Awards Application

Please use for Varsity Blues Intercollegiate Athletes, and undergraduate BPHE students.
Do not use this form for Entry Academic Financial Awards (AFA), Exercise Science (EXS) Graduate Awards or Sport Media applications.

Application deadline: April 9th, 2010

Applicant Name :

Title	*Given Name	Middle name	*Last Name

Your address as of May - August 2010

*Home Address:

*City:

*Province/State:

*Country:

*Postal/ZIP Code:

*Email

Home Number:

Cell Number:

*Student Number:

Gender:

Male Female

*SIN Number:

(Needed to verify financial need)

*Faculty College:

*Year as of
2009-2010

Field of Study/Major

Varsity Team:

Team Captain:

Yes No

Year with team as of 2009-2010

OSAP

YES, I have applied for OR I am eligible for OSAP. I will provide documentation AS SOON AS IT IS AVAILABLE
NO, I have not applied for OSAP, and I will therefore not be considered for any awards requiring proof of financial need.

For the next four questions please provide up to 5 statements (max 200 characters each) to support your achievements.

Achievements in Academics

1.
2.
3.
4.
5.

Achievements in Varsity Competition from the 2009-10 season

1.
2.
3.
4.
5.

Demonstration of Leadership Qualities

1.
2.
3.
4.
5.

Other (Please provide additional information which pertain to the award criteria)

1.
2.
3.
4.
5.

* I give consent to the Faculty of Physical Education and Health to use my student number to verify academic records.

* I give consent to the Faculty of Physical Education and Health to use my SIN to verify financial need.

* The statements made in this application are true.

For further details on these award applications, please contact your coach, Registrar, or the Awards Officer, Tade Credgeur or call 416.946.3711.

University of Toronto

Awards Application

Application deadline: April 9th, 2010