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Norma and Don Moore Scholarship Application

Scholarship Guidelines

The Scholarship guidelines listed here are for prospective recipients to review prior to completing the application form. The scholarships awarded will support doctors or nurse practitioners currently in an educational programme leading to a license to practice in Ontario who have indicated an intent to practice in Lambton County.

Number and Value of the award(s) – To be determined annually and subject to both market conditions and donor advice.

Level One- For students in the first years of medical study
Level Two- For students entering their final year of study
Level Three – For students in a residency programme

The candidate must:

  1. Complete the application that follows
  2. Be attending a recognized school of medicine, completing a residency programme after graduation or be attending a programme leading to certification as a nurse practitioner.
  3. Submit a detailed resume.
  4. Provide a copy of the most recent academic transcript and two academic references.
  5. Provide a letter of intent indicating their ideal practice environment and their commitment to practice in Lambton County.
  6. Identify what level of award they are applying for.

The completed application and supporting documents must be sent to:
Sarnia Community Foundation, 109 Durand St, Sarnia ON N7T 5A1

DEADLINE: March 1st of any calendar year
( if the 1st is a weekend day then the deadline is moved to the following business day )

For more information contact the Grants Administrator
Phone: 519-332-2588 E-mail: [email protected]

Please note:

  1. The Award may be renewable.
  2. Scholarships are awarded on the understanding that the funds will be used to cover the cost of attending a programme of studies and may be directed to the academic institution if so requested by the winner.
  3. By signing the application, the applicant agrees to the expectations of scholarship recipients and gives SCF to right to publish their name and photograph. All other information will remain confidential.
  4. Recipients must be available for photos, interviews or any other promotional activities as arranged by the scholarship committee (e.g. award ceremonies, media interviews, etc.)
  5. Preference may be given to those applicants who have been resident in Lambton County prior to beginning their studies.

The Sarnia Community Foundation has a privacy policy that protects personal information. Any personal information requested on this application is only used to assist with the assessment of the application. A copy of the application form and supporting documents may be kept for audit purposes.

Personal Information


Information to be included

Drop files here or
Max. file size: 300 MB.
    Drop files here or
    Max. file size: 300 MB.
      Drop files here or
      Max. file size: 300 MB.
        Please provide a letter indicating your ideal practice environment and your commitment to practice in Lambton County
        Drop files here or
        Max. file size: 300 MB.
          Level of Award(Required)
          Please indicate which level you are applying for.

          Application Information