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    PROGRAM RECOMMENDED COMPETITION

    AWARD APPLICATIONGUIDELINES

    GENERAL INSTRUCTIONS

    Your application and all supporting documnts must ! t"pd# $it% ac% pag idnti&id $it% "our

    nam'

    You must sign t% application'

    You must mt all critria st out in t% Trms o& R&rnc o& t% a$ard'

    You must complt a sparat application &or ac% a$ard "ou ar appl"ing &or'

    You must attac% transcripts and t$o r&rnc lttrs to ac% a$ard application' T% Graduat

    Sc%olars%ip O&&ic $ill NOT accpt transcripts or r&rnc lttrs snt sparatl" to t% (acult" o&

    Graduat Studis'

    Your compltd application and supporting documnts must ! su!mittd as on pac)ag to t% addrss

    indicatd in t% trms o& r&rnc o& t% a$ard undr *Appl"+ &ild !" t% dadlin dat'

    For more information, please contact your program

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    AWARD APPLICATION CHECKLIST

    Applications t%at do not includ all o& t% itms or t%is c%c)list ar incomplt and $ill not !

    procssd or rturnd'

    Family Name, Full Legal Given Name:

    University of Calgary ID:

    The attached

    application

    pacage includes:

    !" Application C%c)list#attached to top of application$

    %" Compltdand signd application &orm#identified with your name$

    &" On pag t%sis,!asd rsarc% proposal or on pag cours,!asd statmnto& stud"

    '" Additional statmnt#if required by the Terms of Reference of the award you areapplying for$

    (" List o& all a$ards# sc%olars%ips# !ursaris "ou %a- -r %ld# currntl" %old

    or %a- applid &or in t% upcoming "ar #if you ever held or have applied forany$

    )" List o& pu!lications# t%ss# pr&ormancs# or .%i!itions i& an" (additional

    documentation will not be accepted$

    *" T$o r&rncs lttrs#each in a sealed envelope with the referees signatureacross the seal$

    +" Transcripts#in signed sealed envelope(s), including current U of C transcriptcertified copies are accepted provided that each transcript is confirmed asoriginal and signed by the !raduate "rogram #dministrator$

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    PROGRAM RECOMMENDED COMPETITION

    A/ARD APPLICATION (ORM

    Name ofAward: (Indicate full name of award you are applying for)

    Family NamePrevious Family Name (if the case):

    Full Legal GivenName(s)

    UCID Number

    Male

    Female

    Home Telepone:!usiness Telepone:

    "#Mail $%%ress

    Coun&ry o'Ci&iensip

    $& &e &ime o'regis&ra&ion I *ill be:

    a Cana%ian Ci&iena Permanen& +esi%en&a&&en%ing on a ,&u%y Permi&

    Gra%ua&e Program

    Degree

    Full#&ime

    Par&ime

    Tesis#base%Course#

    base%

    ,&ar&ing Da&e o' Program

    ACADEMIC HISTORY AND TRANSCRIPTS (list ALL post-secondary institutions you have attendedwhether or not you received a degree from those institutions and attach transcripts from each,including current U of C transcript Certi!ed copies are accepted provided that each transcript iscon!rmed as original and signed "y the #raduate $rogram Administrator)

    Mon& an% -ear,&ar&e%

    $.a%emi. Ins&i&u&ionan%

    Lo.a&ion

    Degrees or DiplomasComple&e%

    (or &o be .omple&e%)

    Mon& an% -ear$*ar%e%/"0pe.&e%

    SCHOLARSHIPS, AWARDS AND BURSARIES HELD OR CURRENTLY APPLIED !OR IN THEUPCOMIN" YEAR (Attach a separate typed sheet listing all scholarships%awards%"ursaries held and%orcurrentlyapplied for, indicating the dates within which the scholarships%awards%"ursaries were or will"e held and the name and location of the institution(s) at which they were%will "e held)

    T#e$%$&'a$ed RESEARCH PROPOSAL or Co(r$e&'a$ed STATEMENT of STUDY (Attach a one-page statement descri"ing your research or study and how it meets the &erms of 'eference of theaward &he document must "e single-spaced with three-uarter inch margins and the type sie must

    "e no smaller than *+ point)PUBLICATIONS (Attach a list of your pu"lications, theses, performances or ehi"itions, if any)

    RE!ERENCE LETTERS($rovide the names and addresses of the two referees you ased to supportyour application If you are currently in an academic program, one of the referees must "e yoursupervisor, or someone familiar with your current academic wor .ach reference letter must "e in asealed envelope with the referee/s signature across the seal)

    23 43

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    PROGRAM RECOMMENDED COMPETITION

    A/ARD APPLICATION (ORM

    &his information is collected under the authority of the Freedom of Information and $rotection of $rivacy Act, the &aation Act(Canada) and the 0tatistics Act (Canada) to determine your eligi"ility for graduate scholarships, awards and "ursaries If you areor "ecome a student at the University of Calgary, this information will form part of the student record $lease direct anyuestions a"out the use of this information to the F1I$ Advisor, Faculty of #raduate 0tudies, University of Calgary, Calgary,Al"erta, Canada &+2 *23 &elephone4 (356) ++5-376+

    B) $%*+%+* #%$ a--.%/a%o+, I de/.are #a:0' I ave ans*ere% all 5ues&ions appli.able &o me an% &a& all in'orma&ion is &rue an% .omple&e31' I *ill no&i'y my Program an% &e Gra%ua&e ,.olarsip 67.e i' I *i&%ra* 'rom 'ull#&ime s&a&us

    re.eive o&er a*ar%s or o&er*ise .ange my s&u%en& s&a&us32' My Program may re5ues& a%%i&ional in'orma&ion per&aining spe.i8.ally &o my a.a%emi. per'orman.e

    an% enrolmen& s&a&us 'or &e purpose o' %e&ermining my eligibili&y 'or s.olarsips33' In applying 'or an a*ar% per&inen& in'orma&ion may be release% &o &e %onor o' &e a*ar%

    provin.ial 'un%ing bo%ies 'a.ul&y o7.es appropria&e Universi&y o' Calgary a%minis&ra&ive o7.esan% &e Gae&&e o7.e3

    4' I' I re.eive an a*ar% &e amoun& may be %is.lose% &o &e Finan.ial ,ervi.es35' I' I re.eive an a*ar% I *ill a.9no*le%ge &e priva&e %onor(s) o' &e a*ar% *i& a personal le&&er o'

    &an9s36' I understand the information provided on this application may e used for research and statistical analysis"

    Name o' $ppli.an&($rinted): UCID Number:

    ,igna&ure Da&e

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    RE(ERENCE LETTER CONSENT (ORM , A/ARD

    To ! compltd !" applicant and gi-n to r&r &or %is7%r rcord'

    ATTENTION RE(EREE8

    9EEP this -.F.-.NC. L.TT.- C/N0.NT F/-1 as evidence of the student2s consent to

    disclose personal information

    3lease RETURNthe attached reference form and letter to the student in a sealed envelope 4ith your

    signature across the seal"

    I, re5uest that 4rite a reference

    (name of student) (name of referee)

    or respond to a reference chec on my ehalf"

    I understand that in order to 4rite the reference# ::::::::::::::: :::::::: 4ill need to comment on

    (name of referee)

    grades and personal characteristics relating to my academic performance and6or employment history"

    I agree to the disclosure of my personal information to all re5uests for references"

    "lease note that this form does not authori$e the university to provide the referee with information about the student record beyond that which is partof the public record% The applicant must provide the referee with a program summary or transcript, if comments regarding overall performance, e%g%

    ran&ing or grade point average, are to be included in the reference%

    This consent 4ill e effective for one year past the signature date"

    ,&u%en& ,igna&ure

    Da&e

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    SCHOLARSHIPRE(ERENCE (ORM

    INSTRUCTIONS (OR APPLICANT

    Complete this section including your mailing address and for4ard this form to an individual 4ho is 4ell

    ac5uainted 4ith your education and ailities"

    -eferences from your relatives, friends or colleagues are not acceptale"

    Nam o& A$ard8

    ('ndicate name of award you are applying for)

    Last Name

    3revious Last Name:

    First Legal Given Name

    1iddle Legal Given Name#s$

    3rogram

    Degree

    Studnt Mailing Addrss:

    INSTRUCTIONS (OR RE(EREE

    Complete the 0cholarship -eference Form andprovide a separate letter 4ith your evaluation of theapplicant2s merits and shortcomings in these general areas:

    !" Acadmic a!ilit" and rcord7 applicant2s general no4ledge of the field, or, 4here appropriate,acground preparation in oth course 4or and previous research

    %" Rsarc% a!ilit" and rcord7 originality and aility to synthesi8e ideas, analytical thining, sillat research design, 5uality of any research, familiarity 4ith techni5ues or methodologies of the

    field, aility to discuss critically, aility to e9press ideas clearly

    &" Tac%ing and languag a!ilit"7 applicant2s teaching aility as revealed in any instructional rolesuch as the presentation of reports or seminars, and speaing aility" If .nglish is not the

    applicant2s first language, some comment on his6her proficiency in .nglish 4ould e appreciated"

    '" Pro&ssional .princ and s)ill(if relevant)7 pertinent strengths and 4eanesses

    T*+

    a" *nsure that each page of the reference is dated, signed and has the applicants name noted on it%" Plas snd t% sc%olars%ip r&rnc &orm and lttr in a sald n-lop $it% "our signatur

    across t% sal to t% studnt addrss a!o-'

    c" The applicant can have access to all or portions of this reference if a formal access request is made

    This information is collected under the "ost econdary -earning #ct% 't is required to evaluate the application for graduate scholarship

    purposes% .uestions about the collection and use of this information may be directed to the /aculty of !raduate tudies, cholarship ffice,

    University of Calgary, Calgary, #lberta T0 12% Telephone (234) 00350637%

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    Sc%olars%ip R&rnc (orm to ! compltd !" R&r

    Studnt Nam8 Program8

    I have no4n the applicant in my capacity as teacher supervisor advisor employer

    other: please e9plain

    I have no4n the applicant for years and months"

    The applicant rans in the top of appro9imately students at the undergraduate

    1aster2s doctoral level I have encountered in years"

    I have read the applicant2s researchproposal"

    I have notread the applicant2s research proposal"

    Outstanding A!o- A-rag A-rag;lo$

    A-rag Una!l to

    Fa9 Numer = >

    ,igna&ure o' +e'eree

    Da&e

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    Lttr to ! compltd !" t% R&r

    July 2009

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    RE(ERENCE LETTER CONSENT (ORM , A/ARD

    To ! compltd !" applicant and gi-n to r&r &or %is7%r rcord'

    ATTENTION RE(EREE8

    9EEP this -.F.-.NC. L.TT.- C/N0.NT F/-1 as evidence of the student2s consent to

    disclose personal information

    3lease RETURNthe attached reference form and letter to the student in a sealed envelope 4ith yoursignature across the seal"

    I, re5uest that 4rite a reference

    (name of student) (name of referee)

    or respond to a reference chec on my ehalf"

    I understand that in order to 4rite the reference# :::::::::::::::

    :::::::: 4ill need to comment on

    (name of referee)

    grades and personal characteristics relating to my academic performance and6or employment history"

    I agree to the disclosure of my personal information to all re5uests for references"

    "lease note that this form does not authori$e the university to provide the referee with information about the student record beyond that which is partof the public record% The applicant must provide the referee with a program summary or transcript, if comments regarding overall performance, e%g%

    ran&ing or grade point average, are to be included in the reference%

    This consent 4ill e effective for one year past the signature date"

    ,&u%en& ,igna&ure

    Da&e

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    Sc%olars%ip R&rnc (orm to ! compltd !" R&r

    Studnt Nam8 Program8

    I have no4n the applicant in my capacity as teacher supervisor advisor employer

    other: please e9plain

    I have no4n the applicant for years and months"

    The applicant rans in the top of appro9imately students at the undergraduate

    1aster2s doctoral level I have encountered in years"

    I have read the applicant2s researchproposal"

    I have notread the applicant2s research proposal"

    Outstanding A!o- A-rag A-rag;lo$

    A-rag Una!l to

    Fa9 Numer = >

    ,igna&ure o' +e'eree

    Da&e

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    Lttr to ! compltd !" t% R&r

    J l 2009