This is a general application to provide information for the deliberations of the Awards Selection Committee. Completion of the application does not indicate that a scholarship will be awarded to you, but an application must be submitted in order to be considered for a scholarship. Biographical Information: Student ID Number: First Name: Last Name: Ambrose Email Address Marital Status: - Select -SingleMarriedEngagedDivorcedWidowed Gender - Select -MaleFemale Ethnic Background: Caucasian Chinese African First Nations, Metis or Inuit Other Parents' Vocation(s): Pastor Para-church Worker Teacher Ambrose Employee International Worker/Missionary Retired Sales Other If 'Other' was selected, please specify: Ambrose Degree: - Select -Bachelor of ArtsBachelor of Business AdministrationBachelor of EducationBachelor of MusicBachelor of ScienceUniversity Studies DiplomaBachelor of MinistryBachelor of TheologyAssociate in Ministry DiplomaDiploma in Acting Major (4 Year) /Concentration (3 Year) - Select -Behavioural Science (major)Behavioural Science (concentration)Biology (major)Business Administration (major)Business Administration (concentration)Christian Studies (major)Christian Studies (concentration)English Literature (major)English Literature (concentration)General Studies (concentration)History (major)History (concentration)Music (major)Music (concentration)Children & Family MinistryChurch MinistryIntercultural MinistryYouth MinistryNot Applicable Current Year of Study: Anticipated Graduation Date: Not planning to graduate Not planning to graduate Church Affiliation: Church Attended Before Coming to Ambrose: Church Name: Street Address: City: Province: Country: Are/were you a member of this church? Yes No Denominational Affiliation: Local/Calgary Church (if different from above) Church Name: Denominational Affiliation: Summer 2017 - April 2018 Plans Summer Plans: Internship Internship Dates: Location: onsite onSITE Dates: Location: Missions Trip Missions Trip Dates: camp ministry Camp Ministry Dates: Other Summer Ministry Other Summer Ministry Dates: Working Working Job Type: Planned Dates of Return to Ambrose to continue your studies: September 2017 January 2018 September 2018 January 2019 Vocational Goals: pastors Senior Pastor Youth Pastor Children's Pastor Women's Ministry Other Church Teacher - Post Secondary Teacher - K-12 Missions Medicine/Medical Field Para-Church Musician Business Social Work Other If 'Other' was selected, please specify: Non-Academic Involvements i.e. Sports, Music, Clubs Financial Information: How Do You Plan to Finance Your Education? (Check all that apply) Student Loan Savings Parents Spouse Working Part-time Scholarships Church I understand and agree that: personal information pertaining to my Ambrose University academic records may be released and exchanged by and between faculty and the Financial Aid & Awards office. personal information pertaining to my post-secondary academic progress and enrolment status may be released and exchanged by and between departments for the purpose of determining my eligibility for a scholarship. if I receive a scholarship my name, award and city/town will be released publicly at the Celebration of Excellence Chapel. However, this is not a criterion for eligibility, and if I do not want to be identified, I will contact the Financial Aid & Awards office. Declaration of Applicant I have read and understand the information above The personal information collected on or in conjunction with this form is collected under the authority of the Personal Information Protection Act (PIPA), the Statistics Act (Canada) and the Income Tax Act (Canada). It is required to determine your eligibility for awards. It will form part of your record as an applicant, student, and alumnus and may be disclosed to academic and administrative units. Specific data elements may be disclosed to the Federal and Provincial Governments to meet reporting requirements. All other information is considered confidential and will be used and disclosed in accordance with privacy legislation. For more information regarding the collection or use of this information, please contact the Privacy Compliance Officer (403-410-2000 or e-mail firstname.lastname@example.org).