PROGRAM RECOMMENDED COMPETITION

AWARD APPLICATION
GUIDELINES
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
July 2009
AWARD APPLICATION CHECKLIST
Applications t%at do not includ all o& t% itms or t%is c%c)list ar incomplt and $ill not !
procssd or rturnd'
Family Name, Full Legal Given Name:
University of Calgary ID:
The attached
application
pacage includes:
!" Application C%c)list #attached to top of application$
%" Compltd and signd application &orm #identified with your name$
&" On pag t%sis,!asd rsarc% proposal or on pag cours,!asd statmnt
o& stud"

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

(" List o& all a$ards# sc%olars%ips# !ursaris "ou %a- -r %ld# currntl" %old
or %a- applid &or in t% upcoming "ar #if you ever held or have applied for
any$

)" List o& pu!lications# t%ss# pr&ormancs# or .%i!itions i& an" (additional
documentation will not be accepted$

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

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

July 2009
PROGRAM RECOMMENDED COMPETITION
A/ARD APPLICATION (ORM
Name of
Award:

(Indicate full name of award you are applying for)

Family Name

Previous Family Name (if the case):

Full Legal Given
Name(s)

UCID Number

Male
Female
Home Telepone:
!usiness Telepone:
"#Mail $%%ress

Coun&ry o'
Ci&i(ensip

$& &e &ime o'
regis&ra&ion) I *ill be:
a Cana%ian Ci&i(en
a 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 attended
whether 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 is
con!rmed as original and signed "y the #raduate $rogram Administrator)
Mon& an% -ear
,&ar&e%
$.a%emi. Ins&i&u&ion
an%
Lo.a&ion
Degrees or Diplomas
Comple&e%
(or &o be .omple&e%)
Mon& an% -ear
$*ar%e%/"0pe.&e%




SCHOLARSHIPS, AWARDS AND BURSARIES HELD OR CURRENTLY APPLIED !OR IN THE
UPCOMIN" YEAR (Attach a separate typed sheet listing all scholarships%awards%"ursaries held and%or
currently applied 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$ed STATEMENT of STUDY (Attach a one-
page statement descri"ing your research or study and how it meets the &erms of 'eference of the
award &he document must "e single-spaced with three-(uarter inch margins and the type si)e must
"e no smaller than *+ point)
PUBLICATIONS (Attach a list of your pu"lications, theses, performances or e,hi"itions, if any)
RE!ERENCE LETTERS ($rovide the names and addresses of the two referees you as-ed to support
your application If you are currently in an academic program, one of the referees must "e your
supervisor, or someone familiar with your current academic wor- .ach reference letter must "e in a
sealed envelope with the referee/s signature across the seal)
23 43
July 2009
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 &a,ation Act
(Canada) and the 0tatistics Act (Canada) to determine your eligi"ility for graduate scholarships, awards and "ursaries If you are
or "ecome a student at the University of Calgary, this information will form part of the student record $lease direct any
(uestions a"out the use of this information to the F1I$ 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&e3
1' 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&us3
2' 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.olarsips3
3' 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.es
an% &e Ga(e&&e o7.e3
4' I' I re.eive an a*ar% &e amoun& may be %is.lose% &o &e Finan.ial ,ervi.es3
5' 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'
&an9s3
6' 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
July 2009
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 RETURN the 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 part
of 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
July 2009
SCHOLARSHIP RE(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 a,ilities"
-eferences from your relatives, friends or colleagues are not accepta,le"
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 and provide a separate letter 4ith your evaluation of the
applicant2s merits and shortcomings in these general areas:
!" Acadmic a!ilit" and rcord 7 applicant2s general no4ledge of the field, or, 4here appropriate,
,acground preparation in ,oth course 4or and previous research
%" Rsarc% a!ilit" and rcord 7 originality and a,ility to synthesi8e ideas, analytical thining, sill
at research design, 5uality of any research, familiarity 4ith techni5ues or methodologies of the
field, a,ility to discuss critically, a,ility to e9press ideas clearly
&" Tac%ing and languag a!ilit" 7 applicant2s teaching a,ility as revealed in any instructional role
such as the presentation of reports or seminars, and speaing a,ility" 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 $it% "our signatur
across t% sal to t% studnt addrss a!o-'
c" The applicant can have access to all or portions of this reference if a formal access request is made
This information is collected under the "ost ,econdary -earning #ct% 't is required to evaluate the application for graduate scholarship
purposes% .uestions about the collection and use of this information may be directed to the /aculty of !raduate ,tudies, ,cholarship )ffice,
University of Calgary, Calgary, #lberta T0( 1(2% Telephone (234) 00350637%
July 2009
Sc%olars%ip R&rnc (orm to ! compltd !" R&r
Studnt Nam8 Program8
I have no4n the applicant in my capacity as teacher supervisor advisor employer
other: please e9plain
I have no4n the applicant for years and months"
The applicant rans in the top : of appro9imately students at the undergraduate
1aster2s doctoral level I have encountered in years"
I have read the applicant2s research
proposal"
I have not read the applicant2s research proposal"
Outstanding A!o- A-rag A-rag
;lo$
A-rag
Una!l to
<udg
upper %: upper (: upper !;: upper %;: upper &;: upper (;: lo4er (;:
<acground preparation
/riginality
3otential research
a,ility
Industry6perseverance
=udgement6critical sense
Intellectual a,ility
Teaching a,ility
/ral communication
>ritten communication
/verall evaluation
Plas ran) t% applicant as a sc%olars%ip candidat8
?ighly -ecommended -ecommended Not -ecommended Una,le to @udge
Name of -eferee ("lease "rint8Type)

.Amail address #'nstitutional or 9usiness)

3osition and Department

Institution

Bddress

('nstitutional or 9usiness)
Telephone = >
Fa9 Num,er = >
,igna&ure o' +e'eree

Da&e
July 2009
Lttr to ! compltd !" t% R&r
July 2009
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 RETURN the 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 part
of 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
July 2009
SCHOLARSHIP RE(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 a,ilities"
-eferences from your relatives, friends or colleagues are not accepta,le"
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 and provide a separate letter 4ith your evaluation of the
applicant2s merits and shortcomings in these general areas:
(" Acadmic a!ilit" and rcord 7 applicant2s general no4ledge of the field, or, 4here appropriate,
,acground preparation in ,oth course 4or and previous research
)" Rsarc% a!ilit" and rcord 7 originality and a,ility to synthesi8e ideas, analytical thining, sill
at research design, 5uality of any research, familiarity 4ith techni5ues or methodologies of the
field, a,ility to discuss critically, a,ility to e9press ideas clearly
*" Tac%ing and languag a!ilit" 7 applicant2s teaching a,ility as revealed in any instructional role
such as the presentation of reports or seminars, and speaing a,ility" 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 $it% "our signatur
across t% sal to t% studnt addrss a!o-'
c" The applicant can have access to all or portions of this reference if a formal access request is made
This information is collected under the "ost ,econdary -earning #ct% 't is required to evaluate the application for graduate scholarship
purposes% .uestions about the collection and use of this information may be directed to the /aculty of !raduate ,tudies, ,cholarship )ffice,
University of Calgary, Calgary, #lberta T0( 1(2% Telephone (234) 00350637%
July 2009
Sc%olars%ip R&rnc (orm to ! compltd !" R&r
Studnt Nam8 Program8
I have no4n the applicant in my capacity as teacher supervisor advisor employer
other: please e9plain
I have no4n the applicant for years and months"
The applicant rans in the top : of appro9imately students at the undergraduate
1aster2s doctoral level I have encountered in years"
I have read the applicant2s research
proposal"
I have not read the applicant2s research proposal"
Outstanding A!o- A-rag A-rag
;lo$
A-rag
Una!l to
<udg
upper %: upper (: upper !;: upper %;: upper &;: upper (;: lo4er (;:
<acground preparation
/riginality
3otential research
a,ility
Industry6perseverance
=udgement6critical sense
Intellectual a,ility
Teaching a,ility
/ral communication
>ritten communication
/verall evaluation
Plas ran) t% applicant as a sc%olars%ip candidat8
?ighly -ecommended -ecommended Not -ecommended Una,le to @udge
Name of -eferee ("lease "rint8Type)

.Amail address #'nstitutional or 9usiness)

3osition and Department

Institution

Bddress

('nstitutional or 9usiness)
Telephone = >
Fa9 Num,er = >
,igna&ure o' +e'eree

Da&e
July 2009
Lttr to ! compltd !" t% R&r
July 2009