Apply for the Momentum Indigenous Scholarship

Personal Information

Your Name*

First Last

Date of Birth*

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

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.

Required Consent*

I am over 17

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

Program Information

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

End Date

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, docx, Max. file size: 30 MB.

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

Introduction

Tell us about yourself.*

Can you share a personal achievement that makes you proud?*

About Your Educational Journey

Why have you chosen your field of study?*

What events or experiences have set you on this path?*

What are your plans for after you graduate?*

About Your Community Impact and Involvement

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

How have the place or places you call home helped to shape who you are?*

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

How do you contribute to your community?*

What does being a role model mean to you?*

How will you use your education to make a difference?*

Closing

Is there anything else you would like to add?

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, June 16, 2023.

- References should not be a friend or relative
- Please consider 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 Momentum Scholarship, 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 Momentum Scholarship, 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:*

Type Your Full Name*

Date*

The date you completed this application

Name

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