Applications are being requested for the Sharon Elaine Sienko Memorial Awards.

Awards are to be given for students who demonstrate perseverance and determination
to do their best in spite of challenges.
The community-based awards for elementary and high school students in Grand Erie
District School Board will be for students who do their best with enthusiasm,
perseverance and positive attitudes.
The purpose of the awards is to acknowledge students who:
(a)
excel academically, socially and/or physically in spite of health challenges;
(b)
overcome barriers and disadvantages to achieve marked recent
improvement over past accomplishments;
(c)
make significant positive contributions to their school community;
(d)
are the everyday heroes who take care of others needing assistance;
(e)
consistently demonstrate positive attitudes and exemplary efforts.
This will be an annual award program and applications will be distributed to schools in
March 2013. Annually, up to four awards will be made to elementary school students
and up to two awards to high school students.
Award applications can be submitted by a teacher, educational assistant, secretary, or
support staff and must be supported by the Principal. Please complete the attached
application and submit it to the Brant Community Foundation by April 24, 2015.
The awards are overseen by the Brant Community Foundation. Please return the
application by mail, fax or email to:
Brant Community Foundation
30 Brant Avenue
Brantford, ON N3T 3G6
Phone: 519-756-2499
Fax: 519-756-2490
Email: info@brantcommunityfoundation.ca subject line must read: Sienko Memorial
Awards

30 Brant Avenue, Brantford, Ontario N3T 3G6 519-756-2499 519-756-2490 www.brantcommunityfoundation.ca

Vision Statement: Brant Community Foundation is a trusted agent and a catalyst for philanthropy, benefiting our community today and forever
Mission Statement: To attract and manage permanent funds from donors of all means and provide grants to charitable organizations in Brantford and Brant County.

Sharon Elaine Sienko Memorial Awards 2014/2015

Application Submitted by: _____________________________________
Contact Phone Number: ______________________________________
Principal: __________________________________________________
Name of Student: ____________________________________

Grade

School: ____________________________________________________
Parent has been notified and confirmed that school can share this information
Date of parents consent:________________________________
Date of Schools graduation or awards presentation ceremony:_______________________
Using the attributes described on page one as a guideline, please write in 250 words or less
why this student is deserving of this award:

Signatures:

__________________________________________

_____________________

Nominating Staff Member

Date

__________________________________________
Principal

_____________________
Date

30 Brant Avenue, Brantford, Ontario N3T 3G6 519-756-2499 519-756-2490 www.brantcommunityfoundation.ca

Vision Statement: Brant Community Foundation is a trusted agent and a catalyst for philanthropy, benefiting our community today and forever
Mission Statement: To attract and manage permanent funds from donors of all means and provide grants to charitable organizations in Brantford and Brant County.