SALMONBELLIES ALUMNI AND FRIENDS SCHOLARSHIP/BURSARY
Conditions and Criteria:
1. Up to five, ($500.00 maximum) scholarship/bursaries (S/B) will be awarded each year.
New Westminster Junior and Senior box lacrosse players as well as New
Westminster field lacrosse players are eligible. At the discretion of the committee, the
$2500 in S/B funds may be awarded to more than five individuals.
2. Awards will be made based on the candidate’s achievement or contribution in the
following areas:
a) Academic achievement (minimum ‘C’ (60%) average)
b) Community service
c) Team commitment, leadership, character
d) Financial need
e) Family contribution to the Salmonbellies organization.
3. The S/B’s will be awarded to individuals who will be enrolling in a
post secondary institution or students currently attending a post secondary
institution with plans to continue.
4. Award recipients must attend a post secondary institution in the school year
following the awarding of the S/B to be eligible to receive funds.
The amount of the award shall not exceed the cost of the tuition for that
school year.
5. All S/B’s may not necessarily be awarded in any fiscal period.
6. Individuals may be awarded this S/B to a maximum of $1000.00.
7. Players are eligible in their second and subsequent years of competition on a
New Westminster lacrosse team as described above.
8. All S/B’s are to be administered by the “Salmonbellies Alumni and
Friends Scholarship/Bursary Committee”.
9. Successful applicants will receive their funds upon proof of registration at a
post secondary institution.
10. Complete, updated applications must be submitted each year. Information is
not carried forward from previous applications.
11. Applications must be received on/or before June 30 by the Salmonbellies
Alumni Secretary.
(Revised May 7, 2018)
SALMONBELLIES ALUMNI AND FRIENDS SCHOLARSHIP/BURSARY
Application Form
Name: ____________________________________________________________
Address: __________________________________________________________
City: _______________________ Postal Code: ___________________
Tel#: _______________________ Date of Birth: __________________
Criteria
Lacrosse Discipline Played: ______Field ________ Box ________ Both
Team Name(s): _________________________________________________________
_______________________________________________________________________
Other Lacrosse Activities: ________________________________________________
_______________________________________________________________________ _______________________________________________________________________
New Westminster Teams played for (include number of years).
_______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
Other Community/Volunteer Involvement – Please List. Attach additional
paper if necessary : ______________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
What qualities do you feel you possess that qualify you for this S/B?
_______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
_______________________________________________________________________
Indicate:
Your long term educational goal: __________________________________________ _______________________________________________________________________
When you will be attending a post secondary institution? _____________________
______________________________________________________________________
The name of the post secondary institution you attend or plan to attend: _______________________________________________________________________ _______________________________________________________________________
Family contribution(s) to the Salmonbellies’ organization:
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Personal Financial Situation/Need. Indicate your ongoing expenses and sources/amount of income including jobs, scholarships and other forms of financial assistance:
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
School attended during the last school year and courses completed:
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
School plans for the upcoming school year (full or part-time): ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Indicate any other information relevant to this application: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Please include the following with your application:
* Copy of your most recent school transcript or report card. Although you will not be judged on academic achievement alone, we would like you to forward your last school transcript or report card to show your school standing.
* 2 Reference letters. We would like to see reference letters from your teachers(s), principal, coach, head coach, head referee, association executive/members, employer or anyone you think can best describe the following:
1. Your demonstrated commitment to the sport of lacrosse by participation in lacrosse activities (i.e., player, coach, referee, committee/executive member, volunteer, etc).
2. Your achievements as a well rounded individual (i.e. scholastic ability, integrity, team player, leadership, community involvement, etc.)
- Any other information relevant to this application (i.e. awards of a personal
nature, special achievements, etc.).
Please send your application to:
The Salmonbellies Alumni & Friends Scholarship/Bursary
c/o Carol Goss (Secretary)
108 31 Reliance Court
New Westminster, BC V3M 6C6
Telephone: 604-522-5221
Email:goss13@shaw.ca
