Register for the Diversity Scholarship Information Session

Name:

Email address:

Co-op name:

Please select one:
I am a student who lives in a co-op inquiring about the scholarshipI am a co-op member inquiring about the scholarshipI am a co-op staff member inquiring about the scholarshipPHCHF StaffOther federation staff (CHASEO, CHFC, CHFT, COCHF, GHCHF)Other (please specify below)

If other was selected, please specify: