Scholarship Application

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Personal Information





Please enter your ten digit mobile/home number without any formatting.







Scholarship/Awards details

Select all that apply




By selecting “Yes”, you permit CNIB to share some of your contact information with eSight for communication purposes. CNIB will only share your name, email, phone number and mailing address with eSight which permits them to select the the student who will be awarded with the electronic glasses.
eSight & CNIB webpage information

By selecting “Yes”, you permit CNIB to share some of your contact information with Sappani Foundation for communication purposes. CNIB will only share your name, email, phone number and mailing address with Sappani Foundation which permits them to select the student who will be awarded.
Program of Study




Master's Program Information






Current Education Information



Goals & Ambitions


100 Words

200 Words

200 Words
Research Outline Attachment
Complete the following questions on this form.
1. Outline of the proposed program
a. Specific interest area within your discipline
b. Title of the Thesis, if known
c. Please include approvals by the University and/or REB, if any
d. Indicate what you hope to accomplish during the period for which you are seeking support
e. Indicate your career aspirations after completion of your Master's degree
f. If you have published or co-authored any papers or articles related to your field of study, please include copies with your application
g. Please mention if you are receiving any other financial support

Document Uploads




Attachments






Declaration & Submission

Please read the following declarations carefully prior to checking the box stating that you agree to the outlined declarations and submitting your application

  • I declare all the information provided on this form and in any other accompanying documents is complete and true in every respect.
  • I understand failure to completely and truthfully answer the questions asked of me, when discovered, will constitute grounds for immediate rejection of my application or, if already accepted, immediate cancellation for just cause.
  • I understand that all personal information which become part of this application will be regarded as confidential pursuant to the Freedom of Information and Protection of Privacy Act.
  • If I have permitted CNIB to share my contact information with eSight, I agree and understand that only this information will be transferred by CNIB to eSight who will use it for communication and to select the recipients of their prize.


If under 18 by June 30, a parent or guardian must agree to your application


Questions?

For more information about CNIB's scholarship program, please email scholarships@cnib.ca.


About CNIB

CNIB is a registered charity, passionately providing community-based support, knowledge and a national voice to ensure Canadians who are blind or partially sighted have the confidence, skills and opportunities to fully participate in life. To learn more, visit cnib.ca or call the toll-free CNIB Helpline at 1-800-563-2642