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Student Declaration for the
IEEE Canadian Foundation Dr. Raymond D. Findlay Scholarship

  Instructions to complete this form:       
  • The student nominee is to complete all sections of this form and submit electronically.
  • The nominee must be
    • a student member of IEEE,
    • enrolled as a full-time student in his or her penultimate undergraduate year,
    • completing a Canadian university program described on the Information page
    • a Canadian citizen or permanent resident of Canada (verification may be requested prior to award)
  • It is recommended to prepare this declaration using a word processor or editor and keep a copy for any future use.
  • Please read the information about nominations for scholarships web site.  
  • You will not be able to submit this form unless you  complete ALL sections..


 Step 1: Please identify yourself and your university or college
  1.1 Enter your full name (surname last)
  1.2 Enter your e-mail address
  1.3 Enter your student ID number (as assigned by your institution)
  1.4 Enter your university

  1.5 Enter your IEEE membership number
  1.6 Enter the full name (surname last) of the   faculty member who must complete and submit the on-line nomination form.
  1.7 Enter your faculty nominator's e-mail address
  (this address will be used to send a copy of your submission to your faculty nominator)

 Step 2: Submit your essay as described on the information page; max 500 words
  2.1 Certify that this is your penultimate year (a requirement): Yes No
  2.2 Insert your essay here. Refer to Information Page:
 Step 3: Submit your Declaration.
  Note 1: your faculty nominator should automatically receive a copy of this declaration form output.
  Note 2: make sure that your faculty nominator submits the nomination form on your behalf.
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