Page 1 of 1

Richard Bilkszto Award Application (2025)

Applications are due by 11:59 pm on March 15, 2025.
Please carefully review the selection criteria on the website. For any questions or to request the application in an alternative format, please email: [email protected]
Note that this form is for award applications (e.g., for current Ontario teachers). Please see here to apply for the scholarship for students who will be enrolled in the first year of an Ontario Bachelor of Education program.

Full Name

Email Address

Phone Number

Address

Essay Question

In 750 words or less, please share how you intend to uphold or have upheld Richard’s values: freedom of expression, equality of opportunity, fairness, the merit principle, and a commitment to excellence in education

References

Reference #1 Name

Reference #1 Phone

Reference #1 Email

Reference #1 Relationship

Please upload a recommendation letter from reference #1 (PDF preferred)

Letters should be a maximum of 250 words and discuss how they know the applicant, how long they have known the applicant, and why the applicant fits the above criteria.

Reference #2 Name

Reference #2 Phone

Reference #2 Email

Reference #2 Relationship

Please upload a recommendation letter from reference #2 (PDF preferred)

Letters should be a maximum of 250 words and discuss how they know the applicant, how long they have known the applicant, and why the applicant fits the above criteria.

OCT Membership

Please search yourself on the OCT website: https://www.oct.ca/en and link to your profile

Final Submission

Signature and Waiver

In the event that I am selected as a recipient of this award, I grant Friends of Richard Bilkszto the irrevocable right to publish my name and the name of my school/employer/school board in any media or promotional materials. This may include, but is not limited to, press releases, websites, social media platforms, and print publications.
I certify that all information provided in this application is true, accurate, and complete to the best of my knowledge. I understand that providing false or misleading information is grounds for the rejection of my application or, if the award has already been awarded, the revocation of the award. In such an event, I acknowledge that Friends of Richard Bilkszto reserves the right to demand repayment of any funds already disbursed and to take any further actions deemed necessary.
I understand that if selected, I will be required to provide proof of employment at an Ontario public middle or high school to receive the award.
By signing below, I confirm that I am at least of the age of majority in Ontario, and agree and acknowledge to the above.
Signature