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Horizon School Division
Creating a better world, one student at a time.
Student Recognition Form
Name of Student *
Name of School *
Permanent Address *
Telephone *
Email *
Birthdate *
Select a date from the calendar.
Social Insurance Number *
Checklist *
Principal Name
Attachments

    Student Recognition Award

    The Horizon School Division Board of Education has established the Student Recognition Award, which honours a graduating student from each high school in the Division. Horizon School Division’s values are Accountability, Community, Diversity, Relationships, and Trust.

    The Student Recognition Award will include a commemorative gift and a $500.00 cash gift which will be mailed to the recipient upon proof of graduation.

    Important Information
    Protection of Privacy - The personal information requested on this form is being collected under the authority of Section 24 of the The Local Authority Freedom of Information and Protection of Privacy Act and will be protected as outlined in Part IV of that Act. The information collected will be solely used for the purpose of providing a bursary, or as permitted by law.

    Please direct any questions about the collection of this information to Horizon School Division's FOIP Coordinator at foipcoordinator@horizonsd.ca

    Please note that the information submitted in this application may be used in Horizon School Division publications. This application will act as implied consent for the publication in accordance with AP 181 - Permission for use of Student Work and Personal Information.
    School: Student Name:
    Permanent Address:
    Telephone: Email:
    Birthdate: Social Insurance Number:
    Applications must include:
    Attachments:
    Principal Name: Date: