Luella Logan Scholarship Application

Please fill out the application form below with your information.

Please be aware, you will be required to include the following:

Scanned copy of your most recent Official Transcript
Your Social Insurance Number (SIN) - for tax purposes.

Personal Information contained in this form is collected under the authority of Municipal Act, 2001, S.O. 2001, c. 25, s. 227(c) and will be used only to ascertain eligibility for the Scholarship. Questions concerning the collection of information can be directed to the Deputy Clerk at 519.837.2600 x2524.

Contact Information

First and Last Name

Street Address

City/Town

Postal Code

Email Address

Phone Number

School Information

Name of University or College

Campus (if applicable)

Graduation Year

Name of Programme you are enrolled in at University or College

Street Address of University or College

City/Town of University or College

Postal Code of University or College

List any examples of how you have demonstrated leadership and interest in local government.

How did you hear about the Luella Logan Scholarship?

Official Transcript

Please upload a copy of your most recent transcript. You will need to scan the transcript to your computer before uploading the document to this application.

Transcript Upload

Unlimited number of files can be uploaded to this field.
64 MB limit.
Allowed types: jpg, png, pdf, doc, docx, ppt, pptx, xls, xlsx.