This form is also available to submit online at www.surveymonkey.com/r/2017ScholarshipCASAnnualMtg
The Canadian AIDS Society (CAS) scholarship program offers financial assistance to individuals with or without ASO affiliation and member organization representatives as a way to encourage attendance to the PLWHIV Forum (Forum) and Annual Meeting (AM). Depending on available funding, scholarships may or may not cover all costs associated with attendance. Applicants are strongly encouraged to seek additional sources of funding.
Scholarship awards will be determined by the Canadian AIDS Society, based on a fully completed scholarship application form. All answers in each application will be assessed objectively. The number of scholarships awarded depend on availability of funds for the specific event. Scholarships are evaluated on regional basis and awarded equally across regions as much as possible.
Please read the Scholarship Application FAQ before completing this form.
All information contained on this application form is confidential and will only be used for the purpose of evaluating scholarship applications for the 2017 Annual Meeting (AM).
The CAS Annual Meeting will be held on Friday May 26 and Saturday May 27, 2017 at .… Location and Date: to be confirmed.
(out-of-town participants arrive the day before event start day and departing on the evening of the last day or in the morning after).
Annual Meeting Scholarship Deadline: Monday March 20, 2017.
Please complete and submit your application form either online in this survey or
if using the paper version, fax or scan and e-mail your completed form to:
Canadian AIDS Society | Fax: 613-563-4998 | E-mail: firstname.lastname@example.org
Contact the CAS office if you have any questions.
Please print or type clearly.
A separate form and certification is to be completed for each applicant.