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Scholarship Application Form
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Place des Arts Scholarship Program Application
Deadline to apply for 22/23 Scholarships: January 15, 2023
Separate applications are required for each scholarship that you wish to apply for.
Late applications will not be accepted.
The decision of the scholarship committee is final.
Personal Information
Applicant First Name
*
Applicant Last Name
*
Birthdate
*
mm/dd/yy
Parent / Guardian Information
Parent / Guardian First Name
*
Parent / Guardian Last Name
*
Relationship to Applicant
*
Parent
Guardian
Contact Information
Phone Type
*
Cell
Home
Work
Phone Number
*
Email
*
Applicant Artistic Information
Select Discipline(s)
*
Dance
Literary Arts
Music
Theatre Arts
Visual Arts
How long have you been studying at Place des Arts?
*
Select the Place des Arts Teacher you have asked for a recommendation letter from:
*
Aleksandra Dziobek
Amanda Lau
Aouda Yen
Ashley Binette
Bernadette Rollin
Cara Bain
Catherine Dumaine
Christina Krystecki
Christine Bissonnette
Naomi Fong
Clive Tucker
Dan Severance
David Lloyd
Dawn Livera
Dayton Chan
Derek Pang
Dina Kholina
Emily Mustard
Frank Bond
Fredi Rahn
Garth Preston
Geeta Das
Genevieve MacKay
Herbert Tsang
Irina Jilina
Isaac Juarez-Flores
Jason Overy
Jimmy Baldwin
Joanna Kovats
Joshua Dean
Karen Wood
Kat Gillis
Kenten Bowick
Krista Pederson
Krystal Morrison
Kyla Powell
Lena Savic
Lucienne Anczykowski
Vin Arora
Marcel Tremel
Marjory Purdy
Meredith Bates
Monica Han
Noel McRobbie
Noelle Horrocks
Rebecca Blair
Rita Attrot
Robin Chan
Rosie Carver
Rosie Kerschbaumer
Sarab Shamoun
Seamus Fera
Simran Toor
Shelby Simmons
Stan Hunc
Stefan Nazarevich
It is the student’s responsibility to request the recommendation letter from the selected teacher be emailed to scholarships@placedesarts.ca by the application deadline.
Grade Level for Music
Level/Length of Study (Other Discipline)
Which Scholarship are you applying for?
*
Coquitlam Maillardville Heritage Trust Award (CMHT)
Don Portelance Scholarship for Advanced Visual Arts Studies
Elliott Harty Piano Scholarship
Fern Bouvier Arts Legacy Award
Junior Place des Arts Scholarship
Leonore Peyton Memorial Award
Place des Arts Scholarship
Scholarship for Advanced Musical Studies
W.H. Sclater Memorial Scholarship
Statement of Intent
*
Please provide a brief statement (maximum 300 words) describing why you feel you are a good candidate for a scholarship from Place des Arts. This statement should be written by the applying student.
Awards / Recognition
Have you received any awards or recognition in your discipline?
In reverse chronological order (i.e. starting with your most recent award), please list: date received, the name of the award and indicate why you received the award/recognition.
#
Received
Award Name
Reason Received
Recent Exams / Class Marks
Please provide any recent exam marks, including music exams and/or school grades. The provided grades do not have to be related to your artistic discipline.
In reverse chronological order (i.e. starting with your most recent exam/class), please list: the date, name of the exam/class and your final grade.
You may upload a copy of your school transcript in place of or in addition to listing exam marks and grades below.
Upload Transcript
You may upload a copy of your school transcript in place of or in addition to listing exam marks and grades below. Max file size 1MB.
#
Date Completed
Exam / Class Name
Grade
Participation in Exhibitions, Festivals, Performances, Publications
Have you participated in festivals, performances or exhibitions? Or has your work been published?
In reverse chronological order (i.e. starting with your most recent Exhibition, Festival, Performance, Publication), please list: the date and name as well as details of the event.
#
Date of Event
Event Name and Details
Additional Classes, Workshops, Clinics or Master Classes
Have you attended any additional classes, workshops, clinics or master classes to hone your skills in a related discipline?
In reverse chronological order (i.e. starting with your most recent), please list date and name as well as details of the additional classes, workshops, clinics or master classes.
#
Date
Name and Details
Volunteer Work
Please indicate where you volunteer, what you do and your total volunteer hours contributed.
Extra-Curricular Activities
Please list your hobbies and interests that are applicable to your related discipline.
Example of Work
Students are highly encouraged to provide accompanying examples of their work as part of their Scholarship application. Please see the confirmation email you will receive once you click on the Submit button below for more information.
Examples of Work Details:
Performing Arts Students (Dance, Music, Theatre) provide a video (maximum 7 minutes).
Visual Arts Students provide up to 3 images of works created in the past 12 months.
**Please note: a portfolio of up to 6 digital images is required for students who are applying for the Don Portelance Scholarship for Advanced Visual Arts Studies.
Scholarship winners will be notified by March 2023
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