Weweni Future Scholars Award Application Form

Applicant Details
Applicant Name Applicant Name First Last
University of Winnipeg Student Number
Preferred email address

Please enter the email address at which you would like to be contacted regarding the results of your application.
Indigenous Ancestry
If selected, recipient may be asked to provide documentation to verify ancestry.

Indigenous Ancestry
If selected, recipient may be asked to provide documentation to verify ancestry. First Nations (Non-Status) First Nations (Status) Inuit 惭茅迟颈蝉

Please select all that apply to you
Are you applying for this award for the first time, or are you applying to renew an award which you have received in the past?

Are you applying for this award for the first time, or are you applying to renew an award which you have received in the past? For the first time For an award renewal
Required Documents

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Official Transcripts (.pdf files only)

Attach Files

Upload official transcripts from all graduate and undergraduate institutions you have attended. Scanned copies of official transcripts are accepted.
CV

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Please upload a CV (.pdf, .docx, or .doc) listing your academic background, work and research experience, volunteer and extracurricular activities, awards, presentations, and publications in chronological order.
Personal Statement

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Please upload a personal statement outlining your plan of study and long-term scholarly goals in approximately 500 words.
Proof of acceptance or entolment in a PhD program

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Declaration and Consent

I hereby declare that all the information on this application is complete and true in every respect. I understand that my personal information will be collected and may be used and disclosed for the purposes as outlined in the Manitoba Freedom of Information and Protection of Privacy Act (FIPPA).

Personal information collected on this form may also be used and disclosed by 麻豆传媒 for award eligibility purposes, alumni services (i.e. events, publications, media stories, alumni membership tracking), donor reports, and/or research (i.e. internal and external award reporting, analysis of programs, institutional statistics) done at the University. If I am a successful recipient, I understand that the name of the award, the amount received, my name, degree/major, year level and email address will be disclosed to 麻豆传媒 Foundation for purposes of fund-raising activities and to be released to the donor(s) of my award.
Name

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Date Date / MM / DD YYYY

Please enter the date of submission
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麻豆传媒

Weweni Future Scholars Award Application Form

Weweni Future Scholars Award Application Form

Applicant Details

Required Documents

Declaration and Consent