SPRING GRADUATE AWARDS APPLICATION FORM The following Application Form is designed to be completed on your computer using the “TAB” key to navigate through the document, with only the signature being hand-written. 1. Student Information Last Name: First Name: E-Mail: UBC Student Number: 2. Academic Information Degree Program in 2014-2015: Master’s Program Doctoral Program Master’s Program Doctoral Program UBC Graduate Program in 2014-2015: Degree Program in 2015-2016: UBC Graduate Program in 2015-2016: Are you a full-time UBC graduate student (assessed full-time fees on Schedule A)* in 2014-2015? Yes. No. Please state your status: Will you be a full-time UBC graduate student (assessed full-time fees on Schedule A)* in 2015-2016? Yes. No. Please state your status: 3. Referee Please list the name and affiliation of referee from whom you have requested a reference letter. 4. Declaration I understand the Dean of the Faculty of Graduate and Postdoctoral Studies reserves the right to revoke any award offer if any of the information in this Application is found to be untrue or fraudulent. Signature: Date: * Students are automatically assessed full-time tuition (assessed on Schedule A) unless they have requested in writing to be assessed parttime tuition (assessed on Schedule B). www.grad.ubc.ca/forms page 1 of 12 last updated: 2015-03-10 SPRING GRADUATE AWARDS APPLICATION FORM 5. Additional Relevant Academic Information List relevant work or volunteer experience, courses taken, etc. 6. Exceptional Circumstances Describe any interruptions or exceptional circumstances that affected your academic progress. www.grad.ubc.ca/forms page 2 of 12 last updated: 2015-03-10 SPRING GRADUATE AWARDS APPLICATION FORM 7. Outline of Proposed Research In non-technical language, provide a detailed description of your proposed research project for the period during which you are to hold the award. Be as specific as possible. State the objectives and outline the experimental or theoretical approach to be taken (citing literature pertinent to the proposal), and the methods and procedures to be used. (Do not exceed space provided below; do not attach any other documents.) www.grad.ubc.ca/forms page 3 of 12 last updated: 2015-03-10 SPRING GRADUATE AWARDS APPLICATION FORM The following awards are available for 2014/15 and/or 2015/16 as indicated below. Please fill out the short descriptions of your eligibility on pages 7-14. Please summarize your eligibility in the below table by checking off all awards for which you are applying: Award #151 Hong Kong-Canada Business Association Fellowship #165 Simons Foundation Doctoral Scholarship #357 Walter W Jeffrey Memorial Scholarship #359 William Rea Fellowship in Television #430 James Robert Thompson Fellowship #472 R E McKechnie Graduate Scholarship #491 Rick Hansen "Man-In-Motion" Fellowship #493 Effie I Lefeaux Scholarship in Intellectual Disability #4436 Werner and Hildegard HESSE Fellowship in Ornithology #4817 Wendy Fan Memorial Scholarship #6362 James and Setsuko Thurlow Scholarship in Peace and Disarmament Studies #6367 Amanda Araba Ocran Memorial Award #6425 Elsie and Audrey Jang Scholarship in Cultural Diversity and Harmony #6473 Warren George Povey Award in Global Health #6475 Ibn Battuta Award for Field Research #6495 Andrew Nord Fellowships in Rheumatology #6507 Montalbano Scholars Fellowship #6509 ORW Opportunities through Rehabilitation and Work Society Graduate Award #6511 Shaun Kenneth Gauthier (Shaun G) Scholarship in Cancer Research #6513 Hanson Lau Graduate Research Scholarship #6544 Syd Vernon Graduate Student Award #6588 Rev. Dr. Bernard J. O'Connor Scholarship www.grad.ubc.ca/forms page 4 of 12 2014-15 2015-16 Academic Academic Year Year n/a n/a n/a last updated: 2015-03-10 SPRING GRADUATE AWARDS APPLICATION FORM Please provide a short description of your eligibility for each award for which you wish to be considered. #151 Hong Kong-Canada Business Association Fellowship A $6,000 scholarship has been endowed by the Hong Kong-Canada Business Association, Vancouver Section to assist graduate students who have an academic focus on Asia to undertake formal studies or project research in Hong Kong for a period of not less than eight weeks. It is awarded on the recommendation of the Faculty of Graduate and Postdoctoral Studies. I am registered in the 2014/15 academic year and eligible for this award. Description of eligibility: I will be registered in the 2015/16 academic year and I will be eligible for this award. Description of eligibility: #165 Simons Foundation Doctoral Scholarship Two $6,100 scholarships have been endowed by The Simons Foundation to encourage women entering doctoral programs. One award is available in the humanities or social sciences and the second in science or applied science. The recipients will be outstanding women scholars with potential for significant contribution to society through achievement in their chosen field. The awards are made on the recommendation of the Faculty of Graduate and Postdoctoral Studies. I began my doctoral program in May 2014, Sep 2014, or Jan 2015 – only award in humanities or social sciences is available. Description of eligibility: I will begin my doctoral program in May 2015, Sep 2015, or Jan 2016. Description of eligibility: #357 Walter W Jeffrey Memorial Scholarship A scholarship of $150 has been endowed by Mrs. Jeffrey and friends in memory of Dr. Jeffrey, an Associate Professor in the Faculty of Forestry, who lost his life in an aircraft accident in August, 1969 while taking part in a water resources study for the Department of Indian Affairs and Northern Development. In recognition of his special interest in forest hydrology, and his devoted efforts in establishing interdisciplinary studies at the University of British Columbia, this scholarship is awarded to a graduate student engaged in interdisciplinary studies related to water resources. In making the award, consideration will be given not only to academic standing, but also to personal qualities, character, interest and promise in interdisciplinary land use research. If in any one year a suitable candidate is not found the scholarship may not be awarded. I am registered in the 2014/15 academic year and eligible for this award. Description of eligibility: I will be registered in the 2015/16 academic year and I will be eligible for this award. Description of eligibility: www.grad.ubc.ca/forms page 5 of 12 last updated: 2015-03-10 SPRING GRADUATE AWARDS APPLICATION FORM #359 William Rea Fellowship in Television One or more fellowships totalling $2,300 are offered by William Rea, Jr., founder of CKNW, in honour of his father, a pioneer Edmonton educator. The minimum value of each award is $500. The fellowship is open to a University of British Columbia graduate student of either sex, who shows the greatest aptitude in terms of scholarship and extracurricular activity for a career in television through drama, music, writing, photography, engineering or business. The student may attend any recognized graduate school which will further his training in this area, and the scholarship may be renewed for one or more years in appropriate circumstances. Students wishing to be considered should apply by letter which should include a statement outlining program objectives, academic transcripts and a statement regarding financial circumstances. Applicants must also request three or more instructors familiar with his work to supply confidential statements indicating his merits and their estimate of his ability to pursue work in one of the areas of the field of study in which the candidate desires to work. I will be registered in the 2015/16 academic year and I will be eligible for this award. Description of eligibility: 2014/15 award has been assigned. #430 James Robert Thompson Fellowship Fellowships totalling $4,950 have been endowed by the late James Robert Thompson, B.Comm, 1967. The awards are made on the recommendation of the Faculty of Graduate and Postdoctoral Studies to students planning a career related to preservation of the natural environment. It was the expressed wish of the donor that recipients of the fellowship would demonstrate a desire to use their talents and abilities to establish a significant career role in preserving the natural and wilderness areas in B.C and the Yukon. I am registered in the 2014/15 academic year and eligible for this award. Description of eligibility: I will be registered in the 2015/16 academic year and I will be eligible for this award. Description of eligibility: #472 R E McKechnie Graduate Scholarship A scholarship of $1,000 endowed through a bequest from the late Chancellor R. E. McKechnie, is awarded on the recommendation of the Faculty of Graduate and Postdoctoral Studies to a deserving graduate student at the University of British Columbia who is proceeding to a M.A. or M.Sc. degree. I began an M.A. or M.Sc. program in May 2014, Sep 2014, or Jan 2015. I will begin an M.A. or M.Sc. program in May 2015, Sep 2015, or Jan 2016. www.grad.ubc.ca/forms page 6 of 12 last updated: 2015-03-10 SPRING GRADUATE AWARDS APPLICATION FORM #491 Rick Hansen "Man-In-Motion" Fellowship Two fellowships of $16,000 each are offered to physically disabled students enrolled in a full-time graduate program at this University. The awards are made available by the University of British Columbia to honour the incredible determination and many personal achievements of Rick Hansen, B.P.E. 1986 and Doctor of Laws, honoris causa. His two-year world tour, completed in 1987, changed public attitudes and the prospects for the disabled. The fellowship winners are selected by the Faculty of Graduate and Postdoctoral Studies from among nominations received from the Departments of the University. I will be registered in the 2015/16 academic year and I will be eligible for this award. I will be registered with UBC Access and Diversity. 2014/15 award has been assigned. #493 Effie I Lefeaux Scholarship in Intellectual Disability One or more scholarships to a total of $1,950 are offered to graduate students working in the area of intellectual disabilities. The funds are provided through a bequest from the estate of Effie I. Lefeaux. The awards are made on the recommendation of the Faculty of Graduate and Postdoctoral Studies. I am registered in the 2014/15 academic year and eligible for this award. Description of eligibility: I will be registered in the 2015/16 academic year and I will be eligible for this award. Description of eligibility: #4436 Werner and Hildegard HESSE Fellowship in Ornithology Fellowships totalling $17,900 have been endowed through a bequest by Werner Hans Hermann Hesse for graduate students engaged in ornithological research projects, with preference given to those studying wild birds. Werner and Hildegard Hesses' passion for wild birds was sparked in night classes on the ecology and conservation of birds at UBC and led them to become leaders in amateur ornithology. The Hesses conducted bird surveys in the Canadian arctic, compiled BC's Christmas Bird Counts for over 20 years, and developed a special concern for the harmful effects of human development on bird habitats and populations. The Hesses delighted in funding ornithological research and, particularly, contributing to the long-term monitoring of population change in seabirds of the Pacific Coast. The awards are made on the recommendation of the Faculty of Graduate and Postdoctoral Studies. I am registered in the 2014/15 academic year and eligible for this award. Description of eligibility: I will be registered in the 2015/16 academic year and I will be eligible for this award. Description of eligibility: www.grad.ubc.ca/forms page 7 of 12 last updated: 2015-03-10 SPRING GRADUATE AWARDS APPLICATION FORM #4817 Wendy Fan Memorial Scholarship A $5,200 scholarship has been endowed in memory of Wendy Fan for a student who is entering graduate studies in either Science, Applied Science, Medicine or Commerce and Business Administration. The award is made on the recommendation of the Faculty of Graduate and Postdoctoral Studies. I began my graduate program in May 2014, Sep 2014, or Jan 2015. Description of eligibility: I will begin my graduate program in May 2015, Sep 2015, or Jan 2016. Description of eligibility: #6362 James and Setsuko Thurlow Scholarship in Peace and Disarmament Studies Scholarships totalling $5,000 have been endowed by James and Setsuko Thurlow and by The University of British Columbia for graduate students pursuing studies in disarmament or weapons of mass destruction (primarily nuclear weapons). The award is made on the recommendation of the Faculty of Graduate and Postdoctoral Studies. I am registered in the 2014/15 academic year and eligible for this award. Description of eligibility: I will be registered in the 2015/16 academic year and I will be eligible for this award. Description of eligibility: #6367 Amanda Araba Ocran Memorial Award A $300 award has been endowed by family, friends and colleagues in memory of Amanda Araba Ocran for a graduate student whose research focuses on issues of social justice and racial or economic inequality, or a critical analysis of our society and its socio-economic structures. At the time of her death in 1998, Amanda Ocran was a UBC Ph.D. candidate who was active in the Graduate Student Society, the Student Women's Action Caucus and the Women of Colour Mentoring Network. Her research focused on the exploitation of immigrant home workers as cheap labour. The award is made on the recommendation of the Faculty of Graduate and Postdoctoral Studies. I am registered in the 2014/15 academic year and eligible for this award. Description of eligibility: I will be registered in the 2015/16 academic year and I will be eligible for this award. Description of eligibility: www.grad.ubc.ca/forms page 8 of 12 last updated: 2015-03-10 SPRING GRADUATE AWARDS APPLICATION FORM #6425 Elsie and Audrey Jang Scholarship in Cultural Diversity and Harmony Awards totalling $1,650 have been endowed by Elsie Jang for graduate students at the University who are conducting research in the area of cultural diversity and harmony. While acknowledging how important it is to cultivate a deeper understanding of cultural diversity across disciplines at UBC, the goal of this scholarship is to stimulate and encourage interdisciplinary research that involves forms of artistic expression in the process of creating a more harmonious society. The awards are made on the recommendation of the Faculty of Graduate and Postdoctoral Studies. I am registered in the 2014/15 academic year and eligible for this award. Description of eligibility: I will be registered in the 2015/16 academic year and I will be eligible for this award. Description of eligibility: #6473 Warren George Povey Award in Global Health Awards totalling $7,100 have been endowed to graduate students in any discipline who are dedicated to working on global health issues in honour of Dr. Warren George Povey and his contributions in teaching that span over 50 years on every continent and at every level of education from Traditional Birth Attendants in Mozambique to Midwives, Nurses and Physicians and in recent year's graduate students from many disciplines working on global health issues. Dr. Povey is a pioneering scholar in global health and is passionate about addressing the social, political and economic determinants of health and gender equity in the interest of promoting social justice around the world. He pioneered the International Health course at UBC and has also taught global health at University of Washington. The awards are made in consultation with the School of Population and Public Health and on the recommendation of College for Interdisciplinary Studies and the Faculty of Graduate and Postdoctoral Studies. I am registered in the 2014/15 academic year and eligible for this award. Description of eligibility: I will be registered in the 2015/16 academic year and I will be eligible for this award. Description of eligibility: #6475 Ibn Battuta Award for Field Research A $3,000 travel award is offered to a graduate student in any field of study who wishes to conduct field research in the following Muslim-majority countries: Afghanistan, Algeria, Comoros, Iraq, Iran, Jordan, Libya, Maldives, Mauritania, Morocco, Palestine, Pakistan, Saudi Arabia, Somalia, Syria, Tajikistan, Tunisia, Turkey, Xinjiang (Western China) and Yemen. To be considered, graduate students must have a minimum overall GPA of 80% in their last two years of study. Candidates should also have completed at least one course in field research methods, or be able to demonstrate equivalent knowledge. Award is made on the recommendation of the Faculty of Graduate and Postdoctoral Studies. I am registered in the 2014/15 academic year and eligible for this award: I will be registered in the 2015/16 academic year and I will be eligible for this award: www.grad.ubc.ca/forms page 9 of 12 last updated: 2015-03-10 SPRING GRADUATE AWARDS APPLICATION FORM #6495 Andrew Nord Fellowships in Rheumatology Fellowships totalling $59,650 have been endowed through a bequest from the Estate of Andrew Nord. Andrew Nord suffered from the effects of arthritis from the age of 15 and the goal for his bequest is "to prevent the disease from its devastating onslaught, to find better ways to live with the disease, and to find the cause, leading to a cure once and for all." Doctoral students engaged in rheumatology research in any faculty at UBC are eligible to apply for the fellowships. Recommendations are made by the Faculty of Graduate and Postdoctoral Studies. I am registered in the 2014/15 academic year and eligible for this award. Description of eligibility: I will be registered in the 2015/16 academic year and I will be eligible for this award. Description of eligibility: #6507 Montalbano Scholars Fellowship Fellowships of $10,000 each are offered by John and Dana Montalbano to support PhD students in International Relations or International Law who are recipients of one or more of the following: Four Year Doctoral Fellowship; Killam Doctoral Fellowship; Canadian Institutes of Health Research Doctoral Research Award or Canada Graduate Scholarship; Natural Science and Engineering Council Postgraduate Scholarship or Canada Graduate Scholarship; or Social Sciences and Humanities Research Council Doctoral Fellowship or Canada Graduate Scholarship. Preference will be given to students entering their first year of the PhD program at the University of British Columbia. John Montalbano is an alumnus of UBC, a Leslie Wong Fellow at UBC's Portfolio Management Foundation and a Chartered Financial Analyst. He is CEO of RBC Global Asset Management and Phillips, Hager & North Investment Management, and is responsible for RBC Global Asset Management worldwide. Mr. Montalbano is a trustee of the Killam Trusts, co-chairs the Downtown Eastside Community Arts Fund and he serves on the board of the Take a Hike Youth at Risk Foundation, the board of the Phillips, Hager & North Centre for Financial Research and the Bureau of Asset Management at the University, and is also an advisor to Power To Be Adventure Therapy Society. Provided that a successful candidate continues to meet the eligibility criteria, the fellowship may be renewed for an additional two years. The recommendation is made by the Faculty of Graduate and Postdoctoral Studies. I will be registered in the 2015/16 academic year and I will be eligible for this award. Note that students who applied (but have not yet received their competition result) for doctoral Tri-Agency funding (SSHRC, CIHR, and NSERC) for the 2015/16 academic year are eligible to apply for this award. Description of eligibility: 2014/15 award has been assigned. www.grad.ubc.ca/forms page 10 of 12 last updated: 2015-03-10 SPRING GRADUATE AWARDS APPLICATION FORM #6509 ORW Opportunities through Rehabilitation and Work Society Graduate Award A $2,050 award has been endowed by ORW Opportunities through Rehabilitation and Work Society for a graduate student in any Faculty whose work or research addresses how policy change can reduce or remove barriers to employment and enhance workplace inclusiveness for persons with disabilities. Preference will be given to a student who, in their academic, professional or volunteer work, is helping to effect policy change and advocating workplace inclusiveness. ORW is a non-profit organization that seeks out new and innovative approaches to facilitate change so that there are no barriers designed into employment legislation, policies, regulations and programs for persons with disabilities. Persons with disabilities will have the same flexibilities, opportunities and productive work options as others in the work world. Research or studies that address any disability, including mental health and developmental disability, are eligible. Students from all Faculties are eligible, but preference will be given to students in the Faculty of Arts and the Sauder School of Business. The award is made on the recommendation of the Faculty of Graduate and Postdoctoral Studies. I am registered in the 2014/15 academic year and eligible for this award. Description of eligibility: I will be registered in the 2015/16 academic year and I will be eligible for this award. Description of eligibility: #6511 Shaun Kenneth Gauthier (Shaun G) Scholarship in Cancer Research Scholarships totalling $1,250 have been endowed by friends and family of Shaun Gauthier who was a brilliant, intelligent, vibrant young man who touched many lives and had a wonderful enthusiasm for life. Candidates must be focused on cancer research with preference that the scholarships go to students specializing in soft tissue sarcoma, specifically Angiosarcoma. Recommendations will be made by the Faculty of Graduate and Postdoctoral Studies. I am registered in the 2014/15 academic year and eligible for this award. Description of eligibility: I will be registered in the 2015/16 academic year and I will be eligible for this award. Description of eligibility: #6513 Hanson Lau Graduate Research Scholarship A $1,000 scholarship has been endowed by Mr. Hanson Lau for a Masters or Doctoral student conducting research into the significant contributions of Chinese immigrants to the Province of BC. Hanson Lau immigrated to Canada from Hong Kong in 1966. He obtained a BA in English Literature in 1970 and a Diploma in Education in 1971 from UBC, where he was involved with the AMS. After teaching briefly in Kitimat, he embarked on a distinguished career in Cantonese radio broadcasting for Vancouver's Chinese community from 1973 to 1998. At the same time, he led several community projects, such as pioneering a 911 phone translation service which earned a federal award, and promoting new citizens participation in voting and politics. Lau has also spent years raising money for local charities, as well as for national and international disaster relief campaigns. He received the Queen Elizabeth II Diamond Jubilee Award in 2012. Lau currently runs Hanson Travel in Richmond. The award is made on the recommendation of the Faculty of Graduate and Postdoctoral Studies. I am registered in the 2014/15 academic year and eligible for this award. Description of eligibility: I will be registered in the 2015/16 academic year and I will be eligible for this award. Description of eligibility: www.grad.ubc.ca/forms page 11 of 12 last updated: 2015-03-10 SPRING GRADUATE AWARDS APPLICATION FORM #6544 Syd Vernon Graduate Student Award Awards totalling $10,000 are offered through an endowment established by the Syd Vernon Foundation and administered by the Vancouver Foundation. The Syd Vernon Fund for the Disabled, established in 1989, honours the memory of Sydney Edward Vernon, founder of Auto Marine Electric Ltd and a pioneer of the automotive aftermarket parts industry in Canada. This Fund supports charitable organizations for the betterment of persons with mental, physical or sensory disabilities. The Fund also supports the advancement of education for those persons committed to working with people with disabilities and their families. The awards are available to UBC graduate students who are Canadian citizens, with demonstrated commitment to the disability areas described above, through courses selected, personal experience, past or current employment and/or volunteering that involves working directly with people with developmental disabilities. Minimum individual award is $2000 up to a maximum of $3500. Awards are made on the recommendation of the Faculty of Graduate and Postdoctoral Studies. I am registered in the 2014/15 academic year and eligible for this award. Description of eligibility: I will be registered in the 2015/16 academic year and I will be eligible for this award. Description of eligibility: #6588 Rev. Dr. Bernard J. O'Connor Scholarship Scholarships totaling $9,000 are offered by the J.D. Ferguson Historical Research Foundation in honour of Fr. Bernie O'Connor, who was a lifelong collector who specialized in the specie of pre-Confederation Canada. The awards are available to graduate students in the second or subsequent year(s) of study whose research or thesis is focused on any one of the following areas of inquiry: monetary history; the history of banks and banking; fine art and money, such as the iconography on coins, medals, and paper money; the history of collections and collecting; the curatorship of coins, medals, tokens, paper money, and other financial instruments; Aboriginal practices of exchange including, but not restricted to the function and role of trade silver, treaty medals, and the fur trade; numismatics; metallurgy and money. The awards are made on the recommendation of the Faculty of Graduate and Postdoctoral Studies. I am registered in the 2014/15 academic year and eligible for this award. Description of eligibility: I will be registered in the 2015/16 academic year and I will be eligible for this award. Description of eligibility: www.grad.ubc.ca/forms page 12 of 12 last updated: 2015-03-10