Apply for the Momentum Indigenous Scholarship

Step 1 of 6 - Contact Info

Personal and Contact Information

Your Name*

First Last

Date of Birth*

YYYY

Phone*

Email*

Current Address*

Street Address City Province Postal Code

Membership in which Indigenous Community*

Other Indigenous Community*

Please enter the name of your Indigenous Community

Required Consent*

I am over 17

I agree to provide signed consent from my parent or legal guardian when requested

Academic Information - Part 1

Name of institution you'll be attending*

Name of your program of study*

Length of program*

Other Length of Program*

Please enter the length of program. ex. 2.5 years

Start Date

YYYY

End Date

YYYY

Confirmation of Full-Time Studies*

Yes, I confirm that I plan to attend an accredited post-secondary institution or pursue an apprenticeship program on a full-time basis

Please attach file of acceptance letter or proof of enrollment or application*

Please note: If you are currently waiting on an acceptance letter/proof of enrolment, please upload proof of application and we will follow up if further documentation is required.

Accepted file types: pdf, jpg, png, Max. file size: 30 MB.

Please attach your transcripts from your most recent academic year*

Accepted file types: jpg, png, doc, pdf), Max. file size: 30 MB.

Academic Information - Part 2

Share about your education journey so far and why you chose your particular field of study*

Describe how you have taken advantage of a significant educational opportunity that helped you to overcome a barrier you faced.*

Describe a time you had navigate changes around you and/or lead yourself and others during a challenging time.*

Why have you chosen your particular field of study?*

Biographical Information

Help us get to know you by answering the following required questions:

Tell us about the place, or places, you call home.*

They can be physical places where you have lived, or a community or group that is important to you.

Front of Indigenous Card*

Please attach a photo of the front of your Indigenous card

Accepted file types: jpg, png, Max. file size: 10 MB.

Back of Indigenous Card*

Please attach a photo of the back of your Indigenous card

Accepted file types: jpg, png, Max. file size: 10 MB.

Describe how you have taken advantage of a significant educational opportunity or worked to overcome an educational barrier you have faced.*

Tell us about one of your extracurricular activities or work experiences that was particularly meaningful to you – and why?*

What are your plans after you graduate from post-secondary? How will you use your education to create positive impact in the community?*

What is something you would like us to know about you as we consider your application?*

Reference Information

*Reference forms will be submitted separately online, by fax or email. Reference forms will be accepted at any time up to the application deadline of Midnight MST on Friday, May 28, 2021.

- References should not be a friend or relative
- Please provide one academic and one character reference

Name of Reference 1*

Prefix First Last

Reference 1 Phone*

Reference 1 Email*

Please provide an email address for your reference if possible. We'll send them an automatic notification that you've applied for a Spark Award, along with a link to the Reference Form.

Name of Reference 2*

Prefix First Last

Reference 2 Phone*

Reference 2 Email*

Please provide an email address for your reference if possible. We'll send them an automatic notification that you've applied for a Spark Award, along with a link to the Reference Form.

How did you hear about the Strathcona Resources Spark Award? (Please choose one)*

Community group/member

My school

Social media

Strathcona employee

Other

Declaration and Consent

To proceed with your application, you must read and consent to the direct and indirect collection of your personal information, the use and disclosure of your personal information, as well as the terms and conditions set out below. Applicants under the age of 18 must also obtain the consent of their parent/guardian.

I agree that:*

I meet the eligibility criteria

I have given complete and true information on this form

I am responsible for updating Strathcona Resources with my personal information. I will promptly notify Strathcona Resources of any change to information that I have provided in my application, including changes to academic, period of study status and/or contact information. I will communicate these changes by email to community@strathconaresources.com

I understand that I am responsible for providing all required supporting documentation as indicated on my application

I understand that the information I provide may be verified by Strathcona Resources and I give my consent to both my educational institution and Strathcona Resources to confirm such information

I am over 17 years of age OR I am under 18 years of age and am providing a guardian signature for approval.

I give my consent to Strathcona Resources to use, publish my name, photo and relevant information for publicity and promotional purposes.

Consent*

I have read and give my consent to the indirect collection and disclosure of my personal information and also understand and agree to the terms and conditions as outlined above.

Type Your Full Name*

Date*

The date you completed this application

YYYY

Phone

This field is for validation purposes and should be left unchanged.