Department of Curriculum,

Teaching and Learning Doctoral Completion Award (DCA)

Applicants will also need to submit a ROSI printout of their transcript and a CV (3 pages maximum)

To be completed by the Applicant
Last Name: / First Name:
Applicant’sHome Address:
Student Number: / Department: /  Canadian Citizen or Permanent Resident
 Student Visa
Did you interrupt your studies at any time to take a leave?  No: Yes
I will begin/began my first non funded year on : ______(month/year)
List any financial support you will receive in the 2016-2017 academic year. If you have confirmation that any award applications were successful, please list them here. Include fellowships, scholarships, grants, externals awards, RA or other stipends, TA, TEPA, including paid work outside of the university, i.e., substitute teaching, etc.
1.______$______
2.______$______/ 3.______$______
4.______$______/ 5.______$______
6.______$______
List any financial support youhave applied for (scholarships, awards, GA, TA, TEPA) that, if successful, you would receive in the 2016-2017 academic year. (I.e. you have not received confirmation yet).
1.______$______
2.______$______/ 3.______$______
4.______$______/ 5.______$______
6.______$______
PLEASE ANSWER THE FOLLOWING QUESTIONS(If needed, you may continue onto the next page).
PLEASE DO NOT ATTACH ANY MATERIALS OTHER THAN THOSE REQUESTED.
  1. Describe your progress and accomplishments to date (i.e. where you are in completing your program – field work, data analysis, writing draft of thesis, etc).
  1. Did you achieve candidacy? If so, please indicate the date. If not, did you submit an “Extension to Achieve Candidacy” form to Terry Louisy?
  1. Estimate and describe the amount of work remaining to be done and expected date of completion.
  1. Provide reasons why you have been unable to complete the above work within the timelines of the funding period provided to students in your graduate unit.

Applicant’s Signature: / Date: /  CV attached (3 page maximum)
 ROSI Printout of Transcript

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