Use this form to: Apply for theÌýGraduate Student Association’s Award for Black and Indigenous Students. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Personal information First name Last name À¶Ý®ÊÓƵ student identification number? (8 digits) University of À¶Ý®ÊÓƵ email address Note: Email address must end with @uwaterloo.ca. Are you Black? For the purpose of this scholarship and confirmed through the Office of Equity, Diversity, Inclusion & Anti-Racism (EDI-R) Black students may include those of African, Caribbean, Black Canadian, Afro-Latine, African American, or other African descent. Yes No Are you Indigenous? For the purpose of this scholarship, an Indigenous person is one who is a citizen or member of a First Nations community (Status/Non-Status), Metis, and/or Inuit. To be considered for this award, students must have completed the Indigenous Verification section in Quest and have had their Indigenous identity verified by the Office of Indigenous Relations. Yes No Faculty Faculty - Select -ArtsEngineeringEnvironmentHealthMathematicsScience°¿³Ù³ó±ð°ù… E.g., St. Jeromes University - Master of Catholic Thought Department or School (e.g., Biology, School of Pharmacy) Program level Master's Doctoral Current year of study of application (e.g., year 2) Overall average of current or most recently completed program Applicant statement Statement 1 Describe how you identify with your Black and/or Indigenous identity, and the ways in which your intersecting identities have contributed to your personal and academic growth (maximum 300 words). Statement 2 Provide the awards committee with a detailed statement (up to 1,000 words), written in your own words, to explain why you are applying for this specific award and how you meet the award criteria, as stated in the award profile. Be sure to explain your connection and/or contributions to the Black or Indigenous community, as applicable, through extracurricular, volunteer, leadership or entrepreneurial-related experiences that you have been involved in within the last 3 years. Please include any plans for giving back to either community in the future. Statement 3 Describe any personal and professional goals you hope to achieve upon obtaining your graduate degree (maximum 150 words). Statement 4 Describe how receiving this award to support your graduate studies would impact you (maximum 150 words). Statement 5 (optional) Describe any career interruptions or personal challenges (e.g., racism, trauma, loss, socioeconomic constraints, etc.) that might have affected your academic performance or hindered your ability to attain non-academic extracurricular, volunteer, leadership or entrepreneurial-related experiences. (200 words max) Supporting documentation Upload documentation demonstrating ALL of the following: All postsecondary transcripts (minimum cumulative average of 75% or equivalent is required) Copy of an updated Curriculum Vitae (CV) One academic or non-academic reference letter that speaks to your experiences, and work in the community that you are part of. Upload application materials 1 One file only.100 MB limit.Allowed types: pdf, doc, docx, . Upload application materials 2 One file only.100 MB limit.Allowed types: pdf, doc, docx, . Upload application materials 3 One file only.100 MB limit.Allowed types: pdf, doc, docx, . Declaration and consent Indicate you have read and understood the statements below by checking each box. I confirm that the information provided in this application package and all statements I have made are truthful and an accurate representation of my personal circumstances. I am not knowingly misrepresenting my circumstances. I understand that I am responsible for providing all required documentation as indicated in the application instructions or as directed by the administering office, and that if I do not submit the required documentation/information I may be disqualified for consideration of this award. I understand that the collection of personal information provided in this application package is used solely for determining my eligibility for this award. Information submitted during the application process will be protected, used, and released in compliance with Ontario’s Freedom of Information and Protection of Privacy Act (R.S.O. 1990, c. F31) and the University of À¶Ý®ÊÓƵ’s policies. I authorize the Graduate Student Association (GSA) to release a copy of this application package to the appropriate awards selection committee. I understand that if I am selected to receive this award, these funds may affect my OSAP (or other provincial aid) as well as any needs-based award/bursary previously issued, if applicable. I acknowledge that if any details change that would disqualify me from continuing to hold this award, I will immediately notify the GSA, as I understand that it may result in a reassessment and/or cancellation of my award. All details provided in the application are subject to verification by the GSA in conjunction with Graduate Studies and Postdoctoral Affairs (GSPA). Leave this field blank
Use this form to: Apply for theÌýGraduate Student Association’s Award for Black and Indigenous Students. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Personal information First name Last name À¶Ý®ÊÓƵ student identification number? (8 digits) University of À¶Ý®ÊÓƵ email address Note: Email address must end with @uwaterloo.ca. Are you Black? For the purpose of this scholarship and confirmed through the Office of Equity, Diversity, Inclusion & Anti-Racism (EDI-R) Black students may include those of African, Caribbean, Black Canadian, Afro-Latine, African American, or other African descent. Yes No Are you Indigenous? For the purpose of this scholarship, an Indigenous person is one who is a citizen or member of a First Nations community (Status/Non-Status), Metis, and/or Inuit. To be considered for this award, students must have completed the Indigenous Verification section in Quest and have had their Indigenous identity verified by the Office of Indigenous Relations. Yes No Faculty Faculty - Select -ArtsEngineeringEnvironmentHealthMathematicsScience°¿³Ù³ó±ð°ù… E.g., St. Jeromes University - Master of Catholic Thought Department or School (e.g., Biology, School of Pharmacy) Program level Master's Doctoral Current year of study of application (e.g., year 2) Overall average of current or most recently completed program Applicant statement Statement 1 Describe how you identify with your Black and/or Indigenous identity, and the ways in which your intersecting identities have contributed to your personal and academic growth (maximum 300 words). Statement 2 Provide the awards committee with a detailed statement (up to 1,000 words), written in your own words, to explain why you are applying for this specific award and how you meet the award criteria, as stated in the award profile. Be sure to explain your connection and/or contributions to the Black or Indigenous community, as applicable, through extracurricular, volunteer, leadership or entrepreneurial-related experiences that you have been involved in within the last 3 years. Please include any plans for giving back to either community in the future. Statement 3 Describe any personal and professional goals you hope to achieve upon obtaining your graduate degree (maximum 150 words). Statement 4 Describe how receiving this award to support your graduate studies would impact you (maximum 150 words). Statement 5 (optional) Describe any career interruptions or personal challenges (e.g., racism, trauma, loss, socioeconomic constraints, etc.) that might have affected your academic performance or hindered your ability to attain non-academic extracurricular, volunteer, leadership or entrepreneurial-related experiences. (200 words max) Supporting documentation Upload documentation demonstrating ALL of the following: All postsecondary transcripts (minimum cumulative average of 75% or equivalent is required) Copy of an updated Curriculum Vitae (CV) One academic or non-academic reference letter that speaks to your experiences, and work in the community that you are part of. Upload application materials 1 One file only.100 MB limit.Allowed types: pdf, doc, docx, . Upload application materials 2 One file only.100 MB limit.Allowed types: pdf, doc, docx, . Upload application materials 3 One file only.100 MB limit.Allowed types: pdf, doc, docx, . Declaration and consent Indicate you have read and understood the statements below by checking each box. I confirm that the information provided in this application package and all statements I have made are truthful and an accurate representation of my personal circumstances. I am not knowingly misrepresenting my circumstances. I understand that I am responsible for providing all required documentation as indicated in the application instructions or as directed by the administering office, and that if I do not submit the required documentation/information I may be disqualified for consideration of this award. I understand that the collection of personal information provided in this application package is used solely for determining my eligibility for this award. Information submitted during the application process will be protected, used, and released in compliance with Ontario’s Freedom of Information and Protection of Privacy Act (R.S.O. 1990, c. F31) and the University of À¶Ý®ÊÓƵ’s policies. I authorize the Graduate Student Association (GSA) to release a copy of this application package to the appropriate awards selection committee. I understand that if I am selected to receive this award, these funds may affect my OSAP (or other provincial aid) as well as any needs-based award/bursary previously issued, if applicable. I acknowledge that if any details change that would disqualify me from continuing to hold this award, I will immediately notify the GSA, as I understand that it may result in a reassessment and/or cancellation of my award. All details provided in the application are subject to verification by the GSA in conjunction with Graduate Studies and Postdoctoral Affairs (GSPA). Leave this field blank