Office of Graduate Studies
Graduate Student Request for Financial Assistance
Last Name:
_______________________ First Name: __________________
_____
Student ID:
_______________________ Degree Program: _______________________
Department/School: _______________________
This form is to assist you if you are experiencing financial difficulty and is intended to be used in the order of assistance
listed. Please fill out and obtain the appropriate signatures in each section.
Reason for requiring financial assistance:
Amount Required: ______________
1. My advisor is able to assist me.
Yes, funding is available in the amount of: _______________
No, funding is not available because: _____________________________________________________
Signature of Advisor: ____________________________________________________
2. I and/or my advisor have spoken to the Grad Coordinator/Chair of the Department.
Yes, funding is available in the amount of: _______________
No, funding is not available because: _____________________________________________________
Signature of Chair/Grad Coordinator: ____________________________________________________
3. I have spoken to the
Associate Dean Research & Graduate Studies in my college.
Yes, funding is available in the amount of: _______________
No, funding is not available because: _____________________________________________________
Signature of Assoc Dean Research: ____________________________________________________
4. I have applied for need
assistance.
(Canadian citizens and permanent residents apply through Student Financial Services (SFS) and
International students apply through the International Student Advisor (ISA) in Student Life.
Yes, funding is available in the amount of: _______________
No, funding is not available because: _____________________________________________________
Signature of SFS or ISA: ____________________________________________________
5. Please select one:
Yes, I have applied for OSAP or another Provincial/Federal Loan assistance and will be receiving ___________
No, I do not qualify for OSAP or another Provincial Assistance for the following reasons:
______________________
__________________________________________________________________
6.
Requested amount from the Office of Graduate Studies: _____________
Student Signature: ______________________________________________________
Protection of Privacy: We are committed to protecting your privacy. Personal information is collected under the authority of the University of Guelph Act and
pursuant to the Freedom of Information and Protection of Privacy Act (FIPPA). If you have questions about the use and disclosure of your personal information,
call the Office of Graduate Studies at (519) 824-4120 ext. 56833. You can also find more information about access to information and protection of privacy at
the University of Guelph from the University Secretariat.
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