Graduate Student Support Form Please fill out the financial support details for each of your students. Contact [email protected] with any questions. LAB GROUP INFORMATION Principal Investigator Name Principal Investigator Email A copy of your form submission will be emailed to you. Semester and Year Indicate when the support package begins. STUDENT AWARD INFORMATION Student Name Award Period Fall Spring Academic Year Summer Award Name Award Type Check all that apply. Graduate Assistantship Graduate Research Assistantship Graduate Research Fellowship Tuition Fellowship Salary Amount per Month (GRA, GA) Salary Funding Source(s) Please provide all relevant details such as: GW unit, funding agency, PTA and/or alias number (e.g., NSF grant, PTA 12345/1/CCLSF67889F, alias 150001). Stipend Amount per Month (GRF) Stipend Funding Source(s) Please provide all relevant details such as: GW unit, funding agency, PTA and/or alias number (e.g., NSF grant, PTA 12345/1/CCLSF67889F, alias 150001). Tuition Fellowship Amount (credits or dollar value) Tuition Funding Source(s) Please provide all relevant details such as: GW unit, funding agency, PTA and/or alias number (e.g. NSF grant, PTA 12345/1/CCLSF67889F, alias 150001) Comments Do you have additional student names to submit? Note: You can come back to this form and submit additional student names at a later date. Yes No, I'm finished. STUDENT 2 AWARD INFORMATION Student Name 2 Award Period Student 2 Fall Spring Academic Year Summer Award Name 2 Award Type 2 Check all that apply. graduate_assistantship Graduate Research Assistantship Graduate Research Fellowship Tuition Fellowship Salary Amount per Month (GRA, GA) 2 Salary Funding Source(s) 2 Please provide all relevant details such as: GW unit, funding agency, PTA and/or alias number (e.g., NSF grant, PTA 12345/1/CCLSF67889F, alias 150001). Stipend Amount per Month (GRF) 2 Stipend Funding Source(s) 2 Please provide all relevant details such as: GW unit, funding agency, PTA and/or alias number (e.g., NSF grant, PTA 12345/1/CCLSF67889F, alias 150001). Tuition Fellowship Amount 2 (credits or dollar value) Tuition Funding Source(s) 2 Please provide all relevant details such as: GW unit, funding agency, PTA and/or alias number (e.g. NSF grant, PTA 12345/1/CCLSF67889F, alias 150001) Comments Do you have additional student names to submit? Note: You can come back to this form and submit additional student names at a later date. Yes No, I'm finished. STUDENT AWARD 3 INFORMATION Student Name 3 Award Period Student 3 Fall Spring Academic Year Summer Award Name 3 Award Type 3 Check all that apply. graduate_assistantship Graduate Research Assistantship Graduate Research Fellowship Tuition Fellowship Salary Amount per Month (GRA, GA) 3 Salary Funding Source(s) 3 Please provide all relevant details such as: GW unit, funding agency, PTA and/or alias number (e.g., NSF grant, PTA 12345/1/CCLSF67889F, alias 150001). Stipend Amount per Month (GRF) 3 Stipend Funding Source(s) 3 Please provide all relevant details such as: GW unit, funding agency, PTA and/or alias number (e.g., NSF grant, PTA 12345/1/CCLSF67889F, alias 150001). Tuition Fellowship Amount 3 (credits or dollar value) Tuition Funding Source(s) 3 Please provide all relevant details such as: GW unit, funding agency, PTA and/or alias number (e.g. NSF grant, PTA 12345/1/CCLSF67889F, alias 150001) Comments Do you have additional student names to submit? Note: You can come back to this form and submit additional student names at a later date. Yes No, I'm finished. STUDENT 4 AWARD INFORMATION Student Name 4 Award Period Student 4 Fall Spring Academic Year Summer Award Name 4 Award Type 4 Check all that apply. graduate_assistantship Graduate Research Assistantship Graduate Research Fellowship Tuition Fellowship Salary Amount per Month (GRA, GA) 4 Salary Funding Source(s) 4 Please provide all relevant details such as: GW unit, funding agency, PTA and/or alias number (e.g., NSF grant, PTA 12345/1/CCLSF67889F, alias 150001). Stipend Amount per Month (GRF) 4 Stipend Funding Source(s) 4 Please provide all relevant details such as: GW unit, funding agency, PTA and/or alias number (e.g., NSF grant, PTA 12345/1/CCLSF67889F, alias 150001). Tuition Fellowship Amount 4 (credits or dollar value) Tuition Funding Source(s) 4 Please provide all relevant details such as: GW unit, funding agency, PTA and/or alias number (e.g. NSF grant, PTA 12345/1/CCLSF67889F, alias 150001) Comments Do you have additional student names to submit? Note: You can come back to this form and submit additional student names at a later date. Yes No, I'm finished. STUDENT 5 AWARD INFORMATION Student Name 5 Award Period Student 5 Fall Spring Academic Year Summer Award Name 5 Award Type 5 Check all that apply. graduate_assistantship Graduate Research Assistantship Graduate Research Fellowship Tuition Fellowship Salary Amount per Month (GRA, GA) 5 Salary Funding Source(s) 5 Please provide all relevant details such as: GW unit, funding agency, PTA and/or alias number (e.g., NSF grant, PTA 12345/1/CCLSF67889F, alias 150001). Stipend Amount per Month (GRF) 5 Stipend Funding Source(s) 5 Please provide all relevant details such as: GW unit, funding agency, PTA and/or alias number (e.g., NSF grant, PTA 12345/1/CCLSF67889F, alias 150001). Tuition Fellowship Amount 5 (credits or dollar value) Tuition Funding Source(s) 5 Please provide all relevant details such as: GW unit, funding agency, PTA and/or alias number (e.g. NSF grant, PTA 12345/1/CCLSF67889F, alias 150001) Comments Do you have additional student names to submit? Note: You can come back to this form and submit additional student names at a later date. Yes No, I'm finished. STUDENT 6 AWARD INFORMATION Student Name 6 Award Period Student 6 Fall Spring Academic Year Summer Award Name 6 Award Type 6 Check all that apply. graduate_assistantship Graduate Research Assistantship Graduate Research Fellowship Tuition Fellowship Salary Amount per Month (GRA, GA) 6 Salary Funding Source(s) 6 Please provide all relevant details such as: GW unit, funding agency, PTA and/or alias number (e.g., NSF grant, PTA 12345/1/CCLSF67889F, alias 150001). Stipend Amount per Month (GRF) 6 Stipend Funding Source(s) 6 Please provide all relevant details such as: GW unit, funding agency, PTA and/or alias number (e.g., NSF grant, PTA 12345/1/CCLSF67889F, alias 150001). Tuition Fellowship Amount 6 (credits or dollar value) Tuition Funding Source(s) 6 Please provide all relevant details such as: GW unit, funding agency, PTA and/or alias number (e.g. NSF grant, PTA 12345/1/CCLSF67889F, alias 150001) Comments Do you have additional student names to submit? Note: You can come back to this form and submit additional student names at a later date. Yes No, I'm finished. STUDENT 7 AWARD INFORMATION Student Name 7 Award Period Student 7 Fall Spring Academic Year Summer Award Name 7 Award Type 7 Check all that apply. graduate_assistantship Graduate Research Assistantship Graduate Research Fellowship Tuition Fellowship Salary Amount per Month (GRA, GA) 7 Salary Funding Source(s) 7 Please provide all relevant details such as: GW unit, funding agency, PTA and/or alias number (e.g., NSF grant, PTA 12345/1/CCLSF67889F, alias 150001). Stipend Amount per Month (GRF) 7 Stipend Funding Source(s) 7 Please provide all relevant details such as: GW unit, funding agency, PTA and/or alias number (e.g., NSF grant, PTA 12345/1/CCLSF67889F, alias 150001). Tuition Fellowship Amount 7 (credits or dollar value) Tuition Funding Source(s) 7 Please provide all relevant details such as: GW unit, funding agency, PTA and/or alias number (e.g. NSF grant, PTA 12345/1/CCLSF67889F, alias 150001) Comments