Application Form

Graduate Students Association Awards

Please review this important information before submitting an application.

Awards Application Form

Award Notification

Only successful applicants will be notified in writing via e-mail that their nomination for the Outstanding Distinction Award has been selected as a successful recipient. Successful recipients of the award must submit this follow-up form for payment processing.

Privacy and Data Collection

All information requested on this form is collected to aid in processing your application for an AUGSA award and/or bursary. This information is collected following the standards set by the Personal Information and Privacy Act (PIPA). It is required to determine your eligibility for the award and/or bursary and may be used for research and statistical analysis. Personal information provided in applications is kept confidential, and only disclosed for processing payment.

If you have any questions about the collection or use of this information, please contact the GSA’s Awards Committee Chair at awards@augsa.com.

Nomination Information

I nominate (or self nominate):

Letter of Reference describing why the nominee should receive the award.

A resume from the candidate outlining their qualifications as it relates to the award.

The candidate for this award must be an Athabasca University student, actively enrolled in a graduate-level program at the time of nomination.

Contact Information

Student ID

First Name

Last Name

Date of Birth

Title of Position and Work/Volunteer Setting

Nominator Details

Address

Email

Phone

Enrollment Information

Program of Study

Credits Completed

Select this box to give AUGSA permission to publish your name and the award that you receive. Please note that this is optional.

Upload nomination support documents here.

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