SCHOLARSHIP AND BURSARY GUIDELINES AND APPLICATION FORM

The Pangasinan Society of Calgary (PASOC) offers scholarship to students who are now enrolled or planning to enroll in any post secondary schools in Calgary.  

Academic Achievement and financial needs are the main criteria of this award; however consideration is given to applicants’ community involvements, extra curricular activities, leadership skills, character integrity, motivational and personal goals.

A.	ELIGIBILTY

1.	This Program is open to the General Public.
2.	High academic records and achievements
3.	Financial needs
4.	One year residency in Calgary

B.	FINANCIAL ASISTANCE (Bursary)

5.	One semester award of $500.00
6.	Children of low income or single income family.
7.	At least 75% average in academic achievement
8.	Active in extra curricular activities, leadership skills and community involvements.
 
C.	ACADEMIC SCHOLARSHIP (Academic Excellence)

9.	 High academic performance with a general average of at least 85%.
10.	 One semester award of $500.00
11.	 Active in extra curricular activities, leadership skills and community involvements.

If above criteria is applicable to candidate, please complete the information requested and return it by mail to:

Pangasinan Society of Calgary
c/o Nida A. Mejia
Chairperson, PASOC Scholarship Committee,
P. O. Box 50022, Marlborough CRO 
Calgary, Alberta, T2A 7P1.

All applications must be received by Scholarship Committee no later than, August 31st each year.  The names of the successful applicants will be awarded during the Society’s Christmas Celebration.  All successful applicants will be notified a week before the announcement of their names.

PANGASINAN SOCIETY OF CALGARY SCHOLARSHIP APPLICATION FORM - PART I:

A.	Community Activities:

a)	List the volunteer work you have been involved with and the dates of your involvement.
____________________________________________          _______________________
____________________________________________          _______________________
____________________________________________          _______________________

b)	List your membership in any organizations, positions held, and dates.
____________________________________________         _______________________
____________________________________________         _______________________
____________________________________________         _______________________

B.	Leadership

c)	List past and present endeavors which demonstrated your leadership skills.
____________________________________________         _______________________
____________________________________________         _______________________       
____________________________________________         __ ____________________

C.	Extra-Curricular Activities 

d)	List the extra-curricular activities that you had undertaken in the past and /or activities that you are currently engaged in.  (Note:  these activities could be a reflection of your personal interests, hobbies and talents.)
___________________________________________          ________________________
___________________________________________          ________________________
___________________________________________          ________________________
       
D.	Your Perspective of PASOC

In less than 50 words, share your ideas on how to make PASOC a stronger association and suggest programs for PASOC to undertake that you may want to get involve with.
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
     
E.	Your Family as Member of PASOC

In less than 50 words, relate your parents’ participation with PASOC and its activities; and the impact pf their involvement with your residency in Calgary.

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

PANGASINAN SOCIETY OF CALGARY SCHOLARSHIP APPLICATION FORM – PART 2

Applicant’s Personal Information

Name: ___________________________________________________________
Address: ___________________________________________________________
Telephone Numbers:  _________________________________________ 
Marital Status:	 Married ________________ Single ______________  Common-Law ________________  Other__________________________
Citizenship:	Canadian _____________ Landed Immigrant ___________ Student Visa ___________________Other_________________________
Date of Birth ________ How long have you been living in Calgary?______
Can you speak the Filipino language?______________ Write?__________ 
Course you are currently enrolled  ________________________________ School ______________________________________________________
What year? ____________ (First, Second, Third, Fourth, etc) 
Year you expect to graduate  ____________________________________

If you are single and living with your parents, what is the occupation of the chief earner in your family? _____________________________________
Relationship to you ____________________________________________
Expected gross income for the calendar year________________________
Number of dependent children including yourself ____________________

If you are single/married and living away from your parents, what is your occupation?_____________________   Part time ______ Full time ______
Expected income for the calendar year ____________________________

If married, what is your spouse’s occupation? _______________________
Part time _____________   Full time __________________ 
Expected income for the calendar year ____________________________

Expected expenses for the current school year:

	Registration and tuition fees ______________________
	Books and other school supplies ___________________
	Estimated Living cost ____________________________
Exceptional Expenses ____________________________
Total _________________________________________

Academic Record

What is your grade obtained in the last semester of your schooling? ________.  Please attach a photocopy of your report card.  (Note:  Applicants who have been out of school for any length of time prior to his present enrolment must submit a copy of his report card obtained in the semester that he was last enrolled; or in the case of a high school graduate, his high school report card)

References

Name two personal references that can vouch for your character, ambitions, drive, integrity, motivation and leadership.

Reference 1___________________Reference 2______________________
Occupation ___________________Occupation ______________________  Mailing Address________________Mailing Address___________________
____________________________________________________________ ____________________________________________________________     

Important:  Have one of your references complete Part 3 of the Scholarship Application Form and ask him/her to return same in a sealed envelope to you.  Please mail the sealed envelope to the attention of the chairman of Pangasinan Society of Calgary Scholarship committee.

Signature

I Hereby certify that the information given on my application is complete and true in all respects and if selected, I authorize the Scholarship Committee of the of Pangasinan Society of Calgary Committee to release my name and or picture for future publication and public announcement to promote the above mentioned Scholarship.  Further, I will provide Pangasinan Society of Calgary Scholarship committee a proof of my enrolment at the education institution of my choice.

Signature: ________________________    Date:____________________

NOTE:  ALL IMFORMATOIN SUBMITTED WITH YOUR APPLICATION WILL BE TREATED CONFIDENTIALLY AND WILL BE KNOWN ONLY TO THE MEMBERS OF THE SCHOLARSHIP COMMITTEE WHO HAVE VOWED TO MAINTAIN THE CONFIDENTIALITY AND SECRECY OF THOSE INFORMATION.

For assistance in completing these forms or for additional information regarding the scholarship grants, please contact any of the following:

Nida Mejia – 248-6970 
Clem Tigley – 273-1762 or 
Narlo T. Serquiña – 293-0504

CHARACTER REFERENCE CHECK

Confidential
Please fill in as much information as you can.

Name of applicant:  ______________________________________________________

Your Name:  ____________________________________________________________

Title/Occupation: ________________________________________________________

Mailing Address:  ________________________________________________________

E-mail Address:  _________________________________________________________

Telephone Number:  (H) ______________________  (W)  _______________________

1.         How long have known the applicant? _________________________
 
2.	How would you rate his/her moral character on scale of 1-10 (10 =excellent)

3.	Please indicate below his/her strengths:

      a) ____________________________________ 
	b) ____________________________________
	c) ____________________________________
	d) ____________________________________
	e) ____________________________________

4.	Do you have any concerns?

5. 	Please write other comments you may have about the candidate.

Signed and dated this _____ day of _________________, 2006 in Calgary, Alberta.

Signature:  ____________________________________________________

ENDORSEMENT FORM

Attention:  Chairperson, PASOC Scholarship and Award Program

Re:

Dear Sir/Madam:

This is to certify that ________________________________________________

is a candidate for the Senior Graduation on _________________________, 2006.

This certification is issued upon his/her request for PASOC Scholarship Program 

application.  

_________________________________________	      __________________
		       Class Adviser				     Date
		  Print Name and Sign

 			And / Or

_________________________________________	     __________________
		         Principal				                  Date
		 Print Name and Sign

Essay

Name of Applicant:  ________________________________

Date:  ___________________________________________

E-mail Address:  ___________________________________

Telephone Number:  (H) ____________________________
				
          (W) ____________________________

In 300 words essay, write legibly why you are a suitable candidate of the Scholarship and Recognition Award of Pangasinan Society of Calgary (PASOC).