• Applicant Information

  • Format: (000) 000-0000.
  • Gender*
  • Member Information

  • Are you applying as a CLAC member?*
  • If you applying as a spouse, child or grandchild of a CLAC Member, please fill out the following details.

  • Membership Details

  • This applicant is*
  • Select all that apply if the member is currently or has ever served in these positions:
  • Scholarship awards may be considered taxable income and will be reported as required by law. Scholarship winners will be required to provide their Social Insurance Number (SIN) prior to receiving their award. If required, tax reporting documents (T4A) will be sent to the email address provided.

  • Course of Study

  • Applicants must provide proof of enrolment in an accredited Canadian postsecondary institution.

    For more information, see the FAQs at clac.ca/scholarships

  • Type of program*
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  • Written Submission

    Please either write your response in the space below or upload your written response as a file.(Do not do both.)
  • Applicants write a 250-500 word written response to the question:

  • 0/500
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