship Act; d) that I agree to allow my name, accomplishments and study plans to be released publicly if I receive this award; e) that I grant permission for the Society to request and receive information pertaining to my post-second enrolment status and academic progress; and f) that I authorize the release and exchange of my personal information for use in research and statistical analysis or in program evaluation. I have read and agree to the above declaration (required) NOTE: A CURRENT ACADEMIC TRANSCRIPT MUST BE INCLUDED WITH THIS APPLICATION The transcript must include grades received in the courses taken in the fall semester of this current school year. It does not have to be an official transcript. Also, if you are a first year student at a post-secondary school, in addition to the post-secondary school first semester transcript, please include your high school transcript. You may upload a digital copy of your transcript in the correct format (pdf, jpeg, tiff, png) below. If you don't have a current transcript available you may submit one from last year. Upload transcript file here (Acceptable formats are pdf, jpg, tiff or png) *Captcha (required)