Conference Diversity Bursary Form

Conference Bursary Program for Indigenous and African Nova Scotians Application Form.

Please provide the following information.

 

 

Contact Information

 
 
 
 
 

 

Self-Identification

Dalhousie University is committed to encouraging diversity and to providing services that meet the needs of the University's diverse student population. Completion of the section on self-identification is mandatory and will be used for the purposes of this bursary only.

 
 I am African Nova Scotian (born and/or raised in Nova Scotia with a substantial connection to the historically Black community)
 I am African Nova Scotian (born and/or raised in Nova Scotia without connection to the historical Black community)
 I am African Canadian (born and/or raised outside of Nova Scotia)
 I am Mi’kmaq / First Nation (Nova Scotia)
 I am Mi’kmaq / First Nation (NB/PEI)
 I am Maliseet / First Nation (NB)
 I am Indigenous / Metis (Atlantic Provinces)
 I am Indigenous / Innu or Inuit (Atlantic Provinces)
 I am Indigenous / First Nation (Other)
 I am Indigenous / Metis (Other)
 
 
 Faculty of Medicine
 Faculty of Dentistry
 Faculty of Health
 
 
 Yes
 No

 

Conference/Professional Development Program Information