2024 MIRA Scholarship Application Form

1. Applicant information

Please complete each field to the best of your ability.

No field should be left blank.

If you encounter difficulties while completing this form, please contact MIRA at mirafund@mcmaster.ca

First name:

Last name:

Email address:

Alternate email address:

McMaster Student number (if applicable):

Current/most recent institution:

Current/most recent degree program:

Start date (mm/yyy):

Completion date (or anticipated; mm/yyy):

Master's degree year 1

PhD year 1

PhD year 2

Yes

20% of survey complete.