Awarding Scholarships to members of Alberta Junior Hockey

Online Application

Alberta Junior Hockey Scholorship Online Application

NOTE: A CURRENT ACADEMIC TRANSCRIPT MUST BE INCLUDED WITH THIS APPLICATION

Please ensure that you have a digital copy of your transcript in the correct format (pdf, jpeg, tiff, png) prior to proceeding with this application. If you don't have a current transcript available you may submit one from last year.

Player Information

Team Nominating the Player (required)

Name of Player (required)

Player Phone (required)

Player Address (required)

Player City (required)

Player Province (required)

Player Postal Code (required)

Player Date of Birth (required)

Player Email (required)

Parent(s) or Legal Guardian(s) Information

Name of Parent(s) or Legal Guardian(s): (required)

Parent(s) or Legal Guardian Address (required)

City (required)

Province(required)

Postal Code (required)

School(s) Information

1) List in chronological order the secondary schools you have attended and are currently attending:
Name of School / City or Town / Graduation Date / Grades Completed
/ / /
/ / /
/ / /

1b) If you have not graduated, indicate anticipated graduation date: 

2) List in chronological order the post-secondary schools you have attended and are currently attending:
Institution / Date of First Registration
/
/
/

Hockey Information

3) Position (please check one): 

4) Outline briefly your plans for future hockey participation:

4b) Hockey History - List past junior teams played for and in what season played:
/
/
/

5) Have you agreed to play for a USA College or University:

6) Name of Team Official:

6b) Position of Team Official:

General Information

7) Community and other volunteer work or achievements:

8) Personal goals for the future:

DECLARATION OF APPLICANT
I have read the instructions, and hereby make application for a scholarship, and I declare:
a) that to the best of my knowledge, the information provided in this application is true and complete;
b) that I propose to be a full-time student at the institution named for the period stated;
c) that I am an Alberta resident, as defined by the Alberta Heritage Scholarship Act;
d) that I agree to allow my name, accomplishments and study plans to be released publicly if I receive this award;
e) that I grant permission for the Society to request and receive information pertaining to my post-second enrolment status and academic progress; and
f) that I authorize the release and exchange of my personal information for use in research and statistical analysis or in program evaluation.

 I have read and agree to the above declaration (required)

NOTE: A CURRENT ACADEMIC TRANSCRIPT MUST BE INCLUDED WITH THIS APPLICATION

You may upload a digital copy of your transcript in the correct format (pdf, jpeg, tiff, png) below. If you don't have a current transcript available you may submit one from last year.

Upload transcript file here (Acceptable formats are pdf, jpg, tiff or png)

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