Value: $15,000 for a period of 12 months. There are no automatic renewals for a second year.

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INSTRUCTIONS: COMPLETING THE UW Graduate Scholarships APPLICATION FORM Value: $15,000 for a period of 12 months. There are no automatic renewals for a second year. General Terms: For full-time graduate students, in recognition of academic excellence and of contributions to community service. Students must demonstrate superior intellectual ability and academic accomplishment, holding a minimum cumulative GPA of 3.75 or greater for the last two completed years of study. All full-time graduate students--domestic and international, in thesis, course-based, practicum-based, or project-based programs--are eligible to apply, with the exception at present of students in the Theology, MMFT, and Joint Masters Programs. Applicants must be recommended by the Graduate Program Committee of the program in which they re studying (or applying to study). Restrictions: Students holding NSERC, SSHRC, CIHR, MHRC or MGS Awards are not eligible to hold this award. General Presentation When preparing the application and supporting materials, follow these guidelines: All documents must be typed, single sided, on 8½ x 11 (21.5 cm x 28 cm) white paper, and be of letter quality (minimum standard). Text must be single-spaced, with no more than six lines per inch. Body text must be no smaller than 11 pts in Times New Roman font style. Condensed type is not acceptable. The on-line application form must meet the above standards. Applications that have been altered or that do not meet these guidelines will not be accepted. Note: In order to use the on-line form, type your information directly into the word processor document and save your information. You must print out a hard copy of the application form after it is completed and submit it to your department. Electronic copies will not be accepted. Attachments (free form) Use white paper 8 ½ x 11 inches (21.5 cm x 28 cm). Set margins at ¾ of an inch (1.9 cm) (minimum) all around. Enter your name at the top of every page. Print on one side of the paper only (single sided). Please follow the regulations pertaining to the number of pages allowed. Pages in excess of the number permitted will be removed. Applicant s signature certifies that: He/she accepts the terms and conditions of the award as set out in the UWGSS regulations (attached to the application form). He/she will acknowledge, wherever possible, UWGSS funding assistance. The information provided in the application is complete, accurate and consistent with institutional policies to the best of the applicant s knowledge. The provision of false or 1

inaccurate information may result in sanctions, including termination of funding and disentitlement from eligibility for future funding. PART I INSTRUCTIONS FOR APPLICANT TITLE Mr/Ms/Mrs/Miss/Dr title to be used in all correspondence. LAST NAME & FIRST NAME Name should match all documents enclosed with the application and should appear in all correspondence with The University of Winnipeg. If the name on the application differs from transcripts and/or other documents enclosed with the application, the applicant is required to submit documentation (i.e., marriage certificate) to clarify the applicant s identity. ADDRESS Current address information will be used when corresponding with the applicant unless otherwise noted. STUDENT NUMBER This number is provided to you by The University of Winnipeg. If you do not have a student number or if you do not know what your student number is, leave this section blank. ACADEMIC BACKGROUND Include all current and past degree programs. Do not include programs that you have not yet started. ACADEMIC, RESEARCH, AND OTHER RELEVANT WORK EXPERIENCE In the area labeled Position held and nature of work, specify whether the employment was full or part-time. AWARDS & SCHOLARSHIPS RECEIVED Starting with the most recent awards, give the name of the award, value, type (national, provincial, or institutional), location of tenure, and period held. Only list the support awarded on the basis of academic and research excellence and/or in recognition of your leadership or communication skills. PROPOSED GRADUATE DEPARTMENT Specify the proposed department and advisor (if known) for the upcoming academic year. If you are applying to more than one department, list them in order of preference. NOTE: Students may register through one department only. PUBLICATIONS (one free form page may be appended) List your contributions to research and development beginning with the most recent, and list each entry on a new line. Do not include any articles that are currently in preparation. Use the following headings and order in your listing: a. Articles published or accepted in refereed journals b. Articles submitted to refereed journals 2

c. Other refereed contributions (e.g., communications, papers in refereed conference proceedings, posters, etc.) d. Technology transfer e. Contributions resulting from your participating in industry relevant R&D activities f. Patents and copyrights (e.g., software, but excluding publications) For publications submitted or in press, indicate the date of acceptance/submission and the number of pages submitted. In all cases, indicate whether the publication resulted from work done in the process of completing your undergraduate, masters or doctoral degree, or from other relevant work experience. PLAN OF STUDY An explanation of why you want to undertake graduate studies and the degree program which you are pursuing or intend to pursue. Outline, for example, pattern of course work planned; practicum or field placements, if known; project or research proposal, if formulated, Special/Directed Studies courses. COMMUNITY SERVICE Include comments on work experience, proposed research projects, or practicum placements in the community, and/or volunteer activities in the community. This could also include academic or campus community work such as tutoring, volunteering with student groups, etc. This category is intended to recognize the value the University of Winnipeg attaches to students involvement in communities beyond the classroom and laboratory. Part II REFEREE COMMENTS Students may submit up to two letters of support. One referee must be a faculty member in a university who has had sufficient opportunity to asses your academic potential. One referee should be able to comment on your community involvements. Submit a copy of your completed application and academic record (official academic transcripts or student record) to your referee for their assessment. The referee shall complete Part II of the application form and return this form, along with a letter of reference, to you in a signed and sealed envelope. Allow sufficient time to enable your referee to complete the form. Part III DEPARTMENTAL COMMENTS The department chair, the chair s representative or director of program you are applying through must complete this form. Provide the original Part III form to be completed by the department chair or it s designate. Provide your original completed application, referee forms and the letters of reference in a sealed envelope and all official transcripts to the department chair you are applying to prior to the deadline of March 1 st. CONTACT For any questions or additional information, please contact Deanna England, Graduate Studies Officer at (204)786-9093 or d.england@uwinnipeg.ca 3

PART II INSTRUCTIONS FOR REFEREES Who should complete this form? Complete this form if you have agreed to evaluate an applicant for the UWGSS award. The UWGSS Selection Committee will use it to review and assess the applicant s eligibility. Before you start completing the form, make sure you have the copy of the applicant s completed UWGSS application form, along with his/her academic record (official transcripts, certified true copies and/or student histories are acceptable). Complete Part II of the application form and attach a letter of support on departmental letterhead. The Selection Committee will not consider the application without the letter of support. Once you have completed the form and the letter of support, return it in a signed and sealed envelope to the applicant. The applicant is required to submit their application (including the signed, sealed form and letter of support) to the department by March 1st. When you prepare your report on the applicant, follow these guidelines: The form and letter of support must be typed on a white paper 8 ½ x 11 inches (21.5 cm x 28 cm). Use the font type Times New Roman. Print must be in black ink, and be of letter quality (minimum standard). If you use a type size measured in points (pts), it must be no smaller than 11 pts. Condensed type is not acceptable. A one-page letter of support typed on departmental letterhead must be appended (this letter should be consistent with the ratings provided in the grid). How to complete this form Rate the applicant on each of the evaluation criteria in the grid and justify your evaluation in the supporting letter. Rather than providing general comments, assess the applicant s strengths and limitations for each criterion. Include specific examples of the applicant s accomplishments and contributions to support your assessment. In your letter you should comment on the following: Academic Excellence - as demonstrated by academic transcripts, awards and distinctions Proposed Plan of Study - description of the program of study Community Service - Community Service as demonstrated by work experience, community involvement, and other extracurricular activities. 4

Note: If you are the Coordinator of a program and are also completing a Letter of Support on behalf of a candidate, please ensure that another faculty member completes the Part III Departmental Appraisal. PART III INSTRUCTIONS FOR GRADUATE PROGRAM COORDINATOR Who should complete this form? Complete this form if you are evaluating an applicant for a UWGSS award and you are the Graduate Program Coordinator or the designate. Before you start completing this form, make sure you have the applicant s original completed UWGSS application form, his/her official academic transcripts (certified true copies are also acceptable) and referee s form and letter of reference in a sealed and signed envelope. Complete Part III of the application form. Once you have completed the form, forward the completed application package to the Graduate Studies Office by March 15 th. Note: The proposed supervisor must not complete this form. When you prepare your departmental evaluation, follow these guidelines: The form must be typed using the font type Times New Roman. Print must be in black ink, and be of letter quality (minimum standard). Text must be single-spaced, with no more than six lines per inch. If you use a type size measured in points (pts), it must be no smaller than 12 pts. Condensed type is not acceptable. How to complete this form? Departmental Comments on the Applicant Discuss the qualities or factors that led to the departmental ranking of the applicant. Comment on the applicant s strengths and limitations in comparison to the peer group using all of the following criteria: Academic Excellence - as demonstrated by academic transcripts, awards and distinctions. Proposed Plan of Study - description of the program of study Community Service - Comment on the student s contributions to the community External Appraisal 5

- based on the referee s form and letter of support. If you are unable to provide a useful evaluation due to the lack of contact with the applicant, please indicate this on the form. Please do not exceed the space provided, as additional pages will not be accepted. Please do not recommend applicants: whose GPA in the last two years of a degree from a recognized university is below 3.75 GPA. Note: Do not forward not recommended and ineligible applications to the Graduate Studies Office. It is the responsibility of the department to inform the students that they have not been recommended to the UWGSS Scholarship Committee. 6