Ometz Education Scholarship
First Name:
Last Name:
Home address:
Province:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code/Zip:
E-mail:
Date of birth:
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2015
2016
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2019
2020
2021
2022
2023
2024
2025
2026
Date registered with Ometz:
01
02
03
04
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31 /
01
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1950
1951
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1953
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2001
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2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Name of Ometz worker (if applicable):
Date of arrival in Canada (if applicable):
01
02
03
04
05
06
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09
10
11
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31 /
01
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1950
1951
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2001
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2006
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2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Upload proof of Permanent Residency, Canadian Citizenship, or Study Permit: Upload file should be in one of the following formats: JPG, GIF, PNG, PDF, DOC, DOCX
The file should not exceed 1MB
Have you previously applied for an Ometz Education Scholarship but not been selected?
If yes, what year did you apply?:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31 /
01
02
03
04
05
06
07
08
09
10
11
12 /
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Most Recent Academic History: Upload most recent official educational institution transcript:
Upload file should be in one of the following formats: JPG, GIF, PNG, PDF, DOC, DOCX
The file should not exceed 1MB
Most recent institution attended:
High School
Vocational School
Post-secondary School (university or college)[
Graduate/ Professional School
Other
Name of School:
Name of Program: Currently Attending or Accepted
Dates Attended:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
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25
26
27
28
29
30
31 /
01
02
03
04
05
06
07
08
09
10
11
12 /
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Degree/Diploma: Indicate if expecting to graduate or already graduated
What year of your program are you in?
Year 1
Year 2
Year 3
Year 4
Graduate Studies
Other:
If other, please specify:
Proof of acceptance or enrolment in an academic or vocational institution for the 2026-27 school year: Upload file should be in one of the following formats: JPG, GIF, PNG, PDF, DOC, DOCX
The file should not exceed 1MB
Award: Indicate both Canadian and non-Canadian
Institution/Organization:
Award 2: Indicate both Canadian and non-Canadian
Institution/Organization 2:
Award 3: Indicate both Canadian and non-Canadian
Institution/Organization 3:
Name of Organization: Include both Jewish and non-Jewish community involvement, past and present, that demonstrates your commitment to leadership, service, and community engagement.
Number of years you volunteered with them:
Description of volunteer involvement:
Name of Organization 2:
Number of years you volunteered with them 2:
Description of volunteer involvement 2:
Name of Organization 3:
Number of years you volunteered with them 3:
Description of volunteer involvement 3:
Please list other activities (clubs, organizations, sports, musical or artistic interests, etc.):
Upload document: Personal Statement that identifies your future career plan, your academic goals, and anything you would like to add (maximum 500 words) .
Upload file should be in one of the following formats: JPG, GIF, PNG, PDF, DOC, DOCX
The file should not exceed 1MB
Financial Need and Personal Circumstances: Please describe how this scholarship would support your educational goals, and any personal circumstances you would like the Scholarship Committee to consider.
Upload file should be in one of the following formats: JPG, GIF, PNG, PDF, DOC, DOCX
The file should not exceed 1MB
Name: Recommendation letters must be from non-family members (i.e. teachers, community leaders, employers, Ometz professionals, etc.) who can speak to your career plans, academic goals and/or character.
Address: At least one of your references must be local (i.e. Canadian).
Phone number:
E-mail:
Position:
Upload recommendation letter for Reference 1 Upload file should be in one of the following formats: JPG, GIF, PNG, PDF, DOC, DOCX
The file should not exceed 1MB
Name: Recommendation letters must be from non-family members (i.e. teachers, community leaders, employers, Ometz professionals, etc.) who can speak to your career plans, academic goals and/or character.
Address: At least one of your references must be local (i.e. Canadian).
Phone number:
E-mail:
Position:
Upload recommendation letter for Reference 2: Upload file should be in one of the following formats: JPG, GIF, PNG, PDF, DOC, DOCX
The file should not exceed 1MB
How did you hear about Ometz
Email
Ometz website
Social media
Youth organizations/synagogue/school
Word of mouth
Other
If Other, please specify:
Certification of Information
Consent for Scholarship Promotion
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