Colin Hackett Award - Application

SELECTION CRITERIA

The successful applicant must meet all of the following criteria:

A member in good standing with the North Region and at a minimum a Level 2 official.
Resident of the Region for the past season and the current season.
18 years of age by December 15 of the current season.
Active official working games in the North Region.
Attending a post secondary institution in a recognized program on a full time basis (min. of three classes per semester).
Volunteer experience you have provided as a mentor/leader on and off the ice.

SCHOLARSHIP SELECTION COMMITTEE

A scholarship committee will select the winner each year. The committee consists of two executive members and one member at large.

SCHOLARSHIP APPLICATION

The application period is January 1 to March 1 each year. Applications will not be considered received until all of the required information has been received by the committee.

Colin Hackett Award - Application

Complete the application form to be considered for the Colin Hackett Award.

Required Fields *

Official’s Information

First Name: *

Last Name: *

Address: *

City: *

Postal Code: *

Phone: * () - -

Email: *

Date of Birth: *

Officiating History

HCOP Level: *

Categories of Hockey Currently Working: *

Outline your officiating history (years worked, accomplishments etc): *

Outline your contributions locally and to the North Region: *

Please list your contributions to volunteering as a mentor/leader on and off the ice: *

Academic Information

Provide a summary of your academic history (include school, years attended, and program): *

Upload a PDF of your current academic transcript: *

Attach an essay (200-1000 words) outlining why you should receive the award: *

Attach Letter of Reference from a person in Officiating: *

Attach other Letter of Reference: *

Colin Hackett Award - Application

Colin Hackett Award - Application

Official’s Information

Officiating History

Academic Information

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