Form

Diversity Scholarship Application

This scholarship has been created as a part of Leadership Niagara's commitment to strengthening the inclusivity, equitable access, and diverse representation of participants within our program. This scholarship is made available through the donations of Leadership Niagara Board Members both past and present.

One (1) Diversity scholarship will be offered at 100% of the program cost.

Are you a member of at least one of the following groups?

Indigenous person
A racialized person ( sometimes referred to as a visible minority)
Gender non-binary / 2SLGBTQIA+
Persons with a disability (including mental, physical, or cognitive?, sometimes referred to as neurodiverse)

The questions below will assist us in our selection of scholarship recipients for the 2024-25 year. All responses will be kept confidential and only accessed by one member of our staff and one member of our board for the purposes of evaluation and selection. If you have any questions about this application, or to request alternative formats to accommodate different (dis)abilities and needs, please contact info@leadershipniagara.ca

By applying, you confirm that you:

Identify as part of a minority group*

If not, please fill out the program application form accessed through either the program page or the link embedded below

Have applied to be a participant in the 2024-25 Community Leadership Development Program*

Consent to the publication of your name and image by Leadership Niagara, if awarded*

Personal Information

Last name

First name

Email*

Phone number

Home Address

City, Postal Code

Pronouns:

Company name

Position

Q & A

Please answer the following questions within the space provided, answers should not exceed one page.

What are your personal/professional goals as it relates to community leadership? *

What impact do you hope to make as a result of your participation in the program? What will you do to apply what you have learned to make your workplace, community or relationships better?*

Tell us why you think you are the best candidate for the scholarship. *

Applicant signature and date of application

Applicant Signature

Date