IEEE Canadian Foundation - Scholarship Nomination Form



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On-line Nomination for an IEEE Canadian Foundation Scholarship
Instructions to fill out this form *The student branch counselor is to complete all sections of this form and submit electronically.* *Only IEEE student branches in Canada with active IEEE McNaughton Learning Resource Centres are eligible to nominate students to receive IEEE Canadian Foundation scholarships.* *Complete all sections of this form and press the submit button.* *You will not be able to submit this form unless you complete ALL sections.* *Please read the information about application for scholarships and operation of McNaughton Centres available on this web site*

Step 1: Please identify yourself and your university or college
1.1 I am the Branch Counsellor	Yes No
1.2 Enter your full name (surname last)
1.3 Enter your e-mail address
*The e-mail address you enter above should be the one used to send this electronic letter of recommendation so that the foundation can verify the sender*
1.4 Select your university or college from this list:
(if your university or college is not on this list, it means you do not have a McNaughton Centre and are not eligible for this Scholarship)

Step 2: Please identify the student you are nominating for this scholarship
2.1 I nominate the student whose full name (surname last) is:
2.2 The student e-mail address is:
2.3 I certify that this nominee in his/her penultimate undergraduate year	Yes No
2.4 Please provide the wording for the citation relating to this nomination:


Step 3: Please provide your comments in the three areas below to support this application
3.1 Please confirm that you have read the declaration form prepared by the student you are nominating, and that you are familiar with the activities of both the student and the branch.	Yes No
3.2 Please confirm the accuracy of the information provided by your nominee in the on-line form or tell us what is incorrect or in what way it is inaccurate.

3.3 Please tell us why you believe this student is the most deserving of this scholarship among the current group of student branch members.

3.4 Please tell us your opinion of the benefits that this student has provided to your Centre and Branch.

3.5 Please tell us your opinion of the benefits you anticipate that this student will provide to your Centre and Branch during the next year.

Step 4: Submit your Nomination. Make sure that you have completed ALL sections of this form and that your nominee submits his/her declaration form. you should receive a copy of that report form output).
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