EmailMe Form - Congress 2018 ECP & Lived Experience Bursary

1. Name

First Last

2. Email

3. Organization

4. Job Title (or University & Field of Study)

5. I am applying for the following Bursary:

Early Career Professional

Lived Experience

* Note eligibility requirements below under Notes.

6. Have you previously received a CHRA Bursary to attend Congress?:

Yes

No

7. Are you also applying to the 2018 Call for Proposals?:

Yes

No

8. Please indicate if the reimbursement should be made out to either:

Yourself

Your organization

9. Cheque Reimbursement:

Please tell us who we should make the cheque for your bursary payable to and the address where to send it.

Name/Organization:

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

10. Please indicate if you will be attending:

Pre-Congress & Congress (April 24-27)

Congress Only (April 25-27)

Pre-Congress Only (April 24)

Day-Pass (Any Day)

11. Please provide an estimate of your economy class trip, and from where you will be traveling, as well as your travel dates.

Attach travel confirmation or estimate. You must submit your final travel claim no later than March 16, 2018 to remain eligible for the bursary to Julie Auger, Event Manager: jauger@chra-achru.ca

12. a) Declaration (if applying for the ECP Bursary):
I hereby confirm that I am 30 years of age or under, or am a full-time student whose studies have a housing focus.

YES

* Proof of age and/or full-time study may be requested.

12. b) If applying for the Early Career Professional Bursary:
Please share with us something about the work or research you are currently undertaking in the field of housing/homelessness, and why you are interested in attending CHRA Congress (350 words max).

13. If applying for the Lived Experience Bursary:
Please share with us, at your discretion, your experience with housing affordability challenges and/or homelessness (350 words max).

Notes:

1. You will be required to submit copies of your economy travel confirmation no later than March 16, 2018 to remain eligible for the bursary if selected. The subsidy will come to you or your organization as a reimbursement cheque within a 2-week period following Congress.

2. Individuals selected for a bursary are required to register and pay to attend Congress at the discounted rate in order to be eligible, and are responsible for arranging their own travel and accommodation.

3. Selection will be made on a first-come, first-serve basis, and in relation to geographic equity. Preference will also be given to those who have submitted a Call for Proposals for Congress 2018, and have been selected to speak.

Eligibility:
To be eligible for the Early Career Professional Bursary you must be working in the housing/homelessness sector and be 30 years of age or under at the time of application, or a full-time student of any age whose studies have a housing focus. For the Lived Experience Bursary applicants may be currently or formerly homeless, while those working for an organization who works directly with those with Lived Experience may also be considered.