Town & Gown Society Entrance Scholarship

Instructions

Please complete all the blanks below marked *(required). Incomplete applications will not be accepted by the system.

Please forward any questions to ren-reg@uwaterloo.ca.

Information and privacy: questions regarding the collection of information on this form can be directed to the form administrator.

Program
Part-time or full-time?
Applied for OSAP or other provincial aid?
In the space below, please describe your financial circumstances and financial needs (maximum 500 characters). Please note that as part of this application, the UWaterloo Awards Office will calculate your unmet need using a standardized formula based on your OSAP application. If you have special circumstances or needs beyond those described in your OSAP file or if you have not filed an OSAP application for particular reasons, you might wish to include some details here. Please use point form.
(maximum 500 characters)
Do you have any Community Service?
Please describe your involvement in community service.
Name of organization
Please provide the dates with the organization
What was your position or role with this organization
Please list some of your duties or responsibilities with this organization
What was your time commitment with this organization (hours/weeks/months/years)
Do you have a 2nd Community Service?
Please describe your involvement in community service.
Name of organization
Please provide the dates with the organization
What was your position or role with this organization
Please list some of your duties or responsibilities with this organization
What was your time commitment with this organization (hours/weeks/months/years)
Do you have a 3rd Community Service?
Please describe your involvement in community service.
Name of organization
Please provide the dates with the organization
What was your position or role with this organization
Please list some of your duties or responsibilities with this organization
What was your time commitment with this organization (hours/weeks/months/years)
Do you have a 4th Community Service?
Please describe your involvement in community service.
Name of organization
Please provide the dates with the organization
What was your position or role with this organization
Please list some of your duties or responsibilities with this organization
What was your time commitment with this organization (hours/weeks/months/years)
Do you have a 5th Community Service
Please describe your involvement in community service.
Name of organization
Please provide the dates with the organization
What was your position or role with this organization
Please list some of your duties or responsibilities with this organization
What was your time commitment with this organization (hours/weeks/months/years)
Confidentiality
The Renison Registrar and Registrar’s Office staff will receive the application. All information submitted will be confidential, and digital information stored on a secure drive within the Registrar’s Office and in a password protected file. Applicants will be assigned a unique applicant ID number and will proceed to the selection committee on an anonymous basis. Applications will be retained for 2 years, and then destroyed. If there is a physical portion of your application (such as an art project) that you would like returned, rather than destroyed, please contact Renison’s Registrar’s Office.
Academic record release to selection committee
I authorize Renison University College and/or the University of Waterloo to release this application and financial need information, if applicable, to the appropriate selection committee(s).
Name Release
If I should win this award, I authorize Renison University College to include my name in its newsletters and events for donors, alumni, and the wider Renison community. Applicants are not required to agree to their name being released, and it will not impact their eligibility to receive this scholarship.
Information accuracy
I declare that all of the information I have given on this form is complete and accurate. I understand that I am permitted to submit one application per award per term. I understand that incomplete, inaccurate, or multiple applications will be withdrawn from consideration.