BRREA 75
TH
ANNIVERSARY SCHOLARSHIP APPLICATION
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BRREA 75
TH
ANNIVERSARY SCHOLARSHIP APPLICATION FORM
APPLICANT INFORMATION
Name:
Last
First
Middle
Address:
Number & Street
City
Postal Code
Email Address:
Home Phone #:
(
)
Cell Phone #:
(
)
EDUCATIONAL INFORMATION
High School Attending:
Post-Secondary Institution Planning to Attend:
Planned Area of Study:
APPLICATION PACKAGE CHECKLIST
1.
Application Form
2.
A submission of
1
of the following options in answer to the topic below:
a.
A typed 750-word essay;
b.
A maximum 5-minute unbranded video; or,
c.
A graphic design project.
Topic:
“With changing population producing new communities, there are many
considerations to be addressed in making these communities successful. Describe a key
consideration that you feel needs to be addressed for success within the Brant County Area.”
SIGNATURES
I hereby certify that I have provided true and accurate information on this application. I understand that all submitted
content will be reviewed by the BRREA Scholarship Selection Committee for consideration. I hereby authorize and
consent to that review. I agree that any submissions, and my name and likeness, winning or not, may be published
without compensation in any media of BRREA’s choosing.
Signature of Applicant
Date
Signature of Secondary School Official
Date
Signature of Parent or Guardian (if student is under the age of 18)
Date