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THE 20 ANNUAL ATHENA Scholarship FUND Windsor APPLICATION FORM SUBMISSION DEADLINE Tuesday, April 30, 2019 at 4:00 PM EST SUBMIT APPLICATIONS BY MAIL OR HAND DELIVER Windsor-Essex Regional Chamber of Commerce 2575 Ouellette Place Windsor, ON N8X 1L9 Mon-Fri: 9:00 AM - 4:00 PM T: 519-966-3696 F: 519-966-0603 www.windsorchamber.org/athena Applications must be received or post- marked no later than April 30, 2019. Online submissions not accepted. Questions? Please contact: Lee Anne Doyle at [email protected] OR Sue Zanin at [email protected] TH

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Page 1: THE 20 ANNUAL TH ATHENA Scholarship FUND Windsorathenascholarshipwindsor.com/download/Application Form-ATHENA 2019.pdfELEVATING EXCELLENCE FROM LEFT: 2018 ATHENA Scholarship Recipients:

THE 20 ANNUAL

ATHENA Scholarship FUND Windsor APPLICATION FORM

SUBMISSION DEADLINE

Tuesday, April 30, 2019 at 4:00 PM EST

SUBMIT APPLICATIONS BY MAIL OR HAND DELIVER

Windsor-Essex Regional Chamber of Commerce

2575 Ouellette PlaceWindsor, ONN8X 1L9

Mon-Fri: 9:00 AM - 4:00 PM

T: 519-966-3696 F: 519-966-0603

www.windsorchamber.org/athena

Applications must be received or post-marked no later than April 30, 2019. Online submissions not accepted.

Questions? Please contact:

Lee Anne Doyle at [email protected] ORSue Zanin at [email protected]

TH

Page 2: THE 20 ANNUAL TH ATHENA Scholarship FUND Windsorathenascholarshipwindsor.com/download/Application Form-ATHENA 2019.pdfELEVATING EXCELLENCE FROM LEFT: 2018 ATHENA Scholarship Recipients:

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MISSION STATEMENTThe ATHENA Scholarship Fund Windsor identifies and provides scholarships to post-secondary students who excel academically, get involved in their community and serve as outstanding leaders, while also assisting girls and women to achieve a better quality of life and reach their full potential as community leaders.

ARE YOU...• A male or female student 18 to 30 years of age as of January 1, 2019?

• Interested in increasing leadership opportunities for women, enhancing the quality of life in your community, mentoring, team building and pursuing diversity?

• Presently enrolled as a full-time student (attending primarily during the day) in a post-secondary institution such as the University of Windsor or St. Clair College of Applied Arts and Technology and have spent a significant and substantial period of time (at least 18 months as of April 1, 2019) in Windsor/Essex County?

Then you should apply for the Athena Scholarship FundA total of three $5,000 scholarships will be awarded to worthy scholars selected as follows: one from St. Clair College, one from the University of Windsor and one from any college or university attended by a student who has spent a significant period of time in Windsor/Essex County. Recipients must attend the annual ATHENA Scholarship Luncheon event.

CELEBRATING 20 YEARS OF ELEVATING EXCELLENCEFROM LEFT: 2018 ATHENA Scholarship Recipients: Erin Dufour, Sydney Chapados, Holly Nicholson and Guest Speaker Shelley Fellows.

Club of Windsor-Roseland Club of Windsor St. Clair Club of Windsor (1918)

ANNE WINTERBOTTOMLORIS MACOR

Page 3: THE 20 ANNUAL TH ATHENA Scholarship FUND Windsorathenascholarshipwindsor.com/download/Application Form-ATHENA 2019.pdfELEVATING EXCELLENCE FROM LEFT: 2018 ATHENA Scholarship Recipients:

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APPLICATION DOCUMENTATION CHECKLIST:Application information formAcademic transcripts (true copy)Personal profile (2 pages)RésuméAcademic: referee form and letterCharacter: referee form and letterCommunity participation: referee form and letter

Finalists may be interviewed. Recipient must also participate in the ATHENA Scholarship Luncheon event.

This scholarship award is open to qualified individuals who represent the values of ATHENA International.

Applicants should:1. Demonstrate a community spirit that benefits people.2. Demonstrate a potential for leadership.3. Demonstrate academic and professional excellence.4. Demonstrate values that support the achievement of excellence.5. Be 18 to 30 years of age as of January 1, 2019.6. Be a full time student (attending primarily during the day).7. Submit academic transcripts (true copy).8. Submit three referee forms with letters of reference preferably from three different sources in

confidence. See referee forms for instructions on letters of reference. a) Academic b) Character c) Evidence of participation in community.

9. Provide a personal profile (2 typewritten pages) explaining your community involvement activities (with specific reference to amount of time spent, your role and responsibilities), career plans, personal goals and objectives. Indicate why you should be considered for the ATHENA Scholarship.

10. Provide a résumé

SPECIFIC CRITERIA

ATHENA is about leadership. All recipients should be interested in:• increasing leadership opportunities for women• enhancing the quality of life in their community• mentoring• team building• pursuing diversityIn addition, candidates should be able to convey how they intend to strike a balance in life.

AWARD CRITERIA

Page 4: THE 20 ANNUAL TH ATHENA Scholarship FUND Windsorathenascholarshipwindsor.com/download/Application Form-ATHENA 2019.pdfELEVATING EXCELLENCE FROM LEFT: 2018 ATHENA Scholarship Recipients:

3

SCHOLARSHIP APPLICATION

PERSONAL INFORMATION

Name:

Permanent Home Address:

Mailing Address (Vaid Until):

Primary Email: Cell Phone:

Birth Date:

EDUCATION INFORMATION

Elementary Schools

2

3

FROM: TO:

FROM: TO:

FROM: TO:

1

1

2

3

FROM: TO:

FROM: TO:

FROM: TO:

Secondary Schools

Page 5: THE 20 ANNUAL TH ATHENA Scholarship FUND Windsorathenascholarshipwindsor.com/download/Application Form-ATHENA 2019.pdfELEVATING EXCELLENCE FROM LEFT: 2018 ATHENA Scholarship Recipients:

SCHOLARSHIP APPLICATION

Applicant Signature Date

1

2

3

FROM: TO:

FROM: TO:

FROM: TO:

EDUCATION INFORMATION (CONTINUED)

College or University + Majors

1

2

3

SUPERVISOR PHONE

SUPERVISOR PHONE

SUPERVISOR PHONE

EMPLOYMENT EXPERIENCE (LAST 3 YEARS)

1

1

2

2

3

3

SUPERVISOR PHONE

REFERENCE PHONE

SUPERVISOR PHONE

REFERENCE PHONE

SUPERVISOR PHONE

REFERENCE PHONE

VOLUNTEER EXPERIENCE

REFERENCES (PROVIDED IN YOUR ATHENA SCHOLARSHIP APPLICATION FORM)

4

Page 6: THE 20 ANNUAL TH ATHENA Scholarship FUND Windsorathenascholarshipwindsor.com/download/Application Form-ATHENA 2019.pdfELEVATING EXCELLENCE FROM LEFT: 2018 ATHENA Scholarship Recipients:

5

REFEREE FORM: ACADEMICPurpose: ATHENA International believes that by elevating people with potential and solid values they will be exceptional role models. It is believed by example others will be inspired to achieve excellence. The ATHENA Scholarship Fund - Windsor and the ATHENA Committee promote this philosophy with a scholarship valued at $5,000 and affiliation with an international group of high achievers.

is applying for an ATHENA Scholarship

How long have you known the applicant and in what capacity do you know the applicant?

To The Referee: After completing, please place this referee form in an envelope with your letter of reference. To ensure confidentiality, please seal and sign on the flap of the envelope. This envelope must be returned to the applicant, signed and sealed, for submission with his/her application package.

Demonstrates potential for

leadership

EXCELLENT VERY GOOD GOOD N/A REMARKS

Enhances the quality of life in

their community

Demonstrates lead-ership and team

building

Demonstrates multicultural

outlook

Balances social and scholastic activities

Mentors others

ATHENA is about leadership. Please indicate with an X your rating of the applicant in terms of the attributes below. NA =not applicable or not known by you. Remarks are helpful. Please attach your Letter of Reference.

Name of Applicant

REFE

REE I

NFO Name:

Title/Position:

Full Address:

Email:

Institution/Corp:

Date:

Contact#:

Signature:

Page 7: THE 20 ANNUAL TH ATHENA Scholarship FUND Windsorathenascholarshipwindsor.com/download/Application Form-ATHENA 2019.pdfELEVATING EXCELLENCE FROM LEFT: 2018 ATHENA Scholarship Recipients:

is applying for an ATHENA Scholarship

To The Referee: After completing, please place this referee form in an envelope with your letter of reference. To ensure confidentiality, please seal and sign on the flap of the envelope. This envelope must be returned to the applicant, signed and sealed, for submission with his/her application package.

6

REFEREE FORM: CHARACTERPurpose: ATHENA International believes that by elevating people with potential and solid values they will be exceptional role models. It is believed by example others will be inspired to achieve excellence. The ATHENA Scholarship Fund - Windsor and the ATHENA Committee promote this philosophy with a scholarship valued at $5,000 and affiliation with an international group of high achievers.

is applying for an ATHENA Scholarship

How long have you known the applicant and in what capacity do you know the applicant?

Demonstrates potential for

leadership

EXCELLENT VERY GOOD GOOD N/A REMARKS

Enhances the quality of life in

their community

Demonstrates lead-ership and team

building

Demonstrates multicultural

outlook

Balances social and scholastic activities

Mentors others

ATHENA is about leadership. Please indicate with an X your rating of the applicant in terms of the attributes below. NA =not applicable or not known by you. Remarks are helpful. Please attach your Letter of Reference.

Name of Applicant

REFE

REE I

NFO Name:

Title/Position:

Full Address:

Email:

Institution/Corp:

Date:

Contact#:

Signature:

Page 8: THE 20 ANNUAL TH ATHENA Scholarship FUND Windsorathenascholarshipwindsor.com/download/Application Form-ATHENA 2019.pdfELEVATING EXCELLENCE FROM LEFT: 2018 ATHENA Scholarship Recipients:

7

REFEREE FORM: COMMUNITYPurpose: ATHENA International believes that by elevating people with potential and solid values they will be exceptional role models. It is believed by example others will be inspired to achieve excellence. The ATHENA Scholarship Fund - Windsor and the ATHENA Committee promote this philosophy with a scholarship valued at $5,000 and affiliation with an international group of high achievers.

How long have you known the applicant and in what capacity do you know the applicant?

To The Referee: After completing, please place this referee form in an envelope with your letter of reference. To ensure confidentiality, please seal and sign on the flap of the envelope. This envelope must be returned to the applicant, signed and sealed, for submission with his/her application package.

Demonstrates potential for

leadership

EXCELLENT VERY GOOD GOOD N/A REMARKS

Enhances the quality of life in

their community

Demonstrates lead-ership and team

building

Demonstrates multicultural

outlook

Balances social and scholastic activities

Mentors others

ATHENA is about leadership. Please indicate with an X your rating of the applicant in terms of the attributes below. NA =not applicable or not known by you. Remarks are helpful. Please attach your Letter of Reference.

Name of Applicant

REFE

REE I

NFO Name:

Title/Position:

Full Address:

Email:

Institution/Corp:

Date:

Contact#:

Signature: