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Student Declaration for an
IEEE Canadian Foundation Scholarship

  Instructions to complete this form:       
  • The student nominee is to complete all sections of this form and submit electronically.
  • The nominee must be

    • a student member of IEEE,
    • in a Canadian IEEE student branch with an active IEEE McNaughton Learning Resource Centre,
    • registered in his or her penultimate undergraduate year,
    • and have been active in the Centre for a minimum of one year.
  • It is recommended to prepare this declaration using a word processor or editor and keep a copy for any future use.
  • Please read the information about nominations for scholarships and operation of McNaughton Centres available on this web site.  
  • You will not be able to submit this form unless you  complete ALL sections..

 Step 1: Please identify yourself and your student branch
  1.1 Enter your full name (surname last)
  1.2 Enter your e-mail address
  1.3 Enter your student ID number (as assigned by   your institution)
  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)
  1.5 Enter your IEEE membership number
  1.6 Enter your position on your IEEE student   branch executive
  1.7 Enter the full name (surname last) of your   branch counselor who must complete and submit   the on-line nomination form.
  1.8 Enter your branch counselor e-mail address
  (this address will be used to send a copy of your submission to your branch counselor)

 Step 2: Please provide information about your branch and centre
  before continuing, check the information on the foundation web site. If any of the information is incorrect, please   use the update form to send corrections (or have someone else do this before you submit this form.
  2.1 Please confirm that your student branch has   updated its contact details displayed on the IEEE   Canadian Foundation web site. Correct    Correction sent    Incorrect
  2.2 Please confirm that the entrance to your centre is clearly signed as:

IEEE McNaughton Learning Resource Centre at (School Name)
Sponsored by the IEEE Canadian Foundation

Correct Incorrect
  2.3 Please confirm that your centre has the framed photograph of General McNaughton prominently   displayed.
  This photograph was provided at the formal opening of your centre
Correct Incorrect
  2.4 Please confirm that your student branch has a web site and at least one web page describing your   McNaughton Centre and that both URLs are linked from the IEEE Canadian Foundation web site.
Correct Incorrect

 Step 3: Please tell us about your involvement with your Centre and Branch
WARNING: "When you cut and paste into the following text boxes, the text will be truncated to the maximum allowed"
  3.1 Check the number of years have you been an IEEE member round up - use 1 for half year etc.)
4 , 3 , 2 , 1 , 0
  3.2 Tell us what Centre Committees you have served on or chaired, and state your most    important contributions

Number of Characters = of 900
  3.3 Tell us about other Centre activities you have been involved in

Number of Characters = of 900
  3.4 Give us the best example where you demonstrated leadership in your Centre

Number of Characters = of 900
  3.5 Describe how the Centre has enabled and contributed to your activities

Number of Characters = of 900
  3.6 Tell us what Branch activities, committees served on or chaired, and state your most   important contributions

Number of Characters = of 900
  3.7 Tell us what you want to accomplish for and with your Centre as a scholarship holder

Number of Characters = of 900
 Step 4: Submit your Declaration.
  Note 1: your branch counselor should automatically receive a copy of this declaration form output.
  Note 2: make sure that your branch counselor submits the nomination form on your behalf.

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