Government of Ontario: Ministry of Citizenship and Immigration

Ontario Honours and Awards Secretariat

Hilary M. Weston Scholarship

The Honourable Hilary M. Weston served as the 26^th Lieutenant Governor of Ontario from 1997 to 2002. As the Queen’s representative in Ontario, Mrs. Weston was responsible for the Crown’s constitutional and representational roles in the province.

In 1998, she created the Lieutenant Governor’s Community Volunteer Award to honour unsung heroes in community groups she visited. She expanded the program in 2000 to recognize a student in each Ontario secondary school.

Through her volunteer and philanthropic work, Mrs. Weston has supported cultural projects, and research in breast cancer and AIDS. In 1979, Mrs. Weston founded the Ireland Fund of Canada and continues as honorary patron of the non-partisan, non-denominational organization that funds community projects in Ireland to promote peace.

Mrs. Weston has also had a longstanding interest in mental health issues. It is at her request that the Hilary M. Weston Scholarship is in the field of mental health.

GENERAL INFORMATION

The Government of Ontario has created the Hilary M. Weston Scholarship to commemorate The Honourable Hilary M. Weston’s term in office as Lieutenant Governor of Ontario.

The scholarship will be granted each year to two students enrolled in a full–time graduate level social work program at a publicly funded university. Applicants must have a demonstrated interest in and commitment to mental health issues, as well as outstanding scholastic achievements. Each successful applicant will receive a one–time award of $7,500.

ELIGIBILITY

To be eligible you must:

have demonstrated your interest in and commitment to mental health issues through community service or paid work;
plan to register in a full–time graduate level social work program at a publicly funded Ontario university in the next academic year. If you are a student with a permanent disability, you must be taking a minimum of 40% of a full course load;
have demonstrated academic excellence;
be an Ontario resident. You are considered an Ontario resident if you have lived in Ontario for at least twelve consecutive months immediately preceding your registration in a social work program.

SELECTION PROCEDURE

An independent Selection Committee will review each application and select the scholarship recipients.

APPLICATION PROCEDURE

How to Apply

You must submit the following documentation:
The completed application form;
A typed letter from you outlining your qualifications for the award, including how you have demonstrated your interest in and commitment to mental health issues, your scholastic achievements and your career goals;
A copy of your official transcripts;
Report 1: Academic Reference (see form attached);
Report 2: Personal Reference (see form attached) – from an individual who is familiar with community service or paid work you have done that demonstrates your interest in and commitment to mental health issues;
A physician’s note if you are a student with a permanent disability.

NOTE:

The use of Reports 1 and 2 is mandatory. Other forms will not be accepted as substitutes.
Faxes will not be accepted.
It is your responsibility to ensure that your application and required supporting documents, including Report 1 and 2, are complete and submitted to the ministry by the deadline date. The ministry is not obligated to follow up with the student if the application is incomplete or late.

Application Deadline

Send the completed form and supporting documents to:
Ontario Honours and Awards Secretariat
Ministry of Citizenship and Immigration
400 University Avenue, 4^th Floor
Toronto ON M7A 2R9
Telephone: 416 314–7526

Application forms must be received by December 15 of each year.

Notification and Acceptance

You will receive notification concerning the outcome of your application.

If you are successful, you will be asked to indicate your acceptance or refusal of the award by completing a Notice of Acceptance form. You will also be requested to submit the following proof of eligibility:

Proof of full–time enrolment in a graduate level social work program at a publicly funded Ontario university that is financially assisted by the Government of Ontario. For a list of publicly funded universities, visit http://www.edu.gov.on.ca/eng/tcu/ and click on universities.
A photocopy of proof of Canadian citizenship, permanent resident status, or a student authorization/study permit (dated no later than twelve months prior to the start of your academic term).

The Notice of Acceptance and proof of eligibility must be submitted to the ministry within four (4) weeks of the date of the letter of notification, or the award may be cancelled automatically. The Ministry is not obligated to follow up with a student if the Notice of Acceptance form is incomplete or the necessary supporting documentation has not been provided.

Acceptance Conditions

Successful scholarship recipients must be enrolled in a full–time graduate level social work program at a publicly funded Ontario university for a full term. If you withdraw, transfer to part–time status, change disciplines, or fail to complete a term, you will be required to repay the award.

For more information, contact the Ontario Honours and Awards Secretariat at Telephone: 416 314–7526
Or visit our website at http://www.citizenship.gov.on.ca/english/honours

Application Form Hilary M. Weston Scolarship

(Please type or print clearly)

PERSONAL INFORMATION

Mr. Mrs. Ms. Other Other

First Name Last Name
Address
City/Town Province Postal Code
Telephone E–mail

Have you been an Ontario resident for the last 12 months?
Yes No

In which language do you prefer to receive correspondence?
English French

**PROPOSED STUDIES**
Name of Institution	Name of Program	Expected Start Date	Expected Completion Date
Name of Institution	Name of Program	Expected start date	Expected completion date
Name of Institution	Name of Program	Expected start date	Expected completion date
Name of Institution	Name of Program	Expected start date	Expected completion date
Name of Institution	Name of Program	Expected start date	Expected completion date

**EDUCATIONAL HISTORY**
Name of Institution	Name of Program	Highest Level of Studies	Date you received or expect to receive your degree for these studies
			Month	Year
Name of Institution	Name of Program	Highest Level Studies	Month	Year
Name of Institution	Name of Program	Highest level studies	Month	Year
Name of Institution	Name of Program	Highest level studies	Month	Year
Name of Institution	Name of Program	Highest level studies	Month	Year

**Transcripts** *(Indicate which institution transcripts are from)*
Name of Institution	Year(s) transcripts cover
	From	To
Name of Institution	From	To
Name of Institution	From	To
Name of Institution	From	To
Name of Institution	From	To

**EMPLOYMENT HISTORY / VOLUNTEER EXPERIENCE** *(Indicate any relevant employment or volunteer experience)*
Position	Description of Responsibilities	Dates
Position	Description of Responsibilities	Dates
Position	Description of Responsibilities	Dates
Position	Description of Responsibilities	Dates
Position	Description of Responsibilities	Dates
Position	Description of Responsibilities	Dates
Position	Description of Responsibilities	Dates
Position	Description of Responsibilities	Dates
Position	Description of Responsibilities	Dates

SUPPORTING DOCUMENTATION

Please attach all required supporting documentation as outlined in the instructions to this application:
Transcripts
Typed letter outlining your qualifications for this scolarship
Report 1, Academic Reference
Report 2, Personal Reference

In accordance with subsection 39(2) of the Ontario Freedom of Information and Protection of Privacy Act, this is to advise you that the personal information collected on this form will be used only for the proper administration of the Hilary M. Weston Scholarship. The personal information on this form is collected under the legal authority of the Ministry of Citizenship and Culture Act, R.S.O. 1990. For purposes of verifying the application and any award, the personal information may be disclosed to any educational institution, ministries of the Ontario government, and the Hilary M. Weston Scholarship Selection Committee. For further information, please contact the manager at the Ontario Honours and Awards Secretariat at 416 314-6608. For service in French, please call 416 314-7529 or 416 212-3196

I hereby declare that all information provided in this application is true and complete in every respect.
I understand that I may be required to repay all or part of this award if the information is found to be inaccurate for any reason.

Applicant’s Signature Date

REPORT ONE Academic Reference

Reference from a professor or teacher who is most familiar with candidate’s work

This form must be received no later than December 15 by the Ontario Honours and Awards Secretariat, Ministry of Citizenship and Immigration, 400 University Avenue, 4^thFloor, Toronto ON M7A 2R9.

Applicant Name:

Mr. Mrs. Ms. Other Other
First Name Last Name

Name of Reference:

Mr. Mrs. Ms. Other Other
First Name Last Name
Position
Institution
Address
City/Town Province Postal Code
Telephone number E–mail

In this section, please outline the applicant’s qualifications for the Hilary M. Weston Scolarship.
Please type or print clearly. You may chose to attach a separate sheet.

Signature of Reference Date

Under the Ontario Freedom of Information and Protection of Privacy Act, the ministry has responsibilities respecting the proper collection, retention, use, and disclosure of personal information. The personal information on this form is collected under the authority of the Ministry of Citizenship and Culture Act, R.S.O. 1990, and is used by the ministry to administer all aspects of the Hilary M. Weston Scholarship. Because this report contains personal information about the applicant, the information may be disclosed to the applicant upon request. For further information, please contact the Manager at the Ontario Honours and Awards Secretariat at 416 314–6608. For service in French, please call 416 314–7529 or 416 212–3196.

REPORT TWO Personal Reference

To be completed by an individual who is familiar with community service or paid work through which the applicant has demonstrated an interest in and commitment to mental health issues.

This form must be received no later than December 15 by the Ontario Honours and Awards Secretariat, Ministry of Citizenship and Immigration, 400 University Avenue, 4^thFloor, Toronto ON M7A 2R9.

Applicant Name:

Mr. Mrs. Ms. Other Other
First Name Last Name

Name of Reference:

Mr. Mrs. Ms. Other Other
First Name Last Name
Occupation
Relationship to Applicant
Address
City/Town Province Postal Code
Telephone number E–mail

In this section, please outline the applicant’s qualifications for the Hilary M. Weston Scolarship, ways that they have demonstrated their interest in social work and mental health issues, and their outstanding characteristics.
Please type or print clearly. You may chose to attach a separate sheet.

Signature Date