The Andrew Goussaert Memorial Scholarship

Objective: To provide funding support to students affiliated with communities within the Arctic Co-operatives Limited (Arctic Co-ops) network, while pursuing post-secondary education.

All personal information gathered through the application process will be kept private and confidential by Arctic Co-ops, and it will not be shared with third parties. The information gathered will only be used for determining the award recipients of the scholarship.

How to Prepare Your Application

Since you cannot save your application form and return, its best to prepare in advance before filling this form. We have prepared a check list to help you determine what you need:


Application Checklist

  • Confirmation of graduation (high school transcript, copy of diploma, or other documentation)
  • Assignment Submission
  • Confirmation of enrollment into your post-secondary program (optional)
  • Letter of reference (optional)
  • Completed application form with Signature of Consent and Declaration

Looking for more info? Visit our How to Prepare Your Application page before proceeding.

 


Eligibility


  • Must be affiliated (either live within or are from) with a community within the Arctic Co-ops network (Arctic Bay, Arviat, Baker Lake, Cambridge Bay, Cape Dorset, Chesterfield Inlet, Colville Lake, Coral Harbour, Deline, Ft. Good Hope, Fort McPherson, Gjoa Haven, Grise Fiord, Sanirajak, Igloolik, Kimmirut, Kugaaruk, Kugluktuk, Lutsel K’e, Naujaat, Old Crow, Pangnirtung, Pond Inlet, Qikiqtarjuaq, Rankin Inlet, Resolute Bay, Sanikiluaq, Taloyoak, Uluhaktok, Whale Cove, Yellowknife).

  • Must complete a high school education (or equivalent) by July 1st, 2021

  • Must be enrolled (or have intent to enroll) in a Post-Secondary program within the year 2021 (programs include any university or college institution, any trade or certification, and includes any programs provided by Nunavut College, Aurora College, or Yukon University).

  • Preference to students studying full-time within Canada

All interested applicants must complete and submit the application form, submit confirmation of graduation (high school transcript, copy of diploma or other documentation), confirmation of enrollment into your post-secondary program if applicable.


Personal Info


Demographic Info


The following section for demographic identification is optional and not required in order to submit your application. Arctic Co-ops is committed to equity, diversity and inclusion and recognizes that students are a diverse group of people with diverse needs. We welcome applications from all qualified individuals and encourage women, racialized persons, Indigenous persons, persons with disabilities, and 2SLGBTQ+ persons to confidentially self-identify at time of application using the form below.


Educational status at time of application


Aspirations


Post Secondary Program


Assignment Submission

This application requires completion of an assignment. Please visit our how to prepare your application page to find more details. Assignments can be submitted at the bottom of this application form.

Consent and Declaration

I, the undersigned, hereby consent to the perpetual use by Arctic Co-ops and any affiliates of my photograph, likeness and/or any part of my submission including art, recordings and including, but not limited to, any of those identified above in the assignment section (the Submission) for the promotion or furthering the mission of Arctic Co-ops Post-Secondary Scholarship or for any other purpose in Arctic Co-op’s discretion. I understand that I will not receive separate compensation or consideration from Arctic Co-ops or anyone else for the permission granted in this Consent nor for the actual publication or use of my Submission. By signing this Consent, I understand I am releasing Arctic Co-ops from any and all liability that may occur as a direct or indirect result of Arctic Co-op’s use of my Submission, the release of my identity, or any public relations materials.

 

I declare that the information provided in this application is true and correct. I understand that any wilful dishonesty by me may result in my application being denied or if such dishonesty is identified after any award of funds, such funds will be immediately due and owing to Arctic Co-ops. I confirm that I am a Canadian citizen and eligible to enroll in post-secondary education.


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Sign Here

Application Checklist

  • Confirmation of graduation (high school transcript, copy of diploma, or other documentation)
  • Assignment Submission
  • Confirmation of enrollment into your post-secondary program (optional)
  • Letter of reference (optional)
  • Completed application form with Signature of Consent and Declaration

Don’t forget to attach your files! Not sure how to prepare your attachments? Visit our How to Prepare your Application page for more information.

You are welcome to attach multiple files to your application.