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L L A A R R O O C C C C A A M

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Recognizing

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SSEERRVVIICCEE

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2011 Information & Application Package

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About the La Rocca Bursary

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((BBuurrssaarryy RReecciippiieenntt 22000044))

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VVaanneessssaa LLoovviissaa ((BBuurrssaarryy RReecciippiieenntt 22000066))

About the La Rocca Memorial Society

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PPaarruull TTaannddoonn ((BBuurrssaarryy RReecciippiieenntt 22000077))

BBuurrssaarryy AAddmmiinniissttrraattoorr

 

Simran Chattha (Bursary Recipient 2007)

 

BBuurrssaarryy AAwwaarrdd SSeelleeccttiioonn CCoommmmiitttteeee

The Bursary

PPeetteerr AAlluuzzzzoo

 

CChheettaann PPaauull SSiinngghh

 

VViiccttoorriiaa JJoohhnn

 

PPaarruull TTaannddoonn

(i) a cash award of $250.00;

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(ii) a commemorative medal; and

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MMaappllee,, OOnnttaarriioo

 

LL66AA 11SS33

WWeebbssiittee:: wwwwww llaarrooccccaa ccaa Email: bursary@larocca.ca

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 community. Established in 2002, the La Rocca Bursary Program is administered by the La Rocca Memorial Society.

The La Rocca Memorial Society 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 La Rocca Memorial Society 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.

In 2011, the board of directors of the La Rocca Memorial Society authorized the award of up to 16 bursaries. The La Rocca Bursary consists of:

(iii) publication of the recipient’s name and photo in a local newspaper.

L L A A R R O O C C C C A A M

LLAA RROOCCCCAA MMEEMMOORRIIAALL SSOOCCIIEETTYY

Recognizing

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SSEERRVVIICCEE

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Criteria

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VVaanneessssaa LLoovviissaa ((BBuurrssaarryy RReecciippiieenntt 22000066))

1. be between the ages of 15-24 as at May 2, 2011;

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3. have not previously received a La Rocca Bursary.

PPaarruull TTaannddoonn ((BBuurrssaarryy RReecciippiieenntt 22000077))

BBuurrssaarryy AAddmmiinniissttrraattoorr

 

Simran Chattha (Bursary Recipient 2007)

 

BBuurrssaarryy AAwwaarrdd SSeelleeccttiioonn CCoommmmiitttteeee

PPeetteerr AAlluuzzzzoo

 

CChheettaann PPaauull SSiinngghh

 

VViiccttoorriiaa JJoohhnn

 

Selection Process

PPaarruull TTaannddoonn

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LL66AA 11SS33

WWeebbssiittee:: wwwwww llaarrooccccaa ccaa Email: bursary@larocca.ca

Page 2

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.

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:

2. be a resident, attend school full-time, or actively participate in a community group within the City of Vaughan;

Note that for individuals to be considered for the La Rocca Bursary, volunteer involvement in the community must be significantly more than the minimum community-service requirements of the Ontario Ministry of Education.

Applicants should note that a recipient from each school or community group is not guaranteed; bursaries will only be awarded if requirements in the rubric have been met to the satisfaction of the Bursary Award Selection Committee (a copy of the rubric has been enclosed with this application package).

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 Committee.

The Bursary Award Selection Committee meets in May of each year to review applications and select recipients in accordance with the selection criteria.

Decisions of the Bursary Award Selection Committee are final, binding and not subject to review.

L L A A R R O O C C C C A A M

LLAA RROOCCCCAA MMEEMMOORRIIAALL SSOOCCIIEETTYY

Recognizing

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SSEERRVVIICCEE

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Application Deadline

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((BBuurrssaarryy RReecciippiieenntt 22000044))

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a) a signed application form

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b) a letter of reference

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c) a statement outlining the candidate’s experiences

d) a passport-sized colour photo

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Completed application packages should be mailed to:

PPaarruull TTaannddoonn ((BBuurrssaarryy RReecciippiieenntt 22000077))

La Rocca Memorial Society 9926 Keele Street West

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P.O. Box 454 Maple, Ontario L6A 1S3

Simran Chattha (Bursary Recipient 2007)

 

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Contact

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Inquires about the La Rocca Bursary Program may be directed to:

CChheettaann PPaauull SSiinngghh

 

VViiccttoorriiaa JJoohhnn

 

Simran Chattha Bursary Administrator bursary@larocca.ca

PPaarruull TTaannddoonn

VVaanneessssaa LLoovviissaa

LLaa RRooccccaa MMeemmoorriiaall SSoocciieettyy 99992266 KKeeeellee SSttrreeeett WWeesstt

 

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MMaappllee,, OOnnttaarriioo

 

LL66AA 11SS33

WWeebbssiittee:: wwwwww llaarrooccccaa ccaa Email: bursary@larocca.ca

Page 3

Completed application packages must be received by May 2, 2011. Incomplete packages will not be considered. For an application package to be considered by the Bursary Award Selection Committee, it must include all of the following:

L L a a R R o o c c c c a a Y

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Recognizing

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SSEERRVVIICCEE

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BBooxx 445544,, MMaappllee,, OOnnttaarriioo,, LL66AA 11SS33

2011 La Rocca Bursary Program Application Form

GENERAL PERSONAL INFORMATION

Full Legal Name:

Date of Birth:

Full Address and Postal Code:

Email:

Home Telephone:

Mobile Telephone:

Name of School:

Most Recently Completed Level of Education:

I have included in this application a statement (500 words or less) outlining why I am an ideal candidate to receive a La Rocca Bursary Award.

I have included in this application a passport-sized colour photograph.

I have included in this application a recent letter of reference from an individual that can attest to my contributions to the community (the reference letter cannot be written by a family member or friend).

Privacy Statement

be written by a family member or friend) . Privacy Statement Yes Y e s Yes

be written by a family member or friend) . Privacy Statement Yes Y e s Yes

be written by a family member or friend) . Privacy Statement Yes Y e s Yes

Yes

Yes

Yes

family member or friend) . Privacy Statement Yes Y e s Yes No N o No

family member or friend) . Privacy Statement Yes Y e s Yes No N o No

family member or friend) . Privacy Statement Yes Y e s Yes No N o No

No

No

No

Personal information under the control of the La Rocca Memorial Society 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 La Rocca Memorial Society; 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 La Rocca Memorial Society 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 statements and use of my personal information by the La Rocca Memorial Society.

Signature of Applicant (Or of parent / guardian if applicant is not age of majority)

FOR OFFICE USE ONLY

Date:

Date

Date Acknowledgment

Bursary

Selection

Application

Date of

Board Member

Application

Email Sent

Administrator Pre-

Committee Final

Response Letter

Award

Attending to

Received

Ranking

Decision

Issued

Present