SCHOLARSHIP INFORMATION FORM

Full Name Joao Chiesa Farias

I.

Number of Children in Family

PLEASE CHECK THE ITEMS THAT

APPLY TO YOU

One or both parents work at Teck Cominco

Resident of the Beaver Valley
Graduate of St. Michaels
Resident of Montrose
Student or parent(s) are members of Kootenay Savings
Credit Union

V.
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II. CHECK ASSOCIATIONS OF WHICH

MOTHER IS A MEMBER
Sisters of Colombo
Eagles Auxiliary #2838
Italo Canadese
Fruitvale Co-Op*
San Martino Club*
CUPE Local 1285*
Beta Sigma Phi
CUPE Local 2254*

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III. CHECK ASSOCIATIONS OF WHICH

FATHER IS A MEMBER
Cristoforo Colombo
Italo-Canadese
Fruitvale Co-Op*
San Martino Club*
CUPE Local 1285*
CUPE Local 2254*
Eagles #2838

IV.

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POST SECONDARY PLANS

*CHECK ONE ONLY

Enter work force next year

College/University
Selkirk College

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CHECK AREA OF STUDY FOR POSTSECONDARY EDUCATION

Arts
Fine Arts (Visual Art, Music, Drama)
Science
Engineering
Education (Teaching)
Business/Commerce (Diploma or Degree)
Health Sciences specify
Medicine/Dentistry
Nursing
Pharmacy
Photography/Graphics/Multi-Media
Forestry/Wildlife/Conservation
Computer Science/Info Tech
Religious Studies
Human Kinetics/Sports Medicine/Fitness
Emergency Service/Police
Cook Training
Carpentry/Construction
Electrical/Powerline Tech/Millwright
Metalwork
Hairdressing/Esthetics
Other (state)

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VI. CHECK ANY OF THE FOLLOWING

THAT APPLY TO YOU
Active in community
Coach or work in athletics
Work with church groups
Work with school service clubs
Participates in extra-curricular school events
Play on hockey team*
Member of Girl Guides*
Played Trail/BV Minor Soccer*
Member of Scouts*

BRIEFLY OUTLINE INVOLVEMENT IN 46 54 ABOVE AND INCLUDE ANY OTHER RELEVENT

INFORMATION. (Use the back if necessary.)
Items marked by an * require a separate application form which is available from Mrs. Sidey.
IMPORTANT: Some awards are based on financial need (this information will be kept confidential):
1. Will you need a student loan to attend post-secondary education? YES NO (circle one)
2. Are there financial circumstances that will make attending a post secondary program difficult? Please
explain on the pack of the page or in a personal note to Mrs. Sidey.

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