Manitoba Japanese Canadian Cultural Centre, Inc.

HAROLD HIROSE EDUCATION FUND

PERSONAL INFORMATION:

Last Name:  _____________________  First Name:  __________________________

Permanent Address:  ____________________________________________________

City:  __________________ Province:   ____________ Postal Code:  _____________ 

Telephone:  ______________  E-Mail:  _____________________________________             

Date of Birth (day/month/year):   _____ /  ________ / _______   

Current Address (if different from above):  __________________________________

City:  _________________   Province:  ________________  Postal Code:  _________

Telephone:  _______________  E-Mail:  ____________________________________

EDUCATION:

High School:  __________________________________________________________

University/College:  _______________________ Faculty:  ______________________

            Year:  ______________     Major:  ___________________________________

            Degree sought:  __________________________________________________

            Scholarships and Awards Received:

            Award                                     School/University                                        Duration

WORK EXPERIENCE:

Employer:                                                         Position:                                                    

Address:                                                                                   Year:                                   

Job Description:                                                                                                                  

VOLUNTEER EXPERIENCE:

1)         Institution:                                            Position:                                        

            Address:                                                                       Year:                                   

2)         Institution:                                            Position:                                        

                        Address:                                                                       Year:                                   

Have you been involved with the Manitoba Japanese Canadian Cultural Centre, Manitoba Japanese Canadian Citizens' Association, Folklorama, or other Japanese Canadian programmes?

                                                Yes                      No                 

If yes, in what capacity:                                                                                                                  

Involvement with other organizations, groups, etc.

FUTURE PLANS:

            Education:                                                                                                     ______

            Life:                                                                                                                                       

            Community Involvement:                                                                                      

            Personal Interests/Hobbies:                                                                                              

Signature:                                                                             Date:                                    

Notes:

1.  If you need to expand upon certain areas, please include supplementary pages of information.

2.  Completed forms and enclosures should be mailed to:

MJCCC Scholarship Committee

180 McPhillips Street

Winnipeg, Manitoba

R3E 2J9
 

Manitoba Japanese Canadian Cultural Centre, Inc.

HAROLD HIROSE EDUCATION FUND

A.  Applicant Eligibility

            1.  must be a current member of the MJCCC.

            2.  must be a Canadian citizen.

            3.  must be wholly or partly of Japanese ancestry.

            4.  must be a resident of the Province of Manitoba.

            5.  must be enrolled or intending to enroll in a full-time programme of studies at an accredited, postsecondary educational institution (i.e. university, college, business/technical institute).

B.  Selection Criteria

            Scholarship recipient will be selected on the following basis:

            1.  academic achievement.

            2.  demonstrated leadership ability and participation in activities with the school and general community.

            3.   participation in activities and organizations within the Japanese Canadian community.

Note:  The Selection Committee will select the one application that, in its estimation, is superior overall.  The three criteria listed above may not necessarily be given equal weight or merit.

C.  Application Requirement

            1.   application form completed in its entirety.

            2.   an official transcript of marks indicating, at minimum, the last two years of schooling.

            3.   proof of enrolment or an official letter of acceptance from the post secondary institution.

            4.  two letters of reference:

                  i)    one from an educator who is familiar with the applicant's academic performance and extracurricular involvement.

                  ii)   one from an individual who knows the applicant in some other capacity.

                        Reference letters from relatives are not acceptable.

Note:  Should applicants wish the return of mark statements and/or letters of acceptance, they must      enclose a stamped, self-addressed envelope with their application.

D.   Deadline for receipt of completed applications is September 30 of the current year.