Status Institution Name Start Date Length of Program Field of Degree or of Studies Program Study Diploma (ie. Submitted, accepted) Sought * Extracurricular and Community Activities Please use the following page to demonstrate volunteer, community and/or extracurricular activities. List most relevant extracurricular activities to this application. Activity Type Name of Activity Start End Date Total Payment Mandatory (volunteer, Date Hours Received Service community, (Y/N) Requirement extracurricular or (Y/N) part time work) Details of Role Activities and Accomplishments: Activity Type Name of Activity Start End Date Total Payment Mandatory (volunteer, Date Hours Received Service community, (Y/N) Requirement extracurricular or (Y/N) part time work) Details of Role Activities and Accomplishments:
Status (ie. Submitted, accepted) Institution Name Start Date of Studies Length of Program Program Field of Study Degree or Diploma Sought * Extracurricular and Community Activities Please use the following page to demonstrate volunteer, community and/or extracurricular activities. List most relevant extracurricular activities to this application. Activity Type (volunteer, community, extracurricular or part time work) Name of Activity Start Date End Date Total Hours Payment Received (Y/N) Mandatory Service Requirement (Y/N) Details of Role Activities and Accomplishments: Activity Type (volunteer, community, extracurricular or part time work) Name of Activity Start Date End Date Total Hours Payment Received (Y/N) Mandatory Service Requirement (Y/N) Details of Role Activities and Accomplishments:
Rogers2018_Scholarship-Application-Form.docx