Don Bossi Leadership and Innovation Scholarship Application

Date(Required)

Name(Required)

First Last

Phone(Required)

Email(Required)

Home Address(Required)

Street Address Address Line 2 City Province Postal Code

Current High School(Required)

School Name

School Address(Required)

Street Address Address Line 2 City Province Postal Code

Date of Expected High School Graduation(Required)

FIRST Team Name(Required)

FIRST Team Number(Required)

Untitled

FIRST Tech Challenge

FIRST Robotics Competition

Both

What events will or have you competed at?(Required)

What University or College do you plan to attend?(Required)

What is your intended degree program?(Required)

For example: Science, Engineering Business

When do you plan to attend?(Required)

For example: Fall Semester 2022

Please upload your letter of recommendation

Drop files here or

Max. file size: 512 MB, Max. files: 2.

The letter of recommendation should be from a high school instructor from whom you have taken one or more classes: (ii) the submitted essay is solely my work product; and (iii) to the best of my knowledge I am not an

Please upload a copy of your official transcripts

Drop files here or

Max. file size: 512 MB, Max. files: 2.

Please upload your essay

Drop files here or

Max. file size: 512 MB, Max. files: 2.

A brief essay (no more than 500 words) in which you discuss your desire to be a role model, your leadership (entrepreneurial, innovative or community), your participation in the FIRST Tech Challenge or FIRST Robotics competition, and the impact of the program on your life. What sets you apart from others? How are you making a difference and what is your plan to do so moving forward?

Signature(Required)

By signing this Application Form, I hereby certify that: (i) all information contained in or attached to this Application Form, or provided with this Application Form, is true, accurate and complete; (ii) the attached essay is solely my work product; and (iii) to the best of my knowledge, I am not an immediate or extended family member of: (a) an officer or director of FIRST Canada.; (b) a substantial contributor to FIRST Canada; or (c) a member of the Scholarship Committee of FIRST Canada.