Application for the Faculty of Communication, Art and Technology (FCAT)
Undergraduate Fellowship Award
Please submit this completed application form with a copy of your SFU transcript by February 26th, 2016 at
4pm to fcatsec@sfu.ca. In person applications can be submitted to the FCAT Dean’s Office at the SFU Harbour
Centre Campus, Room 7410.
Successful candidates and their supervising professors will be contacted in late March, following the
adjudication process.
APPLICANT INFORMATION
First Name
Surname
Student Number
Email
Phone Number
FCAT Program
AWARD INFORMATION
Number of courses in which you will be registered during the term of the award: ___________
(note that students must be enrolled in a minimum of 9 credits in the term that they hold an award)
The term(s) in which you wish to hold an award: ☐ Summer 2016
☐ Fall 2016
☐ Spring 2017
ACADEMIC BACKGROUND
☐ A copy of your academic transcript is attached (an unofficial transcript is acceptable)
Degree
Major (and Minor if applicable)
Completion Date (actual or expected)
Application continues on next page.
Award applicants are responsible for identifying a faculty supervisor and existing project they want to work on
with the faculty member. The student must meet with their proposed supervisor to complete the form below.
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FACULTY SUPERVISOR INFORMATION
First Name
Surname
Department
Email
GRAD STUDENT MENTOR (if applicable)
First Name
Surname
Department
Email
RESEARCH PROJECT (to be completed by faculty supervisor)
Student Name
Proposed start and end dates
Outline of research project including a description of the student’s role:
Application continues on next page.
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Benefits to the student from contributing to this research project:
(What skills and knowledge will the student acquire? Point form may be used.)
Additional opportunities for the student (if applicable):
(i.e. conference presentations, co-authoring a research paper or report)
STATEMENT OF INTEREST (to be completed by student)
Outline why you are interested in participating in this research project and what makes you an ideal candidate to
receive the fellowship award.
Application continues on next page.
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FELLOWSHIP REQUIREMENTS
I understand that the FCAT Research Fellow is required to work with an FCAT faculty member on research for
240 hours over one or two semesters (according to the start/end dates specified above). In addition to completing
the required hours, the student must submit a Final Report (which includes the Research Artifact and signed
Release Form) to the FCAT Dean’s Office at the end of the fellowship (details provided at time of award offer).
The student is also required to present at the FCAT Undergraduate Conference or another public forum
approved by the Dean’s Office.
SIGNATURE OF SUPERVISOR
I hereby agree to abide by the Terms of Reference for this award.
Signature
of Supervisor
Date
Signed
SIGNATURE OF STUDENT
I hereby agree to abide by the Terms of Reference for this award.
Signature
of Student
Date
Signed
The information on this form is collected under the general authority of the University Act (R.S.B.C. 1996, c.468). It is related directly to and needed by the Faculty of
Communication, Art and Technology for the adjudication and processing of the FCAT Fellowship Awards. If you have any questions about the collection and use of this
information please contact the FCAT Dean’s Office, 778-782-2328.
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