SCHOLARSHIP / BURSARY APPLICATION...c/o P.O. Box 502, Windsor, Ontario, N9A 6M6 Page 1 of 5 Canadians of Italian Heritage Building Business and Professional Networks Across Canada

CANADIAN ITALIAN BUSINESS AND PROFESSIONAL ASSOCIATION

OF WINDSOR c/o P.O. Box 502, Windsor, Ontario, N9A 6M6

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Canadians of Italian Heritage Building Business and Professional Networks Across Canada

SCHOLARSHIP / BURSARY APPLICATION

Revised: January 15, 2019

Indicate Scholarship / Bursary applying for: (Please check all applicable boxes & submit one form per

applicant. Also, please note that some of the Scholarships and/or Bursaries will not be awarded every year.)

□ CIBPA President’s Scholarship □ National Bank Financial Group / CIBPA Bursary

□ Roland Baldassi / CIBPA Scholarship □ Rino Nazzani Visionary Award Scholarship

□ BMO – Bank of Montreal / CIBPA Bursary □ Royal Bank Financial Group / CIBPA Scholarship □ Motor City Community Credit Union / for Persons of Italian Origin

CIBPA Bursary □ Royal Bank Financial Group / CIBPA Scholarship

for Italian Studies

A) PERSONAL DATA Surname: ____________________________ First Name: _________________________ Middle Initial: _____ Email Address: ____________________________________________________________ Parents’ Names: Father: ___________________________________ Mother: ___________________________________ Maiden Name: __________________ Explain Italian Origin: _______________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Date of Birth: (month) _______ / (day) _______ / (year) _______; Age: ______; Sex: Male ____ Female ____

Marital Status: Single: □ Married: □ Other: ____________________________________________ Address Mailing Address (if different): Street: ______________________________________ ________________________________________ City / Province: ______________________________ ________________________________________ Postal Code: _________________________________ ________________________________________

Home Phone: ( ) _______________________ ( ) ______________________________

Cell Phone: ( ) _______________________ ( ) ______________________________



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Are you related to a CIBPA member? Yes: □ No: □

If yes, to whom are you related? _________________________________________________________

Indicate the nature of the relationship? ____________________________________________________

Have you ever been awarded a CIBPA Scholarship or Bursary? Yes: □ No: □ Year: ____________

Note: Applicants are ineligible to receive a scholarship or Bursary award for two (2) consecutive years. Maximum two (2) awards only.

B) EDUCATION DATA

1. List all Secondary Schools attended and years in attendance at each:

___________________________________________________________ ____________________

___________________________________________________________ ____________________

2. List all post secondary education institutions attended and years in attendance at each:

___________________________________________________________ ____________________

___________________________________________________________ ____________________

___________________________________________________________ ____________________

___________________________________________________________ ____________________

3. Please provide details of the program(s) in which you intend to be enrolled this year

Name of Institution: ___________________________________________________________________

Area of Study: _______________________________________________________________________

Full Time: ________ Part Time: ________ Number of Courses: ________

Level of Study: Bachelor: ________ Certificate: ________ Diploma: ________

Master: ________ Doctorate: ________



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C) COMMUNITY INVOLVEMENT (List activities and attach information as required.)

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

D) FINANCIAL DATA (pertaining to the student)

(To be filled out only if you wish Financial Need to be considered and for all Bursary Applications.)

1. List, in order, your employment activities in the last three (3) years, including place of employment and

whether full time or part time.

___________________________________________________ _____________________________

___________________________________________________ _____________________________

___________________________________________________ _____________________________

2. List academic awards, grants or scholarships received or receivable. (include $ amounts)

___________________________________________________ _____________________________

___________________________________________________ _____________________________

___________________________________________________ _____________________________

3. Your actual gross annual income from employment: $ _____________________________________

4. Financial support received from:

Spouse: $ ________________ Parent(s): $ _______________ Sponsor(s): $ __________________

5. Government income received $ _____________ from which source(s): __________________________



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IMPORTANT APPLICATION CRITERIA 1) If applying for the CIPBA Bursaries applicants must fill out the Financial Information in Section ‘E’ of the application..

The selection criterion is weighted more in considering the most qualified applicant for the Bursary.

2) If application is being made for a bursary, must provide the spouse, parent(s), or sponsor’s tax returns for the past

taxation year.

3) Failure to provide adequate financial information, where applicable, may result in automatic disqualification of

student’s application for a Bursary.

4) Must be present or represented by a family member for presentation at the CIBPA Award Dinner to receive the

Scholarship / Bursary. Otherwise, student will not be eligible to receive award remuneration. 5) The student must submit his or her transcript of mark. Only official transcripts from the school are acceptable,

otherwise they will be disqualified.

6) Greater consideration may be given to students at a higher level of study.

6. Do you own any real estate?

Principal Residence: Yes: □ No: □ Recreational Property: Yes: □ No: □

Business / Farm: Yes: □ No: □ Rental Property: Yes: □ No: □

Other Real Estate: Yes: □ No: □

7. Do you have any investments? (Check as appropriate and provide details.)

RRSP: ___________________ TFSA: _____________________ GIC: _______________________

Stocks: __________________ Mutual Funds: ______________ Bonds: _____________________

Savings: _________________ Trust: ______________________ Precious Metals: _____________

8. Have you applied for a loan from OSAP? Yes: □ No: □

Amount applied for: $ __________________

Have you ever received a loan from OSAP? Yes: □ No: □

Amount of loan: $ _____________________ Balance owing: $ _____________________

Have you received a loan from a financial institution? Yes: □ No: □


Have you received a loan from any other source? Yes: □ No: □


Do you have a mortgage? Yes: □ No: □

Amount of mortgage: $ _____________________ Balance owing: $ _____________________



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E) FINANCIAL INFORMATION (pertaining to the applicant's spouse, parent(s), or sponsor)

(To be filled out by Bursary Applicants only.)

Are you residing with a spouse, parent(s) or other sponsor? Yes: □ No: □

If Yes, with whom? ______________________________________________________________________

If you received FINANCIAL SUPPORT from spouse, parent(s), or other sponsor, please complete the

following:

1. Name(s) of spouse, parent(s). or sponsor: __________________________________________________

2. Relationship to applicant: _______________________________________________________________

3. List all dependent children of applicant or parent(s):

Name: ___________________________________________________ Age: ___________________

Name: ___________________________________________________ Age: ___________________

Name: ___________________________________________________ Age: ___________________

Name: ___________________________________________________ Age: ___________________

4. Total Gross Annual Income for spouse, parent(s), or sponsor: $ ________________________________

5. Briefly explain why you feel you are a student in need of financial support: _______________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Completed applications containing the documentation requested must be received by March 29, 2019.

Submit completed applications to: CIBPA Scholarship Committee

P.O. Box 502

Windsor, Ontario

N9A 6M6

Attention: Scholarship Chairperson

For additional information and/or questions, please call:

Mr. Joe Balsamo at (519) 250-5190 or e-mail: [email protected]

Ms. Niva Segatto at (519) 946-0394 or e-mail: [email protected]

mailto:[email protected]:[email protected]



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CIBPA PRESIDENT’S SCHOLARSHIP


1. AMOUNT

1.1. One thousand dollars ($1,000) is available in each year that there is at least one candidate that satisfies the eligibility criteria.

1.2. This Award is given by the President of CIBPA to a recipient engaged in leadership opportunities, community involvement, and promoting quality of life.

2. ELIGIBILITY

2.1. The Applicant must be:

2.1.1. Of Italian Origin; 2.1.2. A Canadian citizen or a landed immigrant; 2.1.3. A full time secondary student who is graduating and has applied to be enrolled at a recognized

Canadian University or Community College;

2.1.4. A student attending a recognized University or Community College.

2.2. Only one CIBPA Scholarship or Bursary per applicant per year will be awarded. Applicants who are selected as recipients of one Scholarship or Bursary automatically become ineligible to qualify for any

other offered in the same year. (This does not limit application to only one Scholarship or Bursary).

3. SELECTION CRITERIA

3.1. Applications will be evaluated by the CIBPA Scholarship Committee with emphasis given to Academic Excellence as well as consideration given to community involvement and financial need.

4. AWARDING OF SCHOLARSHIPS

4.1. Awarding of Scholarships or Bursaries is contingent upon confirmation by the Board of Directors of the applicants' attendance at a post-secondary institution.



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5. APPLICATION REQUIREMENTS

5.1. Applications must include:

5.1.1. A Vita Personae or a Resume, including completion of the application including the Financial Data Section. (Please note: Applicants not fully completing the Financial Data Section may not be

eligible.)

5.1.2. An official transcript of grades; 5.1.3. A plan of study; 5.1.4. A statement describing the applicant's community involvement; 5.1.5. Information confirming the applicant's financial need should the applicant wish this criterion to

be considered; and,

5.1.6. Any information which the applicant may wish the scholarship committee to consider or which the scholarship committee may require.

The CIBPA Scholarship Committee has the right to ask for verification of any

information submitted and to interview candidates and their references

whenever it is deemed necessary by the Committee.

6. APPLICATION SUBMISSION

6.1. Completed applications containing the documentation requested as stated in item five (5) of this letter must be received by March 29, 2019.

6.2. Submit completed applications to:

CIBPA Scholarship Committee

P.O. Box 502

Windsor, Ontario

N9A 6M6








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ROLAND BALDASSI / CIBPA SCHOLARSHIP


1. AMOUNT


2. ELIGIBILITY

2.1. The Applicant must be a member or the spouse or child of a member and must be:

2.1.1. A grade 12 student who is graduating and has applied to be enrolled in a recognized University or Community College;

2.1.2. An O.A.C. student who is graduating and has applied to be enrolled. in a recognized University or Community College; or

2.1.3. A student attending a recognized University or Community College.

2.2. Any previous recipient meeting the above criterion may reapply;




3.1. Applications will be evaluated by the CIBPA Scholarship Committee with emphasis given to Academic Excellence as well as consideration given to community involvement, level of study and

financial need.





5.1.1. A Vita Personae or a Resume, including completion of the application. (Please note: completion of the Financial Data Section is optional for this scholarship.)



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5.1.2. An official transcript of grades;

5.1.3. A plan of study;

5.1.4. A statement describing the applicant's community involvement;

5.1.5. Information confirming the applicant's financial need should the applicant wish this criterion to be considered; and,









P.O. Box 502

Windsor, Ontario

N9A 6M6








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BMO – BANK OF MONTREAL / CIBPA BURSARY


1. AMOUNT


2. ELIGIBILITY




2.1.4. In Financial need. 2.1.5. A full time secondary student who is graduating and has applied to be enrolled at a University

Business program at college or university is currently attending a University full time in an

accredited Business Program.




3.1. Applications will be evaluated by the CIBPA Scholarship Committee with emphasis given to Financial Need as well as consideration given to academic excellence and community involvement.






eligible.)

5.1.2. An official transcript of grades; 5.1.3. A plan of study; 5.1.4. A statement describing the applicant's community involvement;



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P.O. Box 502

Windsor, Ontario

N9A 6M6








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MOTOR CITY COMMUNITY CREDIT UNION / CIBPA BURSARY


1. AMOUNT


2. ELIGIBILITY




2.1.4. In Financial need.

2.2. A student attending a recognized University;




3.1. Applications will be evaluated by the CIBPA Scholarship Committee with emphasis given to Financial Need as well as consideration given to academic excellence, level of study and community

involvement.






eligible.)



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5.1.2. An official transcript of grades; 5.1.3. A plan of study; 5.1.4. A statement describing the applicant's community involvement; 5.1.5. Applicants must also submit a paragraph about the difference between credit unions and banks

and why you would choose a credit union.









P.O. Box 502

Windsor, Ontario

N9A 6M6








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NATIONAL BANK FINANCIAL GROUP / CIBPA BURSARY


1. AMOUNT


2. ELIGIBILITY




2.1.4. In Financial need.





3.1. Applications will be evaluated by the CIBPA Scholarship Committee with emphasis given to Financial Need as well as consideration given to academic excellence and community involvement.






eligible.)

5.1.2. An official transcript of grades; 5.1.3. A plan of study; 5.1.4. A statement describing the applicant's community involvement;



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P.O. Box 502

Windsor, Ontario

N9A 6M6








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RINO NAZZANI VISIONARY AWARD SCHOLARSHIP


1. AWARD TITLE: Rino Nazzani Visionary Award Scholarship

1.1. Rino Nazzani was a man of character, integrity, great vision and intelligence, tremendous courage and most of all, a man of deep Christian faith. His determination brought him great success in his

motherland, Italy, with the creation of a large pipeline construction enterprise. His vision though saw

Canada a better place for his children. With passion and drive, he began a new journey facing a new

system, new culture and a new language for the benefit and future of his family. All those that crossed

his path loved him, admired him, felt inspired and were proud of his friendship.

2. AMOUNT


3. AWARD CRITERIA

3.1. The Visionary Award is about entrepreneurship and vision. All recipients should be interested in increasing leadership opportunities, encouraging entrepreneurial spirit and innovation, pursuing

academic excellence and balancing quality of life.

4. ELIGIBILITY

4.1. The Visionary Award is available to Canadian citizens or landed immigrant, male and female students who have spent a period of time in Windsor or Essex County and are registered full time in a

business or engineering program at a university.

5. SPECIFIC CRITERIA

5.1. The award is open to qualified individuals who represent the values of the Visionary Award. Candidates should:

5.1.1. Demonstrate an entrepreneurial spirit and vision for the future of their careers and of the community.

5.1.2. Demonstrate a potential for leadership. 5.1.3. Demonstrate a commitment to hard work and excellence in their academics or chosen career

path.

5.1.4. Demonstrate values that support the achievement of excellence. 5.1.5. Be over 18 years of age. 5.1.6. Submit two (2) letters of reference in confidence.



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5.1.7. Provide a personal profile (2 typewritten pages), with specific reference to personal goals and objectives, career plans and why you should be considered for the award.



7. APPLICATION DOCUMENTATION CHECKLIST

7.1. A Vita Personae or a Resume, including completion of the application. (Please note: completion of the Financial Data Section is optional for this scholarship.)

An official Academic transcript of grades (true copy);

Personal Profile (2 pages)

Academic Letter of Reference (in confidence)

Character Letter of Reference (in confidence)

Any information which the applicant may wish the scholarship committee to consider or which the scholarship committee may require.








P.O. Box 502

Windsor, Ontario

N9A 6M6








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ROYAL BANK FINANCIAL GROUP / CIBPA

SCHOLARSHIP FOR PERSONS OF ITALIAN ORIGIN


1. AMOUNT


2. ELIGIBILITY




2.2. A student attending a recognized University or Community College;




3.1. Applications will be evaluated by the CIBPA Scholarship Committee with emphasis given to Academic Excellence as well as consideration given to community involvement, level of Study and

financial need.






5.1.2. An official transcript of grades; 5.1.3. A plan of study;



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5.1.4. A statement describing the applicant's community involvement; 5.1.5. Information confirming the applicant's financial need should the applicant wish this criterion to

be considered; and,









P.O. Box 502

Windsor, Ontario

N9A 6M6








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ROYAL BANK FINANCIAL GROUP / CIBPA

SCHOLARSHIP FOR ITALIAN STUDIES


1. AMOUNT


2. ELIGIBILITY


2.1.1. Of Italian Origin; 2.1.2. A Canadian citizen or a landed immigrant; 2.1.3. A full time secondary student who is graduating and has applied to be enrolled in the Italian

Languages, Literatures, and Cultures Program at the University of Windsor.





3.1. Applications will be evaluated by the CIBPA Scholarship Committee with emphasis given to Academic Excellence as well as consideration given to community involvement, level of Study and

financial need.






5.1.2. An official transcript of grades;



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5.1.3. A plan of study; 5.1.4. A statement describing the applicant's community involvement; 5.1.5. Information confirming the applicant's financial need should the applicant wish this criterion to

be considered; and,









P.O. Box 502

Windsor, Ontario

N9A 6M6





Documents

SCHOLARSHIP / BURSARY APPLICATION...c/o P.O. Box 502, Windsor, Ontario, N9A 6M6 Page 1 of 5 Canadians of Italian Heritage Building Business and Professional Networks Across Canada