2015 Bursary Information & Application Package

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1 ALTRUISM SERVICE LIFE (2003) (2004) (2005) (2006) (2006), B.A.S (2007) (2010) 2015 Bursary Information & Application Package About the La Rocca Bursary The La Rocca Bursary Program honours the memory of Carabiniere (Police Officer) Alberto La Rocca by publicly recognizing youth for their outstanding and extraordinary acts in the. Established in 2002, the La Rocca Bursary Program is administered by the. About the The was formed to, inter alia: (i) establish and promote the La Rocca Bursary Program, (ii) organize cultural and recreational events that are consistent with the corporation s mission, objectives and values; and (iii) promote public interest in the history of Alberto La Rocca. The is managed by a volunteer Board of Directors, all of whom are past La Rocca Bursary recipients who continue to make wonderful and inspiring contributions to their communities. The Bursary In 2015, the Board of Directors of the has authorized the award of up to 10 bursaries. The La Rocca Bursary consists of: (i) a cash award of $250.00; (ii) a commemorative medal; and (iii) publication of the recipient s name and photo on our website. In cases where bursary winners are graduating high school in the year of receipt, bursaries will be presented personally to the recipient at the winner s high school graduation ceremony when possible. In all other cases, bursaries will be presented, when possible, at an equivalent public event.

2 ALTRUISM SERVICE LIFE Criteria Page 2 (2003) (2004) (2005) (2006) (2006) Successful applicants will have demonstrated an ongoing commitment to: (i) altruism (selfless acts), (ii) service (caring for others), or (iii) life (the primacy of life). To be eligible to receive the La Rocca Bursary, applicants must: 1. be between the ages of as at May 4, 2015; 2. be a resident, attend school full-time, or actively participate in a group within the City of Vaughan; 3. have not previously received a La Rocca Bursary., B.A.S (2007) (2010) Note that for individuals to be considered for the La Rocca Bursary, volunteer involvement in the must be significantly more than the minimum -service requirements of the Ontario Ministry of Education. Applicants should note that a recipient from each school or group is not guaranteed; bursaries will only be awarded if requirements in the rubric have been met to the satisfaction of the (a copy of the rubric has been enclosed with this application package). Selection Process Each year, the Board of Directors sets the number of awards to be distributed for the year, adopts selection criteria, and delegates selection responsibility to the Bursary Award Selection. The meets in May of each year to review applications and select recipients in accordance with the selection criteria. Decisions of the are final, binding and not subject to review.

3 ALTRUISM SERVICE LIFE (2003) (2004) (2005) (2006) (2006) Application Deadline Page 3 Completed application packages must be received by May 4, Incomplete packages will not be considered. For an application package to be considered by the Bursary Award Selection, all of the following must be included with your submission: a) a completed and signed application form b) a letter of reference confirming service c) a personal (see attached evaluation rubric) d) a small passport-sized colour photo, B.A.S (2007) Applicants are encouraged to submit their completed applications via to: *Please ensure all above mentioned documents are scanned and sent as attachments in one . (2010) Alternatively, completed applications can be submitted by mail to: Contact Inquires about the La Rocca Bursary Program may be directed to: Mr. Peter Aluzzo Chair of Bursary Award Follow us on or Like us on Facebook by searching

4 La Rocca Youth Bursary Award ALTRUISM SERVICE LIFE,, Maple, Ontario, L6A 1S La Rocca Bursary Program Application Form Full Legal Name: GENERAL PERSONAL INFORMATION Date of Birth (mm/dd/yy): Full Address and Postal Code: Home Telephone: Mobile Telephone: Name of School: Current Grade/ Most Recently Completed Level of Education: I have included with this application a (approx.500 words) outlining my involvement and why I am an ideal candidate to receive a La Rocca Bursary Award. Yes No I have included in this application a small passport-sized colour photograph. Yes No I have included in this application a recent letter of reference from an individual that can attest to my contributions to the (the reference letter cannot be written by a family member or friend). Privacy Statement Yes No Personal information under the control of the shall not, without the consent of the individual to whom it relates, be used except: (a) for the purpose for which the information was obtained or compiled by the ; or (b) for a use consistent with that purpose. By completing and authorizing this Application, you consent to the use of your personal information for: (a) processing of the application; (b) publication in publications; and (c) publication in the media. Applicant Declaration I hereby certify that all information is accurate and can be verified upon request; and that I have not been a recipient of this bursary previously. I hereby acknowledge and agree to the above privacy s and use of my personal information by the La Rocca Memorial Society. Signature of Applicant Date: (Or of parent / guardian if applicant is not age of majority) FOR OFFICE USE ONLY Date Application Received Date Acknowledgment Sent Bursary Administrator Checklist Selection Final Decision Application Response Letter Issued Date of Award Board Member Attending to Present Award

5 Applicant Full Name: TOTAL SCORE Date Application Received: The submitted application must meet the specified criteria listed below in order for the applicant to be considered further for the La Rocca Bursary. Please review the entire application received and check-off the appropriate boxes below. The applicant: 1. Must be between 15 and 24 years of age. 2. Must be a resident of the City of Vaughan OR attending school in Vaughan OR a member of an organization/ group within the City of Vaughan. 3. Must have fully completed and signed the Bursary application form. 4. Must have identified the school, the organization or the setting where they have made a contribution. 5. Must have submitted at least one (1) recent reference from an individual who directly supervised your activities and can attest to your contributions. (Please note: family members are not eligible to submit references). 6. Must have submitted a small passport-sized colour photo. 7. Must have submitted a 500 word personal outlining their involvement and why they feel they are an ideal candidate to receive La Rocca Bursary Award. (See Rubric Below) Please ensure that ALL of the boxes are checked before continuing on to evaluate the personal. Personal Statement Evaluation Rubric Category Level R Level 1 Level 2 Level 3 Level 4 Score Participating Citizen Identifies their Community Involvement 30 points Reflective Citizen Demonstrates understanding and importance of Altruism, 30 points Effective Communicator Shows Coherence & appropriate 5 points -The Applicant does not identify or describe what they do in their 14 and under -No reflection included identifying motivation to serve others -There is no reflection on Altruism, and the importance it plays in our 14 and under -No coherence in presented 0-1 La Rocca Youth Bursary Award ALTRUISM SERVICE LIFE 2015 La Rocca Bursary Application Evaluation Rubric -FOR SELECTION COMMITTEE USE ONLY- -Applicant inadequately involvement with an insufficient amount of detail Very little reflection benefits of volunteer work very little understanding of Altruism, Service and Life and the importance it plays in our Little coherence under developed 2 -Applicant vaguely involvement with a satisfactory amount of detail Little reflection benefits of volunteer work little understanding of Altruism, and the importance it plays in our Some coherence developing 3 -Applicant clearly involvement with an adequate amount of detail Adequate reflection benefits of volunteer work adequate understanding of Altruism, Service and Life and the importance it plays in our Adequate coherence developed 4 -Applicant thoroughly involvement with a comprehensive amount of detail /30 -Excellent reflection benefits of volunteer work strong understanding of Altruism, Service and Life and the importance it plays in our /30 -Strong coherence well developed 5 /5 Comments: Total: /65

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