Peace River Minor Hockey Association Scholarship

(established by the 2008 Pee Wee ‘A’ Provincial Host Committee)

Background

·  Legacy created by the 2008 Pee Wee ‘A’ Provincial Host Committee and the 2007/2008 Peace River Kal-Tire Colts Pee Wee ‘A’ hockey team.

·  Spirit of the scholarship is to exemplify sportsmanship, fairplay, dedication and respect.

Criteria

·  Must be planning to attend or will be attending a post secondary school institution.

·  Must have been registered a minimum of three (3) years in the Peace River Minor Hockey Association (PRMHA) program including playing one (1) year of Pee Wee hockey.

·  Completed form and all enclosures must be received within the deadline dates. Applications received after the deadline will not be reviewed.

·  Community service.

Guidelines

·  One (1) scholarship per year valued at $500.

·  Two (2) scholarships to be given out in 2013 and 2014.

·  Scholarship Application period for 2012 is from May 1st to May 31st.

·  Applications to be reviewed by a selection committee consisting of at least three (3) of the following – President of PRMHA, 2008 host committee co-chairs, one (1) member of the 2008 host committee or one (1) member of PRMHA executive.

·  All applicants will be notified of status by June 30th, 2012.

·  If the selection committee member has a family member applying, that member shall be replaced by a member of PRMHA executive as follows – vice-president, director of coordinators, treasurer, coaches coordinator, referee coordinator, secretary.

Mail completed application form (post marked no later than May 31, 2012) to:

Scholarship – Pee Wee

Peace River Minor Hockey Association

Box 5142

Peace River, AB T8S 1R8

Peace River Minor Hockey Association Scholarship

(established by the 2008 Pee Wee ‘A’ Provincial Host Committee)

A. Applicant Information
Name:
Address:
Phone: / Birth Date:
B. Peace River Minor Hockey Association Participation
Category and Number of Years Played: / Tom Thumb / Novice / Atom
Pee Wee / Bantam / Midget
Referee: / Yes / No
If Yes, how many years
C. Education (attach confirmation of grades and post secondary institution acceptance)
High School: / Year Graduated:
Post Secondary Institution:
Course Attending:
D. Reference (can not be a family member)
Name:
Address:
Phone:
Relation to Applicant: / Signature:
E. Other Information (include community service examples)
F. General
Applicant Signature: / Date:
Parent/Guardian:
Signature: / Date:

Mail completed application form (post marked no later than May 31, 2012) to:

Scholarship – Pee Wee

Peace River Minor Hockey Association

Box 5142

Peace River, AB T8S 1R8

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Office Use Only

Date Received (post marked): ______Initial: ______