Fillable UNIVERSITY OF FLORIDA GRADUATE SCHOOL SUPPLEMENTAL RETENTION AWARD (University of Florida)

Fill Online, Printable, Fillable, Blank UNIVERSITY OF FLORIDA GRADUATE SCHOOL SUPPLEMENTAL RETENTION AWARD (University of Florida) Form

Use Fill to complete blank online UNIVERSITY OF FLORIDA pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

UNIVERSITY OF FLORIDA GRADUATE SCHOOL SUPPLEMENTAL RETENTION AWARD (University of Florida)

On average this form takes 13 minutes to complete

The UNIVERSITY OF FLORIDA GRADUATE SCHOOL SUPPLEMENTAL RETENTION AWARD (University of Florida) form is 3 pages long and contains:

  • 0 signatures
  • 8 check-boxes
  • 50 other fields

Country of origin: US
File type: PDF

U.S.A. forms for University of Florida

BROWSE UNIVERSITY OF FLORIDA FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
UNIVERSITY OF FLORIDA GRADUATE SCHOOL
SUPPLEMENTAL RETENTION AWARD INFORMATION
Revised 9/2021
You must be enrolled in a UF PhD degree program or MFA studies.
You must have been a recipient of a fellowship, assistantship or scholarship for at least one year, and the funding support
must have been exhausted. Therefore you cannot currently hold any assistantship(s) or fellowship(s) from your department
or college during this award.
You must not require registration for more than three semesters to complete your degree. Cases of unusual hardship may
be petitioned.
You must have a cumulative graduate grade point average of 3.0 or higher and be making acceptable progress toward the
completion of your degree program.
You must register for the number of credits per plan of study or the minimum number of credits according to UF Graduate
School policy during the semester you receive the scholarship.
You must comply with all other criteria established by the scholarship.
You must have successfully defended your dissertation proposal before the application deadline.
You must have been admitted to doctoral candidacy.
IMPORTANT: To receive in-state status, you must have your residency classification changed to Florida resident before
the first day of classes for the semester in which you want to receive the UF OGDI Supplemental Retention Scholarship.
Otherwise you are responsible for the out-of-state cost
Items not covered by the UF OGDI Supplemental Retention Scholarship:
1. Payment of late registration fees or late payment charges.
2. Payment for courses you drop or from which you withdraw.
3. More than 3 credit hours.
4. Out-of-state tuition, this award covers at the in-state tuition rate only.
Support materials that must be attached to your application:
1. A letter of recommendation from your supervisory committee chair documenting your status and progress in your program
2. A letter of recommendation from another member of your supervisory committee or your graduate coordinator.
3. A current plan of study, showing the courses for which you plan to register.
4. A letter written by you, substantiating your need for funding and reasons for non-renewal of previous funding.
5. An essay describing your personal experiences and commitment to (1) making meaningful contributions to a diverse
academic community, (2) sharing your understanding of racial/ethnic issues in the practice of your chosen field or
profession, and (3) contributing to the greater good of society at large (400-500 words long).
6. Departmental Signature Page
Please read carefully the information below about the UF Office of Graduate Diversity Initiatives (OGDI) Supplemental
Retention Scholarship and the instructions on how to apply for it before filling out this form. Please type or print legibly when
filling out this form or fill it out online and print it from your computer. Submit your application and all support materials
by the November 1, 2021 deadline for the Spring 2022 semester. Incomplete or late applications will not be considered.
Send All Application Materials As One PDF Document To:
ogdi@aa.ufl.edu
or to
University of Florida Graduate School,
Office of Graduate Diversity Initiatives,
123 Grinter Hall
PO Box 115500 Gainesville, Florida 32611
(352)392-6444
UNIVERSITY OF FLORIDA GRADUATE SCHOOL
SUPPLEMENTAL RETENTION SCHOLARSHIP APPLICATION
Revised 9/2021
PERSONAL INFORMATION
UFID
Last Name
First Name
Middle Initial
Local Mailing Address
State
Zip Code
Local Area Code and Telephone Number
Other Area Code and Telephone Number
E-Mail Address
Are you a Florida resident?
Yes
No (if you "no," please review program criteria on previous) page
ACADEMIC INFORMATION
College
Department
Department Telephone Number
Supervisory Committee Chair
Supervisory Committee Member or Graduate Coordinator
Anticipated Date of Graduation
Cumulative Graduate Grade Point Average
The Year You Began Your Graduate Studies at UF
Number of Semesters to Graduation
Number of Credits Needed to Complete Degree
Number of Credits You Will Need Per Term
Have you formed your supervisory committee for your research?
□ Yes, as of ___________ (date)
□ No
Have you advanced to candidacy status in your doctoral program?
□ Yes, as of ___________ (date)
□ No
Have you passed your qualifying examination?
□ Yes, as of ___________ (date)
□ No
FINANCIAL INFORMATION
Gross Income
Federal Income Tax Paid
State and Local Income Tax Paid
$
$
$
Number of Exemptions
Itemized Deductions
Payments to IRA and/or Keough
$
$
$
Employment
Name of Employer
Position Title
Start Date
End Date
Financial Aid: List any additional funding you will receive, including assistantships, fellowships, grants, scholarships or tuition waivers.
Source
Amount
$
$
CURRENT FUNDING INFORMATION
PLEASE KEEP A COPY OF THIS INFORAMTION FOR YOUR RECORDS
UNIVERSITY OF FLORIDA GRADUATE SCHOOL
SUPPLEMENTAL RETENTION SCHOLARSHIP APPLICATION
Applicant Signature
By signing and submitting this application, I certify that:
I will not receive any other funding during the award period.
I understand this award covers tuition only.
I will be responsible for paying all tuition and fees not covered by this award.
I will be responsible for paying for my health insurance.
I will be responsible for obtaining all signatures required on this form prior to the deadline.
I have read and understand the conditions for participation in this program.
The information I supplied on this application is true, complete and correct.
I understand that this application will be disqualified if any portion of it is incomplete.
I give permission for information pertaining to my application, plus all supporting materials, to be released by the
appropriate organization to the University of Florida Graduate School.
I am aware that if I purposely give false information, I may be subject to fine, imprisonment or both under Florida Statute
837.06.
______________________________________________________________________________________________________________
Signature Name (Please type or print) Date
Supervisory Committee Chair/Department/College Signatures
By signing and submitting this application, I certify that:
The applicant meets the eligibility criteria for this award.
The applicant has been admitted to candidacy.
The applicant has successfully defended his/her dissertation proposal.
The applicant is actively writing his/her dissertation.
The applicant is in good academic standing with the university and his/her academic unit.
The applicant is on track to graduate at the end of the term of this award.
The applicant has exhausted all departmental funding.
I agree to provide the applicant with appropriate academic unit, faculty and mentor resources to conduct full-time
dissertation work.
Supervisory Committee Chair
______________________________________________________________________________________________________________
Signature Name (Please type or print) Date
Department Chair/School Director
______________________________________________________________________________________________________________
Signature Name (Please type or print) Date
College Dean
______________________________________________________________________________________________________________
Signature Name (Please type or print) Date
Revised 9/21
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

UNIVERSITY OF FLORIDA GRADUATE SCHOOL SUPPLEMENTAL RETENTION AWARD (University of Florida)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 16 October 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document