LT SCHOLARSHIP PERSONAL INFORMATION

Surname _Peters________________________ Given Names _Olivia Claire_________________

Street Address _16848 61A Avenue_________________________________________________
City _Surrey___________________________ Province _British Columbia_________________
Postal Code _V3S 8X7___________________ Phone Number _604-576-0891_______________
Email Address _ocp19@shaw.ca___________________________________________________
Date of Birth _19/03/01___ (Day/Month/Year) SIN ____________________________________

Next of Kin: _Lois Peters_________________ Relationship: _Mother_____________________

Street Address: _16848 61A Avenue________________________________________________
City: _Surrey___________________________ Province: _British Columbia________________
Postal Code: _V3S 8X7___________________ Phone: _604-576-0891____________________

Do you have siblings? List their gender and age:

Sydney Peters (female)____________________22_____________________________________
Tristan Peters (male)______________________20_____________________________________

Are One or Both Parents employed? (Circle)

Father’s Employer: _Prospera Credit Union___ Mother’s Employer: _Crossmark_____________
Address: _ 32071 S Fraser Way #100________ Address: _N/A___________________________
Yearly Salary: __________________________ Yearly Salary: ___________________________

Is your family able to contribute to your education costs or living expense? YES or NO
They are able to contribute some money to my education costs, and I will be living at home__
while attending university. I will be paying for the rest of my own education costs.___________

Will your Graduate High School in June?

Name: _Lord Tweedsmuir Secondary School_________________________________________
Street Address: _6151 180 St______________________________________________________
City: _Surrey_____________________________ Province: _British Columbia______________
Postal Code: _V3S 4L5_____________________ Phone: _(604) 574-7407__________________

Are you Employed? YES or NO

If YES, how long: _15 months_______________ Company Name: _Red Robin______________
Supervisors Name: _Megan Churney__________ Phone Number: _(604) 530-4484___________
Street Address: _6141 200 St______________________________________________________
City: _Langley____________________________ Province: _British Columbia______________
Postal Code: _V2Y 1A2__________________________________________________________

Did you Volunteer?

Year Organization Supervisor
2015____________________Stillwood Camp & Conference Centre_____Aleah Kaethler______
2016-Present_____________Gracepoint Community Church___________Chris Birdsall______
2017-Present_____________Dance Xpressions______________________Keeley MacDonald__

Did you play Sports in the Community?

Year Organization Coach
2011-Present_____________ Dance Xpressions_______________Keeley MacDonald (director)

Did you play Sports on a School Team? YES or NO

Did you belong to any Clubs or Organizations? YES or NO

Did you belong to any Fine Arts Clubs (Music, Art or Dance) or Organization? YES or NO
Year Typer/Club/Organization Teacher
2011-Present_____________ Dance Xpressions_______________Keeley MacDonald (director)
What Awards/Certificates have you Won?
Year Award/Certificates
2015____________________Top Academic Student Grade 8____________________________

List your Hobbies and General Interests:

Using different art mediums, such as dance, sketching, painting, and baking, as outlets for my
creativity and emotion; spending spare time outdoors hiking, camping, and travelling; and_____
enjoying time spent with family and friends.__________________________________________

What Post Secondary Program are you enrolling in:

Program: _Psychology: Bachelor of Arts Degree_______________________________________
Institution: _Kwantlen Polytechnic University_________________________________________
Location: _Surrey Campus (12666 72 Avenue, Surrey, B.C. V3W 2M8)____________________

Is your program leading towards a: Certificate Diploma Degree

How long is your program? _4 years________________________________________________

When will you start your program? _Fall Semester of 2019______________________________

As briefly as possible indicate to the committee your goals and aspirations upon completion of
your studies.
The goal of my studies is to complete my Psychology: Bachelor of Arts Degree at Kwantlen_
before proceeding to enroll in the Teacher Education Program (specifically, the PDP) at Simon__
Fraser University. Then I will get my BC Teaching Certificate and go onto becoming an______
Elementary School Teacher._______________________________________________________

Expenses: What do you estimate your following expenses will be? _$34,585________________
a) Tuition: _$29,500_________________________________________________________
b) Text Books: _$4,800_______________________________________________________
c) Other Academic Supplies: _N/A_____________________________________________
d) Accommodation: _N/A (I will be living at home)________________________________
e) Food: _N/A (my parents will still be providing me with food)______________________
f) Transportation: _$2,000____________________________________________________
g) Other (identify): _N/A_____________________________________________________