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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?
I became a member in order to apply for this scholarship.
Less than a year
1 - 5 years
5 or more years
Best Phone Number to Reach You (with Area Code)
(Proof of enrolment will be required before awards are given to selected recipients.)
Current Program Level
Field/Program of Study
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.)
Yes, you may use my full name in these publications.
Yes, but please use only my first name in these publications.
The CSCA will also use your school's name and location in publications about student scholarship winners.
Yes, I understand and agree that my school's name and location will appear together with my name in accordance with the permission I have given above.
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.
Yes, I understand and agree that my written report/response and my likeness in a photograph may appear in CSCA publications alongside my name and school information in accordance with the permissions I have given above.
How did you find out about our scholarship?
The CSCA website
Through Facebook, Twitter or other social media.
By word of mouth.
By list of scholarships online.
Through a poster.
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