Fillable Coast Capital Youth Education Awards

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Coast Capital Youth Education Awards

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Country of origin: CANADA
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Coast Capital Youth Education Awards
2021 Application Form
1
At Coast Capital Savings Federal Credit Union (“Coast Capital” or ”we/our”), we are focusing our community
investment towards initiatives that support youth. The Youth Education Awards reward students who have stayed
committed to their education, even through adversity. Whether it’s nancial difculties, family issues, personal
loss, lack of supports, or health challenges, our Youth Education Awards can help.
For 2021, we’re offering the following Education Awards:
To be eligible to receive a Youth Education Award, you must meet these ve requirements
at the time that you apply:
1. You must be a Canadian citizen or permanent resident;
2. You must have been a resident in BC for at least six months;
3. You must graduate from high school during the 2020/2021 school year, from one of the participating school
districts in: Metro Vancouver, Fraser Valley, mid-Vancouver Island, southern Vancouver Island and Central and
Northern Interior;
4. You must have plans to attend an accredited Canadian university, college or technical school in the
2021/2022 school year;
5. You have not previously received a Youth Education Award.
Standing Tall Award 43 Awards of $3500 available
Our Standing Tall Awards support youth who have faced adversity and have not only risen up against the
odds, but are demonstrating a commitment to continue their education. This award is open to students
who have faced challenges like poverty, health issues, family issues, personal loss, or lack of supports
(for example, youth who are, or who have been, in government care).
Beth Hutchinson Award One $5000 Award available
The Beth Hutchinson Award recognizes the young person in Surrey who best exemplies a commitment
to continuing their education in the face of considerable health challenges. Beth was an inspirational
2012 Standing Tall winner from Surrey. We’re honouring her memory by making the Beth Hutchinson
Award available to a student from her home community.
For more information about our awards, please visit coastcapitalsavings.com/awards.
Coast Capital Youth Education Awards
2021 Application Form
2
Selection process:
We rely on the individual school districts to select the award recipients. School counsellors will submit your
application to your school district’s selection committee for review, and the awards will be presented at your year-
end awards ceremony.
Submitting your application:
If you are a student and would like to be considered for an award, please submit your completed Application Form
and Media Consent & Release Form to your school counsellor. Each district follows their own review process and
timelines, so be sure to check the award and deadline information on the Coast Capital website.
Consent to Publicize Your Information
If you are selected as a recipient of one of our Youth Education Awards, the information provided in this Application
Form may be used by Coast Capital for promotional purposes, including in the media, to showcase your
achievement and Coast Capital Youth Education Awards program. Coast Capital will do this ONLY IF YOU PROVIDE
YOUR CONSENT in the attached Media Consent & Release Form. If you do not wish any of your information to be
used in this way, please indicate that on the Media Consent & Release Form. If you do not consent, your application
is NOT affected in any way. If you win, we will ask your consent a second time, in case you have changed your mind.
Coast Capital Youth Education Awards
2021 Application Form
3
Student Information
Which award are you applying for?
Please check the boxes below to conrm that you meet all of the following requirements:
Are you currently a Coast Capital member? (please note that this does NOT affect your application in any way and
that we’re simply hoping to learn more about our applicants’ demographics)
 Yes  No
Please tell us how you have learnt about the Youth Education Awards so we can better market
this program in the future:
 Standing Tall Award - $3500  Beth Hutchinson Award - $5000 (for students in Surrey School District only)
 You are a Canadian Citizen or permanent resident
 You are graduating high school during the 2020/2021
school year
 You are a resident of British Columbia
(for at least 6 months)
You are planning to attend an accredited Canadian
university, college or technical school in the 2021/2022
school year
 You have not previously received a Youth
Education Award
 School Counsellor  Friend  Parent  Online search for Education Awards
 Other (please specify)
First Name and Middle Initial Last Name
Preferred Name
Address
City Province Postal Code
Home Phone Mobile Phone
Email Address
Coast Capital Youth Education Awards
2021 Application Form
4
Written Statements (500 words maximum each)
In a written statement, please tell us:
1. How have you faced or continue to face adversity and have not only risen up against the odds, but demonstrated
a commitment to pursuing your education
- OR –
For the Beth Hutchinson Award (available to students in the Surrey School District only), please tell us how you
exemplify a commitment to continuing your education in the face of considerable health challenges.
School Information
School Name and District
Address
City Province Postal Code
School Contact Name Title
Phone Number Email Address School Award Ceremony Date (if known)
Coast Capital Youth Education Awards
2021 Application Form
5
2. What would winning this award mean to you in terms of helping you achieve your post-secondary aspirations?
3. What are your post-secondary plans and why?
4. If you could share one piece of advice with other youth facing personal hurdles (such as poverty, health
challenges, family issues, personal loss, and lack of supports), what would it be?
Coast Capital Youth Education Awards
2021 Application Form
6
Student Name: (Please type your name) Date
Name of School District Representative (for school district to complete)
Title of School District Representative (for school district to complete) Date
Coast Capital Youth Education Awards
Media Consent & Release Form
7
I, _____________________________________________________________________________________ (type full name), in
exchange for participating in the Coast Capital Youth Education Awards program, agree to the following:
1. I give Coast Capital Savings Federal Credit Union (“Coast Capital”) permission to use the information provided
in this Application Form, (the “Material”), for promotional purposes (including posts and advertisements on
social media, the Coast Capital website, newspapers and other online and print platforms) related to the Youth
Education Awards program.
2. I agree that in giving this right and permission:
 Coast Capital may use the Material including my full name and photograph.
 Coast Capital may use the Material including my rst name only, but not my last
name or my photograph.
3. I agree that Coast Capital or a third party such as a communications consulting rm, working with Coast Capital
may use the Material through any media or printed format (such as newspaper, website or social media) without
compensation to me.
4. I understand that the Material may be available to the public indenitely.
5. I understand that the Material may be edited and I understand I may not have the chance to approve any nal
product, including any related social media posts, online materials, advertising copy, or printed matter, or how it
is used.
6. I understand that the Material may be used in the future for promotional purposes without my knowledge,
permission or compensation.
7. I understand that if Coast Capital authorizes third parties to republish the Material, Coast Capital may not have
control over the lifecycle of the content (i.e. when it is posted or published, when it is taken down).
8. I agree to release Coast Capital and its authorized representatives from any and all liability or fault arising out of
their publication, use, copyright, and/or republication of the Material. I agree not to make any claim against them
as a result of their publication, use, copyright, and/or republication of the Material.
OR
 I do not give Coast Capital permission to use any information in the Material in any way.
By signing below, I acknowledge that I am 17 years of age or older and that I have read this Media Consent and
Release Form and fully understand and agree to its terms, OR I am the Parent or Guardian of the above named award
applicant, and I acknowledge by signing below that I have read this Media Consent and Release Form and I fully
understand and agree to its terms on his/her behalf.
Award Applicant’s signature (type name here) OR
Signature of Parent/Guardian (type name here)
Dated ___________________________________, 2021
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Completed 26 February 2021

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