Graduate Research Funding Disclosure Form
Student Name
Student ID
Program / Department
Supervisor Name
Funding Period
List All Sources of Research Funding (e.g. grants, scholarships, fellowships, assistantships)
Total Funding Amount (for stated period)
Restrictions/Conditions Attached to Funding (if any)
Other Support or Employment Held Concurrently
Student Signature
Date
Supervisor Signature
Date