Bursary Application Online

What year was the Peterborough & District Sports Hall of Fame founded?*

You must enter the correct answer in the field below to unlock the form.

Excellent!

You did your reading. Now, go forth and complete this form. Remember, please have Parts B to F ready to go as separate files to upload and include with this form.

Part A: Personal Data

Applicant's Full Name*

First Middle Last

Current Address*

Street Address Address Line 2 City Province Postal Code

Phone*

Email*

Enter Email Confirm Email

Date of Birth*

Secondary School Presently Attending*

Other Secondary Schools Attended (if so, include years attended)

Mother's Name*

Mother's Name Occupation

Father's Name*

Father's Name Occupation

Name and age of Siblings (separate with comma if more than one)

Total High School Credits Earned*

Please enter a number from 1 to 100.

Total 4U/4M credits earned*

Please enter a number from 1 to 100.

University or Community College accepted to for 2020-2021*

Part B: Personal Statement

Please tell the committee what you consider to have been your most significant achievement and why it is important to you. (500 – 800 words) Include this as a PDF file with your submission.

Personal Statement as a PDF*

Please get your PERSONAL statement ready as a PDF file. Name your file in the following manner: "jane-smith_part-B.pdf" (replace "jane-smith" with your First-Last name). When ready, select "yes" below, then choose the file to upload.

Yes

Choose file to upload Personal Statement

Upload your statement as a PDF file.

Accepted file types: pdf, Max. file size: 5 MB.

Part C: Coach’s Statement

Please include a letter from one of your coaches for this section. (Coach: Please provide the selection committee with letter of reference / support for the applicant.) Be sure to include how long you have known the athlete and the sports that they have played. Feel free to include why you think the applicant is a worthy PDSHOF Bursary candidate.

Coach's Statement as a PDF*

Please get your COACH'S statement ready as a PDF file. Name your file in the following manner: "jane-smith_part-C.pdf" (replace "jane-smith" with your First-Last name). When ready, select "yes" below, then choose the file to upload.

Yes

Choose file to Upload Coach's Statement

Upload your Coach's Statement as a PDF file.

Accepted file types: pdf, Max. file size: 5 MB.

Part D: Athletic Involvement

Please share a copy of your Athletic Involvement form.

Athletic Involvement as a PDF*

Please get your ATHLETIC Involvement sheet ready as a PDF file. Name your file in the following manner: "jane-smith_part-D.pdf" (replace "john-smith" with your First-Last name) When ready, select "yes" below, then choose the file to upload.

Yes

Upload your ATHLETIC Involvement Sheet

Choose file to Upload Athletic Involvement Sheets.

Drop files here or

Accepted file types: pdf, Max. file size: 10 MB, Max. files: 5.

Part E: Copy of Academic Transcript

Include a copy of your final transcript. This can be shared as a photo .JPG file or a scanned .PDF document.

Academic Transcript file*

Please share a copy of your ACADEMIC Transcript as a PDF file. When ready, select "yes" below, then choose the file to upload.

Yes

Upload your copy of Academic Transcript

Choose file to Upload copy of Academic Transcript

Accepted file types: pdf, Max. file size: 5 MB.

Part F: Verification of acceptance to a University or College

Include a copy of Verification of acceptance to a university or college (CAAT) for Sept. 2022. This can be shared as a photo .JPG file or a scanned .PDF document.

Verification of Acceptance to University/College*

Please share a photo .JPG or .PDF file of your Verification of Acceptance. When ready, select "yes" below, then choose the file to upload.

Yes

Upload your Verification of Acceptance*

Choose file to Upload Verification of Acceptance (must be <5MB)

Accepted file types: png, jpg, pdf, Max. file size: 5 MB.

Closing Acknowledgment

I acknowledge that the information on this application and the attached documents is accurate and authentic*

Yes

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PDSHOF Bursary 2022

Excellent!

Part A: Personal Data

Part B: Personal Statement

Part C: Coach’s Statement

Part D: Athletic Involvement

Part E: Copy of Academic Transcript

Part F: Verification of acceptance to a University or College

Closing Acknowledgment

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