Lowell Phillips Scholastic Award
Application Form
ELIGIBILITY:
- A resident of Prince County (Formerly Administrative Units 1,2 and 5)
- Have a permanent disability
- Need financial assistance
- Have been accepted at a recognized post-secondary institution
- Successful applicants may reapply.
NAME:_______________________________________________________________________
ADDRESS:____________________________________________________________________
POSTAL CODE:_____________TELEPHONE:______________________________________
SCHOOL:_______________________GRADE:_______________________________________
NAMES AND ADDRESSES OF TWO REFERENCES
1.
Name:__________________________________________________________________
Address:________________________________________________________________
Postal Code:___________________Telephone:_________________________________
2.
Name:__________________________________________________________________
Address:________________________________________________________________
Postal Code:_____________Telephone:_______________________________________
PROGRAM OF STUDY PLANNED FOR COMING YEAR:
School, College or University:_______________________________________________
Program:________________________________________________________________
PLEASE ATTACH:
- A copy of your final grades
- A brief description of yourself including your physical disability and what you hope to gain from your studies.
- A copy of your letter of acceptance for next year's study
MAIL TO:
Lowell Phillips Scholastic Award
c/o Community Foundation of Prince Edward Island
119-121 Queen Street, Suite 105
Charlottetown, PEI C1A 4B3
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