CARSPPRIIn partnership with TIRF
Platinum Sponsor and Official Host: Desjardins

2021 Joint
Virtual Conference

2021 Student Support Program Application Form

Student Support Program – Sponsored by the Traffic Injury Research Foundation (TIRF) and Desjardins

New this year, TIRF and Desjardins are sponsoring a Student Support Program to offer complimentary registrations for students who are registered full-time at a university or college. To be considered for the program, fill out the information on the form below. Your application will be reviewed, and we will contact you within five business days to inform you of your status. If approved, you will be given a coupon code which you can enter during registration, to give you free access to the conference.

2021 Student Bursary Program (EN)
First
Last
City
Province / State
Postal Code / ZIP
Country

University / College you are attending
Program you are enrolled in
Website of University or College
Website of Program you are Registered in
Enrollment Status *
Instructor's Name
Instructor's Email

Name of an instructor that can verify your enrollment.