Application Form - JA London and District

Richard A. Potter
SALES LEADER SCHOLARSHIP AWARD
Richard A. Potter is an outstanding Sales Professional who has provided
extensive sales management and selling leadership skills to the home
furnishings industry for more than 50 years throughout Canada.
This Scholarship Award is provided by Zucora Inc. a London, Ontario
based company and proud supporter of Junior Achievement.
Mr. Potter served as Vice President of Sales for Zucora until his retirement
in 2012 when the Company decided to recognize Mr. Potter for his many
years of leadership and contribution to the growth and success of the
Zucora business.
This Scholarship Award is provided to a student graduating from the
Company Program based on this application and selection criteria as
determined by Junior Achievement of London and District.
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Richard A. Potter
Sales Leader Scholarship Application
Due at the Junior Achievement of London & District office by April 11, 2015
The following application is designed to collect information about your background, interests and future plans. Your
answers to these questions, as well as the required attachments for these scholarships, will be confidential. The
selection of scholarship recipients will be influenced by the thoughtfulness and completeness of replies, neatness,
legibility, proper grammar, punctuation, and spelling. It is your responsibility to make sure your application is
complete and submitted to our office by April 11, 2015. Completed application packages must be submitted
electronically to lquesnelle@jalondon.org or in hard copy to the JA Office.
Guidelines:
All applicants must return the following to the Junior Achievement office by April 11, 2015 to be considered for
any scholarship offered through Junior Achievement. Completed application packages should be submitted
electronically to lquesnelle@jalondon.org or in hard copy to the JA Office:
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Scholarship application
Essay
JA Mentor or JA Staff recommendation (form included)
One Letter of Recommendation (NOT from Junior Achievement or family member)
At least one scholarship in the amount of $1,000 will be awarded in at the Celebration of Excellence
Students participating in their final year in the JA Company Program within the London & District Charter are
eligible to apply.
Students may apply for the scholarship only one time, and must be in, or have taken the Junior Achievement
Company Program to apply.
Family members and anyone associated with JA cannot submit the Letter of Recommendation.
Finalists will be notified and required to attend a brief interview.
The recipient must submit written request to the Junior Achievement office in order to receive the scholarship award.
The award will be delivered on behalf of the recipient to the Financial Aid Department at the college or university
the recipient is attending. If written request is not received within three years from the date of the award letter, the
scholarship will be forfeited.
Failure to submit any of the materials will result in the disqualification of your application. Deadline for
the application is April 11, 2015.
Return the completed scholarship application package electronically to lquesnelle@jalondon.org or in hard
copy to Junior Achievement London and District, 15 Wharncliffe Road North, London, Ontario N6H 2A1.
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Applicant Information
Full Name:
Last
First
M.I.
Address:
Street Address
Apartment/Unit #
City
Postal Code
Home Phone:
Email:
I affirm that all statements are true and that the information given on this application is correct and complete.
I have read the guidelines stated above and agree to abide by them for the purposes of this application.
Education Record Program Duration
High School:
Current Grade Level:
Expected Graduation Date:
Date to enter Post-Secondary School:
Potential Major(s):
Post-Secondary
Schools Considered:
City, Province:
Junior Achievement Experience
1st Year
2nd Year
3rd Year
4th Year
5th Year
JA Location:
Name of current student company:
Name of Product/ Service:
Was your company successful? Why or why not?:
How did your company achieve those results?
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List the offices held during your JA Experience:
How did you contribute to your company?
List any JA awards you have received in prior years:
Name of JA Mentor:
What role did the Mentor play in your Company?
What did you learn from the Mentor?
Extra-Curricular and Work Experiences
List your high school activities:
List other non-school extra-curricular activities:
List any honours and/or awards you have received:
List any after-school or summer jobs you have held: (Name of company, hours worked per week, and duties of job)
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What have you learned from your work or extra-curricular activities? Describe the skills you have obtained.
Long-Term Goals
Once you complete your post-secondary education, what do you plan to do…
Within one year after graduating:
In five years after graduating:
Scholarship Essay
Based on your experience in JA Company Program, please describe the role and importance of salesmanship in
being an effective entrepreneur or business leader. Please use examples from your JA Company, along with
other examples you have encountered throughout your life to support your position.
The essay must be typed and contain a minimum of 500 words. It will be judged for content, structure, grammar, and
adherence to the theme.
[Attach Essay as a separate document.]
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