Young Scholar Award 2019 Application Thank you for applying! Note: All fields are required Your Name Your Gender Your Email Your Address Today's Date Date of Birth Your Telephone Number School Name (required) School Address School Phone School Fax Board of Education Name of School Principal Name of School Superintendent Question 1 (Maximum 250 words) How have your contributions enhanced the well-being of your school and/or community? Question 2 (Maximum 250 words) Define what makes a leader. How do you exemplify the qualities of a leader? Question 3 (Maximum 250 words) Please outline one activity that showcases your commitment to your school and/or community. Explain how it addresses an issue important to you and of public concern. Question 4 (Maximum 250 words) Discuss your most meaningful achievement and how it relates to your field of study and future goals. Reference Letters Two (2) reference letters, with official leader heads and hand-written signatures, must be submitted. Scanned documents can be PDF or JPG files. Note: Referees may be contacted during the selection process. School Reference Letter Referee Name Title (eg. Principal, teacher…etc.) Email Phone (with extension) Community Reference Letter Referee Name Title (eg. Program leader, volunteer supervisor…etc.) Email Phone (with extension) School Reference Letter (PDF/JPG/JPEG only) Community Reference Letter (PDF/JPG/JPEG only) Official Transcript (PDF/JPG/JPEG only) I, the undersigned, declare that to the best of my knowledge all of the above information is accurate and true. I also give permission to Young Scholar to use my name, story and photo (to be provided at a later date) if I am selected as a recipient of its Young Scholar Award. Enter your name below (this acts as your digital signature).