SIGMA CHI CANADIAN FOUNDATION JOHN W. GRAHAM SCHOLARSHIP

GENERAL INFORMATION

Full Name

Permanent Address (street, city, province, postal code; NOTE: there must be somebody at this address in October of this year able to receive the scholarship cheque)

School Address (street, city, province, postal code)

Summer Phone Number

E-mail Address (required)

LETTERS OF RECOMMENDATION

Name:
 
Please upload letter of recommendation :

Relationship

Name:
 
Please upload letter of recommendation :

Relationship

ACADEMIC INFORMATION

Please Upload Copy of Full Academic Transcript (All Terms):

University Attending in the Fall

Program

Planned Year of Graduation

Post-Secondary Degrees Already Achieved

SIGMA CHI HISTORY

Chapter

Date of Initiation

List the Offices you have held in Sigma Chi:

LEADERSHIP EXPERIENCE

Please list your activities outside of Sigma Chi in which you are/have been involved. You are encouraged to outline some of your accomplishments from these activities.

HONOURS & AWARDS

Please list any Honours & Awards you have received, including a short description of the Honour or Award.

I certify that all information provided in this form is true.

Date