Conference Support Fund Application

• Conference Support Funding Application •

Guidelines 1. Only students who have presented at conferences or chaired sessions are eligible for this award. 2. Students are limited to one successful Academic Fund application per year (May-‐April). 3. Only registered graduate students are eligible for this fund. 4. Students must provide receipts of all expenses claimed (copies or originals) and confirmation of conference presentation (a letter of acceptance or a copy of conference program) before receiving funding. 5. Awards are decided by the Funding Committee. Appeals may be submitted in writing to the Funding Committee. Funding allocations will expire and not be reissued six months after issue. 6. Students with a loan in default from the GSA Emergency Loan Fund are ineligible for funding. Please direct questions regaridng funding to finance@yugsa.ca For issues related to the form or submission contact internal@yugsa.ca

Applicant"s Information

Full Name *

Student Number *

Department *

(Write department name in full if not listed)

Program *

Ph.D. Masters

Year of Study *

Phone Number *

- Area Code Phone Number

E-Mail Address (York account preferred) *

Street Address *

Apt. #

City/Town *

Province / Territory *

Postal Code *

How would you like to receive your cheque?

Mail it to above address Pick up at YUGSA office

Conference Information

Event Name *

Location (City, Country) *

Date *

Date

Presentation Title

Expenses

Travel

Supplies

Childcare

Other

Total

Have you received funding for this event from other sources?

No Yes

Amount

Please attach: - Proof of Participation. - Receipts for all of the expenses. Attachments can be scanned images or good quality photos of the original documents clearly showing all detail. You may attach multiple files in appropriate file formats. *

Select File

Date of Application

Date

Please do NOT submit hardcopy prints of this application or supporting documents to our office. Applications requiring signatures will be signed online, A request will be sent to you by e-mail if necessary.

OFFICE USE ONLY (Not to be filled by applicant)

Amount Awarded

Cheque Number

Date of Pickup or Mailing

Date

Notes