The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

CSCA Scholarship Application Form: Science & Religion Conference
The Canadian Scientific and Christian Affiliation is offering five scholarships per year from 2016-2018 for Canadian students to attend a Science-and-Religion conference of their choice!
More information here:

Personal and School Information

Are you a CSCA member?
(Includes Student Basic, Student Premier, Member, Associate Member, Family, Missionary, Friend registration with the CSCA)
How long have you been a CSCA member?
Full Name
Last, First
Your answer
Email Address
Your answer
Best Phone Number to Reach You (with Area Code)
Your answer
School Name
(Proof of enrolment will be required before awards are given to selected recipients.)
Your answer
School Location
Your answer
Current Program Level
Field/Program of Study
Your answer
Expected Graduation Date
The Canadian Scientific and Christian Affiliation (CSCA) would like to use student's names in publications about student scholarship winners. For the entirety of this form, "publications" includes but is not limited to the CSCA Newsletter, the CSCA website (, and their social media accounts, such as Facebook and Twitter.
(This is required, but you may opt to leave out your last name.)
The CSCA will also use your school's name and location in publications about student scholarship winners.
If you win, it will be required for you to submit a reflection on the conference (due 2 weeks after the chosen conference ends; see main announcement for details), together with at least one photo showing that you were there, before any scholarship funds will be dispensed. The CSCA may use either or both of these in its publications.
How did you find out about our scholarship?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms