GRADUATE STUDENT
ASSOCIATION
PSYCHOLOGY
BUILDING, ROOM 204
PHONE: 410-704-3967
GSA AWARD APPLICATION
Name
TU ID #
Phone ( ) E-mail Address
Program of Study Number of years at Towson University___________
_________________________________________________
Yes
Extension)Number
No
If yes, when (e.g., 08/2019)?
Graduate Degree Expected Date (e.g., 05/2019)
Department)Head)or)Faculty)Advisor
Have you previously applied for a GSA Award?
What type of award were you given?
How much did you receive? $
_
Are you, the beneficiary of the payment, a U.S. Citizen or Permanent Resident Alien? Yes No
If you answer no to this question, you must email nratax@towson.edu, the Nonresident Alien Tax Office (NRA), and
schedule an appointment.
Title of Research Paper to be Presented (if applicable)
Title of Conference or Scholarly Event (if applicable)
Conference/Original Work Date (mm/dd/yyyy) Location
Please note: attendance at conference or scholarly event must occur prior to the student’s date of graduation to be eligible
for funding.
Amount of Funding Requested $______________ Are you receiving additional funding from another Towson
University source
(e.g., department, faculty, grant, etc.)? Yes
No
If yes, from where?
______________
_____________________________________________________________________________________________________________________________________________________________________________________________
Please check one of the following categories:
Presenting at a Conference
Attending a Conference
Thesis/Research
Project
Original Work
Other ___________________________________
Reason for Approval: _____________________________________________________________________________________
______________________________________________________________________________________________________
Amount Approved by Dean of Graduate Studies: $ Semester Approved:
__________________________ _________________
Karen Eskow, Interim Dean
IRB Approval # __________________
Before submitting your application, make sure you have followed all instructions and have attached all of the
required documents. Submit application to the GSA office located in the Psychology Building, Room 204 or email
to gsa@towson.edu. A separate application is required for each request.
OFFICE OF GRADUATE STUDIES USE ONLY – DO NOT COMPLETE ITEMS BELOW THIS LINE
