Entrance Scholarship Application

ENTRANCE SCHOLARSHIP APPLICATION
Applications must be submitted by March 15.
INSTRUCTIONS:
- Select only those awards that you meet the requirements for – criteria can be found on our Entrance Scholarships page.
- Remember to include any required additional materials (ie. letters of reference).
Students who, due to a disability, cannot register for the minimum credit hours stated in the scholarship’s requirements may be eligible for consideration if their maximum course load is specified and documented by a professional qualified to assess their ability. Students must be registered with and their documentation provided to and verified by the University of Regina’s Centre for Student Accessibility at the start of each semester during which the student may be considered for an award.
Declaration & Consent*
I declare that the information I have provided in this application is accurate and complete. I understand that all information I have provided in connection with this application is subject to verification and audit by Campion College, and agree to provide supporting documentation to the College to verify my eligibility upon request. I understand that any funds I receive will be applied to my student account at Campion College at the University of Regina. I give permission to Campion College to release personal information given in this application to other educational institutions, and federal and provincial student loan offices to verify its completeness and accuracy. Should I be selected to receive an award, I grant Campion College permission to provide my name, award, program of study, year level and amount of my award to the donor of the award (if applicable), my high school guidance counselor, and to the Campion College Communication Office for publication and promotional purposes. My photograph may also be used for promotional purposes.
Yes, I have read and agree to the above terms and conditions.

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APPLICANT INFORMATION
Name*
Prefix First Last
Date of Birth*
Date Format: DD slash MM slash YYYY
High School*
Student Number
Student Number*
Faculty/Major*
Address*
Street Address Address Line 2 City Province Postal Code
Phone Number*
Email*
Enter Email Confirm Email

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2. PERSONAL STATEMENT
Tell the selection committee why you would be an appropriate recipient for the award(s) for which you have applied. Upload your Personal Statement here as a PDF or Microsoft Word Document. NOTE: All Campion Entrance Scholarships require a personal statement. (MAXIMUM 500 WORDS)
Upload Personal Statement*
Accepted file types: pdf, doc, docx.

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3. STATEMENT OF FINANCIAL NEED
Exemption
- My selected scholarship(s) do not require section 3.
Some scholarships may not require a Statement of Financial Need. If you are ONLY applying to scholarships which do not require you to fill out section 3, you may check the box to skip this section.
You have selected to skip this section.
Your applications for any scholarships which require this section to be filled out will be rejected if you continue.
If you are only applying for one (or more) of the following scholarships, you may continue:
- Knights of Columbus, Conseil Langevin Scholarship
- Kovacs Voice Entrance Scholarship
- Pre-professional Studies Scholarship
- Regina Archdiocesan Catholic Women's League Scholarship
- Wolfe Family General Achievement Scholarship
How many dependents are currently living with you?*
Total accumulated student loans to date*
Total of other debts*
Estimated expenses for the upcoming school year: (put in dollar amounts)
Tuition & Fees*
Books
Room & board (ie. rent and utilities)
Medical expenses (not covered)
Childcare (if applicable)
Other essential expenses
Note: vehicle expenses, cell phones & non-essential utilities, etc. are not applicable
List other expenses*
TOTAL EXPENSES
Methods of financing for the upcoming school year:
Family
Savings
Student Loans
Line of Credit
Band Funding
Other
List other methods of financing*
TOTAL FINANCING

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4. SUMMARY OF VOLUNTEER/COMMUNITY SERVICE & EXTRACURRICULAR
Please do not include paid positions. Specify whether "Hours" are per day, week, or month. You can use the plus / minus signs at the end to add or subtract rows.
Exemption
Some scholarships may not require a Summary of Volunteer/Community Service & Extracurricular. If you are ONLY applying to scholarships which do not require you to fill out section 4, you may check the box to skip this section.
- My selected scholarship(s) do not require section 4.
Volunteer / Community Service*
Organization Role / Position Start Date End Date Hours
Extracurricular Involvement*
IE: student associations, sports, etc.
Team / Group Task / Position Start Date End Date Hours
You have selected to skip this section.
Your applications for any scholarships which require this section to be filled out will be rejected if you continue.
If you are only applying for one (or more) of the following scholarships, you may continue:
- Knights of Columbus, Conseil Langevin Scholarship
- Mary Volk Memorial Entrance Scholarship
- Pre-professional Studies Scholarship

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COMPLETE & SUBMIT
Be sure to review all the information you have provided in this form to ensure accuracy before clicking submit.
Additional Documents
Upload any additional documents or references relevant to your scholarship application here.
Drop files here or
Accepted file types: jpg, jpeg, png, pdf, doc, docx, rtf.

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Step 1 of 7 - Introduction

ENTRANCE SCHOLARSHIP APPLICATION

APPLICANT INFORMATION

1. SELECTION OF AWARDS

2. PERSONAL STATEMENT

3. STATEMENT OF FINANCIAL NEED

4. SUMMARY OF VOLUNTEER/COMMUNITY SERVICE & EXTRACURRICULAR

COMPLETE & SUBMIT

People

Essentials

Campus

Organization	Role / Position	Start Date	End Date	Hours

Team / Group	Task / Position	Start Date	End Date	Hours