Biochemistry & Molecular Biology Graduate Program Confirmation of Financial Support & Confirmation of Supervision Admission Information Student’s Name Degree Type (MSc or PhD) Supervisor’s Name Admission Term and Year Confirmation of Supervision By signing this form the supervisor is agreeing to accept the above named student into their lab, and act as their supervisor for the duration of the student’s program (assuming satisfactory progress on the part of the student). By signing this form the student is agreeing to work under the supervision of the above named supervisor. Confirmation of Financial Support Supervisors agree to support the student’s research project and stipend for the duration of their program. At the time of admission stipend and operating funds must be in place to cover at least the first two years of program. In the event that a student holds an external award at the time of admission, sufficient operating funds must be in place to support the student’s research project as well as provide the required stipend when the external award terminates. Funding Source Stipend from supervisor’s grant NA External Award Indicate name of funding agency ie) AIMS, AIHS etc. I agree to the terms outlined above: Student Signature Date Supervisor Signature Date Amount