DSTF Candidate Form

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DSTF Candidate Form
Please complete this form to nominate a student for DSTF (Doctoral Student Tuition Fellowship).
Funding is NOT guaranteed. Doctoral students are priority. Remaining funds, if any, will then be
disbursed to qualified MSW students. Those approved will be eligible for up to 21 semester credit
hours per academic year. Students must indicate below the number of hours they wish to have
funded per semester.
To be completed by Student:
Student Name
Student People Soft Number
Student Email Address
Number of DSTF Hours previously funded (this AY)
Number of hours to be funded this semester
I
understand that the Doctoral Student Tuition Fellow program
funds up to 21 semester credit hours per calendar year. I understand that funding is subject to
availability and approval of the GCSW scholarship committee. If at any time, I am not in compliance
with the terms of the DSTF policies, my funding will be revoked until further review.
To be completed by hiring department:
Direct Supervisor’s Name
Direct Supervisor’s Email Address
Direct Supervisor’s extension
Hiring Department
I
certify that the above listed student is currently in compliance with the
GCSW DSTF terms and policies. If at any time, the student is no longer in compliance and will not meet
the criteria for the DSTF, I agree to notify the Office of Student Affairs.
Revised June 24, 2013
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