Lieutenant Governor’s Medal Award Application

Lieutenant Governor’s Medal Award Application


This medal is awarded to two students in grade 11 who have demonstrated:


  • qualities of leadership and service in the school and community.


  • commendable performance in the courses in which they are enrolled.


Please fill out the following application (hereand submit a hard copy to Mrs. Matheson in the Guidance Office by 9:00 am Monday, March 21, 2022

Applications submitted after the deadline will not be accepted.


  • Recent leadership and service should be listed first.
  • Signatures can be emails printed as PDF’s and attached to the application if the form cannot be initialed in person.
  • All grade 11 students will receive an alert with this application attached as a Word Document. Add more rows if required.
  • Forms should be filled out correctly.
  • Transcripts will be attached to completed applications by Guidance.