2023/24 Andre De Grasse Future Champions Scholarship Program

Program Application

Application Timelines

Application Period Opens: June 1, 2023

Application Period Closes: July 31, 2023

Program Applicants Selected: Sept 2023

***Note the Andre De Grasse Future Champions Scholarship Program is targeted to Canadian High-School Student Athletes.

If you have any questions about the Andre De Grasse Future Champions Scholarship Program please contact:

Chris Winter
Director, Domestic Program & Safe Sport
Athletics Canada / Athlétisme Canada
T: (236) 330-5289
E: Chris.Winter@athletics.ca

Question Title

* 1. Are you a current member of a Track & Field Club?

Yes

If Yes, please list which one.

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* 2. Athlete Information

Name

Date of Birth

Address

City/Town

Province/Territory

Postal Code

Sex

Email Address

Phone Number

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* 3. Do you hold Canadian Citizenship?

Yes

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* 4. Which of the following underrepresented populations do you identify? (Check any that apply or leave blank)

Ethnic or Religious Minority (ex BIPOC)

Girls or Women

Indigenous

LGBTQ+

Low Income

Newcomer to Canada or Refugee

Person with Disability

Other (please specify)

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* 5. Parent/Guardian Information

Name

Relationship

Address

Email Address

Phone Number

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* 6. Coach Information

Name

School/Club/Other

Email Address

Phone Number

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* 7. Academic Information

High School

Grade (As of September 2023)

School Address

City/Town

Province/Territory

School Phone Number

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* 8. Upload Letter of Support from School Principal or Teacher

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 9. Primary Event

Event (i.e. 100m)

Personal Best

2023 Seasons Best

2022 Seasons Best

Placing at 2023 Prov/Terr High School Championships

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* 10. Link to 2023 Prov/Terr High School Championship Results (Primary event)

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* 11. Link to 2023 Prov/Terr High School Championship Results (Secondary event)

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* 12. Secondary Event

Event (i.e. 200m)

Personal Best

2023 Seasons Best

2022 Seasons Best

Placing at 2023 Prov/Terr High School Championships

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* 13. Other Athletic Information

Other Sports Played (2022/2023)

Relevant Achievements

Athletic Awards

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* 14. Reference #1

Name

Relationship

Email Address

Phone Number

Question Title

* 15. Reference #2

Name

Relationship

Email Address

Phone Number

2023/24 Andre De Grasse Future Champions Scholarship Program

Program Application

Question Title

* 1. Are you a current member of a Track & Field Club?

Question Title

* 2. Athlete Information

Question Title

* 3. Do you hold Canadian Citizenship?

Question Title

* 4. Which of the following underrepresented populations do you identify? (Check any that apply or leave blank)

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* 5. Parent/Guardian Information

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* 6. Coach Information

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* 7. Academic Information

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* 8. Upload Letter of Support from School Principal or Teacher

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* 9. Primary Event

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* 10. Link to 2023 Prov/Terr High School Championship Results (Primary event)

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* 11. Link to 2023 Prov/Terr High School Championship Results (Secondary event)

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* 12. Secondary Event

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* 13. Other Athletic Information

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* 14. Reference #1

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* 15. Reference #2

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* 16. Additional Information (Optional) (i.e. Family Background, Education, Volunteerism, Athletics, etc.)