The Rick & Amanda Hansen Scholarship for Youth with Disabilities

ELIGIBILITY CRITERIA

To be eligible for the 2024/25 Scholarships, an applicant must be:

Please confirm you meet the following eligibility criteria:

I am a person with a disability, defined as a functional limitation – whether permanent or episodic - which affects my ability to participate in post-secondary education.

I am a Canadian citizen or permanent resident of Canada.

I am eligible for domestic tuition at a publicly-funded post-secondary institution in Canada.

I will be under 30 years old as of May 31, 2024.

I will be enrolling full-time in the 2024/25 academic year for a 1- to 4-year post-secondary program.

I will be enrolling in a publicly funded Canadian institution.

I do not receive other financial awards that total more than $2,500 per year (excluding student loans). The Rick & Amanda Hansen Scholarship cannot be held concurrently with other education-related financial awards exceeding $2,500 in any given year.

I agree that it is my responsibility to ensure that any funding received from the Rick & Amanda Hansen Scholarship will not negatively affect the status of any benefits and subsidies that I am eligible for.

1. APPLICATION FORM

a. Personal Information

Prefix

Legal First Name

Legal Middle Name(s)

Legal Last Name

Preferred Name

Preferred Pronouns

Birthdate

Phone Number

Mailing Street

Mailing City

Mailing Province

Mailing Postal Code(A1AA1A)

b. Academic Institution & Program Information

Are you currently attending secondary school or post-secondary institution?

Name of Current School/Institution

Address of Current School/Institution

Tell us about the post-secondary program you will attend in 2024/25?

Name of Post-Secondary Institution

Street of Post-Secondary Institution

City of Post-Secondary Institution

Province of Post-Secondary Institution

Postal Code of Post-Secondary Institution (A1AA1A)

Program Name

Expected Program Start Date (MM/YY)

Expected Program Completion Date (MM/YY)

Qualification Earned upon Completion

Program Acceptance Status (As of application submission)

Proof of Enrollment or Acceptance (screenshot or acceptance letter is sufficient)

Have you ever not completed an educational program you began?

c. Tuition & Financial Award Information

What will be your annual tuition cost?

Are you receiving a scholarship or bursary this coming school year from any other source?

If yes – List them and amounts from highest to lowest value (up to 5)

Have you ever received a scholarship from the Rick Hansen Foundation before?

How do you emulate Rick and Amanda Hansen’s values of perseverance, inclusivity and being a difference maker? (Maximum 1500 characters, including spaces)

What are your career goals, and how will your selected program help you achieve them? (Maximum 1500 characters, including spaces)

How will this scholarship help you overcome financial barriers you may have?(Maximum 1500 characters, including spaces)

2. RESUME

Upload your 1-2 page resume, outlining professional skills, academic achievements, and community involvement.

3. REFERENCE LETTERS

Upload letters from two references. The letters should be comprehensive and attest to your achievements and potential.

At least one reference should be from an educator. Family members may not submit references.

a. Reference # 1 Information

Reference Full Name

Organization

Organization Mailing Address

Position

Primary Phone Number

Number Of Years Known the Applicant

Relationship to Applicant

Upload Reference Letter #1

b. Reference # 2 Information

Reference Full Name

Position

Organization

Organization Mailing Address

Primary Phone Number

Number of Years Known the Applicant

Relationship to Applicant

Upload Reference Letter #2

4. TRANSCRIPTS

Upload your two most recent years of secondary and/or post-secondary transcripts. Copies are sufficient.

5. PROOF OF DISABILITY

Upload a Proof of Disability Form completed by physician or psychiatrist to confirm that you have a disability.

SUBMISSION

I am submitting a complete package:

Completed Application Form

Resume

2 Reference Letters (at least one from an educator)

Transcripts

Proof of Disability Form

By submitting this document, I am stating that to the best of my knowledge, the above answers are correct and complete, and I have read and agree to the Terms and Conditions. I hereby authorize the Rick Hansen Foundation to verify information that I have provided in this application with organizations such as educational institutions and funding agencies. I understand that false or incomplete information will result in automatic disqualification of my application.

CONSENT

To help demonstrate the impact of these scholarships, it would be helpful to share information about our scholarship recipients.

If I am awarded a scholarship, I give consent to the Rick Hansen Foundation to share my photo and biography on its public facing communications such as its website, newsletter and annual report.

If I am awarded a scholarship, I give consent to the Rick Hansen Foundation to share my photo and biography in its report to the funder/s who made this scholarship possible.