Finch Family Graduate Award Application Form

Description

This form should be used to apply for the Finch Family Graduate Award.

Note: you are unable to save your progress as you work through THIS form. It is recommended that you draft the content for the form in a Word document and then copy it over to the digital form.

Finch Family Graduate Award Application Form

• APPLICANT INFORMATION
• Name*
  First Last
• Email*
• DEGREE INFORMATION
• Degree type in which I am registered (e.g. MFA, PhD)*
• Degree Program (e.g. Psychology, Civil Engineering, IGS)*
• Faculty (IGS students: Please select the faculty in which your supervisor has their primary appointment)*
  Arts and Social SciencesCreative and Critical StudiesEducationEngineering (Applied Science)Health and Social DevelopmentManagementSciences
• As of the start date of the session I am applying for funding, I will have completed ________ months of master’s study (total at UBC and other institutions)*
• As of the start date of the session I am applying for funding, I will have completed ________ months of doctoral study (total at UBC and other institutions)*
• ACADEMIC BACKGROUND
• Please list all post-secondary education (complete or incomplete). Beginning with your degree currently in progress or your most recently completed degree; list up to five degrees.

• 1

• Degree:*
• Program:*
• University/Institution:*
• Country:*
• Start Date*
  YYYY slash MM slash DD
• Expected/Awarded Date*
  YYYY slash MM slash DD

• 2

• Degree:
• Program:
• University/Institution:
• Country:
• Start Date
  YYYY slash MM slash DD
• Expected/Awarded Date
  YYYY slash MM slash DD

• 3

• Degree:
• Program:
• University/Institution:
• Country:
• Start Date
  YYYY slash MM slash DD
• Expected/Awarded Date
  YYYY slash MM slash DD

• 4

• Degree:
• Program:
• University/Institution:
• Country:
• Start Date
  YYYY slash MM slash DD
• Expected/Awarded Date
  YYYY slash MM slash DD

• 5

• Degree:
• Program:
• University/Institution:
• Country:
• Start Date
  YYYY slash MM slash DD
• Expected/Awarded Date
  YYYY slash MM slash DD
• RELEVANT ACADEMIC OR RESEARCH WORK EXPERIENCE
• Beginning with the most recent, list up to five positions you are holding or have held (including academic, and relevant non-academic work experience as well as administrative appointments).

• 1

• Full-time or part-time
  • Full-time
  • Part-time
• Position:
• Department or organization:
• Start Date
  YYYY slash MM slash DD
• End Date
  YYYY slash MM slash DD

• 2

• Full-time or part-time
  • Full-time
  • Part-time
• Position:
• Department or organization:
• Start Date
  YYYY slash MM slash DD
• End Date
  YYYY slash MM slash DD

• 3

• Full-time or part-time
  • Full-time
  • Part-time
• Position:
• Department or organization:
• Start Date
  YYYY slash MM slash DD
• End Date
  YYYY slash MM slash DD

• 4

• Full-time or part-time
  • Full-time
  • Part-time
• Position:
• Department or organization:
• Start Date
  YYYY slash MM slash DD
• End Date
  YYYY slash MM slash DD

• 5

• Full-time or part-time
  • Full-time
  • Part-time
• Position:
• Department or organization:
• Start Date
  YYYY slash MM slash DD
• End Date
  YYYY slash MM slash DD
• SCHOLARSHIPS AND OTHER AWARDS
• List up to five scholarships, fellowships, prizes and other academic awards you have received. Please list those that are most pertinent to the adjudication of your application.

• 1

• Name of Award:
• Amount of Award:
• Start Date
  YYYY slash MM slash DD
• End Date
  YYYY slash MM slash DD

• 2

• Name of Award:
• Amount of Award:
• Start Date
  YYYY slash MM slash DD
• End Date
  YYYY slash MM slash DD

• 3

• Name of Award:
• Amount of Award:
• Start Date
  YYYY slash MM slash DD
• End Date
  YYYY slash MM slash DD

• 4

• Name of Award:
• Amount of Award:
• Start Date
  YYYY slash MM slash DD
• End Date
  YYYY slash MM slash DD

• 5

• Name of Award:
• Amount of Award:
• Start Date
  YYYY slash MM slash DD
• End Date
  YYYY slash MM slash DD
• ENTREPRENEURSHIP, LOCAL ECONOMIC DEVELOPMENT, COMMUNITY DEVELOPMENT, INNOVATION
• Please describe how you currently or plan to participate in entrepreneurship, local economic development, community development or innovation. How has your education contributed to the pursuit of these goals?*
• RESEARCH PROPOSAL
• Provide a detailed research proposal (~500 words).*
• BIBLIOGRAPHY AND CITATIONS
• Provide bibliographic details for all citations included in the research proposal. Ensure they are clear and complete to allow reviewers to locate the sources easily
• *
• RESEARCH CONTRIBUTIONS
• For publications submitted, accepted or in press, indicate the date of submission/acceptance. For posters, Indicate the presenting author with an asterisk (*). For conferences, indicate whether institutional, regional, provincial, national or international. Make a distinction between oral and poster presentations. Finally, for patents, include the title and names of joint inventors. Indicate whether it has been submitted or awarded.
• Refereed Contributions
• Other Refereed Contributions (e.g. communications, papers in refereed conference proceedings, posters)
• Non-Refereed Contributions (e.g. specialized publications, technical reports, conference presentations, posters)
• Forthcoming Contributions (please do not list contributions not yet accepted for publication)
• Knowledge & Technology Transfer
• Contributions Resulting from Participation in Industrially Relevant R&D Activities
• Patents & Copyrights (e.g. software, but excluding publications)
• DECLARATION AND SIGNATURE
• I declare that the statements made in this submission are, to the best of my knowledge, true, complete and correct. I understand that the Dean of the College of Graduate Studies at the University of British Columbia's Okanagan campus reserves the right to revoke any scholarship offering resulting, where necessary, in the need for a student to withdraw from his/her degree program if any of the information in this reference is found to be untrue, or if evidence of fraudulent submission of documentation is found.
• I have read and agree with the declaration.*
  • Yes
• Applicant Signature*

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