Father John Tataryn

Legacy Scholarship

APPLICATION Form

Father John Tataryn Legacy Scholarship Program

… to commemorate Father John Tataryn’s 50th ordination anniversary and the50th anniversary of St. Demetrius the Great Martyr Parish.

1 year Scholarship for the 2015-16 Academic Year

ApplicatIOn Process

Each applicant must submit:

1.One (1)completecomputertyped application for Scholarship. Handwritten and/or incomplete applications will not be accepted. The complete application, as a Word document, may be downloaded from

2.Personal Supporting Statements (provided with this application – Pg. 7 & 8).

3.A signed copy of Declaration. Sign page 9 of this application and scan to PDF file.

4.Two (2) Letters of Recommendation Forms. Referees may NOT be related to applicant. The Letter of Recommendation form is also available as a Word document online at

Applications should be submitted either by mail or email (preferred) as follows:

Mail to: Father John Legacy Scholarship
St. Demetrius the Great Martyr Parish
135 La Rose Ave.
Toronto, ONCanadaM9P 1A6
STRICTLY PRIVATE & CONFIDENTIAL
Email to:

For purposes of confidentiality please ensure that applications sent by mail indicate “STRICTLY PRIVATE & CONFIDENTIAL” on the envelope.

FAILURE TO COMPLETE ANY STEP AND REQUIREMENT BY THE DEADLINE WILL AUTOMATICALLY VOID THE APPLICATION.

Scholarship winners will be notified by late March 2015 and will receive further instructions. Payment from St. Demetrius the Great Martyr Parish will be made after the beginning of the fall term (September) for which the award is made upon receipt of enrolment verificationfrom the registrar where the recipient is enrolled and pursuing a post-secondary education.

Deadline for Applications is march 16, 2015

To be eligible for a scholarship, an applicant must meet the following criteria:

Personal Eligibility

The five personal eligibility criteria are that you:

  • are of Christian faith,
  • are associated with the St. Demetrius Community,
  • demonstrate a commitment to community work,
  • are not currently nor have, in the past five years, been in receipt of a scholarship offering financial assistance which exceeded $10,000; and
  • have Canadian citizenship or permanent residency.

Do you satisfy all of the above Personal eligibility criteria? / Yes / No

Declaration of Eligibility

APPLICANTS STILL COMPLETING GRADE 12 ARE NOT ELIGIBLE TO APPLY as noted in the criteria below.

To be eligible, applicants must meet certain enrolment criteria. This includes that the applicant be enrolled full-time.

For Post-graduate(i.e. Masters, PhD) applicants, you will need to have successfully gained entry into a post-graduate course for which the Scholarship application is being made.

For Undergraduate applicants, you will need to have successfully completed the equivalent of at least onesemester of full time study in the course in which you are enrolled and be appropriately enrolled for 2015.

For Diploma level course applicants your application must reflect the successful completion of at least one semesterof full time study in the course in which you are enrolled and be appropriately enrolled for 2015.

Do you satisfy all of the Enrolment criteria referred to above? / Yes / No

Educational Achievements

Name

Title: / Mr ( ) Mrs ( ) Miss ( ) Ms( ) Other:
First (and second) Name
Other names you go by

Age

What is your date of birth? / / (day/month/year)

Address

Street and Number
City/Town / PO Box (if any)
Province and Postal Code

Contact Information

Home Phone / Fax
Mobile Phone / Email

It is essential that you are contactable throughout the period of your scholarship. Please promptly notify the St. Demetrius Scholarship Committee of any change of contact details during this time.

Have you attempted or completed any studies since leaving Secondary School? If yes, please outline all courses that you have completed.

Years / Name of Institution/Campus
(i.e. name of College or University) / Name of Course
(e.g. Bachelor of Arts)

Other Scholarships

Have you previously received a scholarship which provided financial assistance of more than $10,000, for post-secondary studies within the past five years? If yes, complete the following: / Yes / No
Government agency
Course studied
Years scholarship received
Institution where studying
Have you applied for other scholarships for your 2014study? / Yes / No
If you have answered yes to the above question, have you received notification that you have been successful in securing a scholarship for your current or proposed study? / Yes / No
If you have received notification of being successful in securing another scholarship, please describe the length and value of that scholarship.

NOTE: It is the responsibility of the applicant to notify the Father John Tataryn Legacy Scholarship Committeeof any offer of financial assistance for proposed study after your application has been lodged.

In what extra-curricular activities have you participated?
What leadership roles have you played as a student? extra-curricular activities?
How are you involved in the Ukrainian and/or St Demetrius Community?
Describe the type of volunteering you have done in the past.

2015/2016 Course of Study

Please tick the box which is applicable to your study in 2015/ 2016

Diploma Course / Undergraduate Course / Postgraduate Course

Which course of study are you undertaking in 2015?

Course Title (eg: BA, MSc, PhD, etc.)
Name of Institution or College
Address of Institution or College
What year of study are you undertaking? Eg: 2nd,3rd,4th yr
Expected completion date
of course (month / year)

In your own words and in up to approximately1,000 words, please provide information on all of the following:

a)why are you qualified for this scholarship.

b)your association with the Ukrainian and/or St. Demetrius community.

c)describe how you would intend to use the scholarship funds.

d)what are your personal / career aspirations, how might they be met by undertaking your proposed study.

e)describe a special circumstance or experience that has influenced your life, in either a positive or negative way, and how you dealt with it.

f)any previous community work you have undertaken or plans for future community work.

g)any other information you think is relevant to this application or that may impact on your ability to obtain this scholarship i.e. post secondary experiences/challenges at university/college.

Enter your text here. Text will automatically flow to the next page. Do NOT type beyond the text box on the next page.



.

  • I declare that the information supplied by me on this application form is complete, true and correct in every detail. I acknowledge that St. Demetrius may terminate any Scholarship and associated allowances if I have misrepresented my past and/or present circumstances and that this termination may take place at any stage during the proposed duration of scholarship.
  • Upon requestfrom St. Demetrius, I will obtain a copy of my baptismal certificate, from my university, official records with respect to my enrolment, academic record, examination results, details of my work history, and attendance and contact addresses throughout the duration of the scholarship.
  • I have read and fully comprehend all information and requirements in the St. Demetrius Father John Tataryn Legacy Scholarship 2015 guidelines. If I require any further information or assistance with completing the Application Form, I can contact the St Demetrius Parish Office.
  • I agree to abide by all requirements of the St. Demetrius Father John Tataryn Legacy Scholarship including as they may be amended from time to time.

Applicant’s Name (Please print):
Applicant’s Signature:
Date: / / (day/month/year)

You have 3 options on returning Application:

  1. Send completed and signed hard copy of this application by mail.Please ensure that the envelope states “Strictly Private & Confidential”
  1. Send completed copy of application (this Word file) by email. Print out last page (this page) of application, sign and send by mail.
  1. Print completed application. Sign application. Convert signed document to PDF file and email.

Mail to: Father John Legacy Scholarship
St. Demetrius the Great Martyr Parish
135 La Rose Ave.
Toronto, ONCanadaM9P 1A6
STRICTLY PRIVATE & CONFIDENTIAL
Email to:

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