DSA: Scholarship Program Application Form

Scholarship Program Application Form

2025 Scholarship Application

Please fill out the form below. Required field are marked by an asterisk.

STEP 1: Applicant Information
Applicant Name (Student)
First Name*
Last Name*
Address
Street Address*
Address Line 2
City*
Province*
Postal Code*
Email*
Phone*

STEP 2: Direct Selling Representative Information
Who is involved in direct selling? (their relationship to you)*
Name of person involved in direct selling*
DSA Canada member company they are associated with*
Representative or Employee Number of person involved in direct selling
Address of person involved in direct selling (if different than your address):
Street Address
Address Line 2
City
Province
Postal Code

STEP 3: Academic Information
Name of university or college (current or entering)*
Program of study (current or entering)*
Year of program that you will be starting in September 2025*: (must be entering your 1st, 2nd, 3rd or 4th year)

STEP 4: Questionnaire

Scholarship judging considers the application as a whole, with emphasis given to the first two questions. Academic achievements are taken into account but are not a primary criteria. Aim to complete each of the following questions in approximately 100-200 words.

How has direct selling influenced you and/or your family, and what role has it played in your life?*

What valuable life skills or lessons have you gained from being involved in or exposed to direct selling, and how have they helped shape you?*

What academic achievement are you most proud of?*

Tell us about a volunteer, employment or personal accomplishment that has contributed to your growth and development.*

What are your future goals and aspirations, and how do you see yourself making a positive impact in your community or industry?*

Disclaimer*

I agree

By submitting my application, I agree to have my name, photo and/or testimonial published in all DSA/DSEF communication outlets including but not limited to newsletters, DSA Annual Conference materials and the DSA/DSEF website, without further remuneration. I certify that I meet the eligibility requirements of the program and the information provided is complete and accurate.