Departmental Nomination for the Multi-Year PhD Funding Program (MYF) This form is to be completed by the departmental Graduate Program Chair for each nominee for the MYF Funding Program and must be accompanied by a copy of the DGS admission offer letter. A) APPLICANT INFORMATION First name Surname Student number (if known) Email Nationality Semester of intended entry into program Intended department Intended degree (eg. MA, MASc, MSc, PhD) Nominating student for a MYF-I or MYF-E B) SFU DEPARTMENT / FACULTY / CENTRE / ORGANIZATION Admissions funding offer is attached Nominating a master’s student for two years of the MYF-I Program C) DEPARTMENTAL SCHOLARSHIP CONTRIBUTION Please indicate the type of departmental scholarship- this will be disbursed in the first term of admission unless specified otherwise: $6000 SGES $6500 GF Other (name)________________________ Scholarships will be disbursed in three (3) equal installments per year unless an alternate payment schedule is requested by the department (See section D - Requests) D) REQUESTS Eg. Only disburse scholarship payments in Fall and Summer, the student will TA in Spring Fifth year of funding (consisting of a tuition award and departmental contribution). This is optional and only for units willing to contribute $18,000 in the fifth year. Please tick if you wish to nominate the student for a fifth year of funding. Name (please print) Signature Date Please direct any questions related to the MYF program via email to dgsawards@sfu.ca Freedom of Information and Protection of Privacy The information on this form is collected under the authority of the University Act (RSBC 1996, c. 468) and is needed to update your student record and will be used to document your progress in an academic program. If you have any questions about the collection, use and disclosure of this information please contact the Director of Graduate Admissions and Records, Office of Graduate Studies and Postdoctoral, 778-782-3042 or by email to gradstudies@sfu.ca. Revised January 2016