2020-2021 Ontario Graduate Scholarship (OGS)/ Queen Elizabeth II Graduate Scholarship in Science & Technology (QEII-GSST) Application
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2020-2021 Ontario Graduate Scholarship (OGS)/
Queen Elizabeth II Graduate Scholarship in Science & Technology
(QEII-GSST) Application
Use this form to:
• Apply for an OGS/QEII-GSST through the University of Waterloo
Instructions:
1. The student should review the Application Instructions prior to completing this form.
2. The student will complete sections 1-10 (or 11 if applicable) then read and sign section 12.
3. The student will complete section 13 (checklist) before submitting the application.
4. The student will submit the complete application to their proposed department graduate coordinator.
5. The student will ensure that the following application components are also ordered/requested:
a. Two OGS/QEII-GSST Academic Assessment Reports;
b. OGS/QEII-GSST applicant transcript request, if applicable.
Application & Transcript Request Deadlines:
• October 15, 2019 for international applicants
• February 3, 2020 for Canadian Citizens and Permanent Resident applicants
For full details regarding the scholarship application process can be viewed on the OGS/QEII-GSST web page.
Section 1: Student information
University of Waterloo student identification number __________________________________________________________
Last name(s) _________________________________________First name(s) ____________________________________
UW Email ___________________________________________ (if applicable)
Personal Email (complete ONLY if you do not have a “@uwaterloo” email)
Immigration status:
Canadian or Permanent Resident (PR) of Canada
International; If you are an international student, do you anticipate receiving PR status before February 3, 2020?
no yes (if yes, please contact the Coordinator, Graduate Financial Aid & Awards for further instructions).
Do you self-identify as a First Nations (Status/Non-Status), Métis, or Inuit as defined in the Canadian Constitution Act 1982
and grounded in the Ministry Aboriginal Post-secondary Education and Training Policy 2011?
no yes
Section 2: Proposed studies at Waterloo
Proposed program level: master’s doctoral
Proposed Faculty of (e.g. Arts) __________________________ Department or School (e.g. History)____________________
Section 3: Current/most recent studies
Current/most recent institution ___________________________________________________________________________
Current/most recent department _________________________________________________________________________
Current/most recent program level: undergraduate master’s doctoral
Name of current UW supervisor (if applicable) ______________________________________________________________
Number of terms completed in current program as of August 31, 2019 (prior to Fall 2019 term): ________________________
If you are currently not enrolled in an undergraduate or graduate program, indicate the date of degree completion for your
most recent degree (mm/dd/yy) __________________________
September 2019 – Graduate Studies and Postdoctoral Affairs 1 of 10Section 4: Referees
Referee #1 (first and last name)
Referee #2 (first and last name)
Applicants must complete Section 1 of the Academic Assessment Report form and provide both referees with the form.
Applicants should provide their referees with the Academic Assessment Report Instructions and submission instructions.
Section 5: Tri-agency application(s)
Indicate any tri-agency awards that you applied for or intend to apply for in Fall 2019:
CIHR/NSERC/SSHRC CGS M
CIHR Doctoral
NSERC Doctoral
SSHRC Doctoral
Vanier CGS
If you have submitted or plan to submit an application for any of the above scholarships in Fall 2019, an OGS/QEII-GSST
transcript request is not required for this competition year. GSPA will automatically obtain and use your transcripts from the
applicable competition.
If you do not submit a Fall 2019 application for any of the above scholarships, then you must submit a transcript request
using Waterloo’s OGS/QEII-GSST applicant transcript request webform.
If you submit a transcript request for any of the scholarships above but subsequently choose not to submit an actual
application for it, then you must submit an OGS/QEII-GSST transcript request using Waterloo’s OGS/QEII-GSST applicant
transcript request webform.
Section 6: Federal and provincial awards (past and current)
Indicate below any federally funded (tri-agency) awards you currently hold or have previously held:
Canadian Institute of Health Research (CIHR):
CGSM
CGSD/Doctoral
Natural Sciences and Engineering Research Council (NSERC):
CGSM
PGSD/CGSD
Social Sciences and Humanities Research Council (SSHRC):
CGSM
CGSD/Doctoral
Vanier Canada Graduate Scholarship:
Vanier CGS
= Total number of years of federally funded awards held (above)
Indicate below any provincially funded awards you currently hold or have previously held:
Ontario Graduate Scholarship (OGS)
Queen Elizabeth II Graduate Scholarship in Science and Technology (QEII-GSST)
Ontario Trillium Scholarship (OTS)
= Total number of years of provincially funded awards held (above)
September 2019 – Graduate Studies and Postdoctoral Affairs 2 of 10Section 7: All competitive post-secondary awards and prizes (past and current)
Indicate ALL currently or previously held university level competitive awards, prizes or fellowships:
(include all federally or provincially funded awards included in previous section)
#
Total award
Name of award/prize/fellowship Awarding source/agency Year awarded months
value ($)
held
Section 8: Research Proposal/Program Statement and Bibliography/Citations:
Research proposal title:
Description: (provide a 1-2 sentence description of your area(s) of research using plain/lay language)
September 2019 – Graduate Studies and Postdoctoral Affairs 3 of 10Research Proposal/Program Statement: (1 additional page may be included for formulas ONLY) September 2019 – Graduate Studies and Postdoctoral Affairs 4 of 10
Bibliography/citations: September 2019 – Graduate Studies and Postdoctoral Affairs 5 of 10
Section 9: Publications and presentations (page 1 of 2, two pages maximum) September 2019 – Graduate Studies and Postdoctoral Affairs 6 of 10
Section 9: Publications and presentations (page 2 of 2, two pages maximum) September 2019 – Graduate Studies and Postdoctoral Affairs 7 of 10
Section 10: Relevant volunteer, leadership, academic work experience September 2019 – Graduate Studies and Postdoctoral Affairs 8 of 10
Section 11: Special circumstances (only if applicable)
Section 12: Collection, disclosure, consent, declaration and signature
Collection and disclosure of information:
The Ministry of Training, Colleges and Universities (MTCU) has provided the University of Waterloo with funding to administer the
Ontario Graduate Scholarships (OGS) and the Queen Elizabeth II Graduate Scholarship in Science and Technology (QEII-GSST)
competitions. As a condition of this funding, the university is required to make reports to the MTCU of your contact information, the
amount of funding you receive, and information related to your program of study. This personal information will be used by the
MTCU to administer and finance the OGS/QEII-GSST Program. If you apply for the Ontario Student Assistance Program (OSAP),
this personal information will be used to update your OSAP application or award, including your declared income.
Administration includes: public reporting on the administration and financing of the OGS Program and the QEII-GSST Program;
monitoring and auditing your university or its authorized agents to ensure that they are administering the OGS Program and the
QEII-GSST Program appropriately; conducting risk management, error management, audit and quality assessment activities; and
conducting policy analysis, evaluation and research related to all aspects of student assistance. Financing includes: planning,
arranging or providing funding for the OGS Program and the QEII-GSST Program.
The Ministry administers the OGS Program and the QEII-GSST Program under the authority of the Ministry of Training, Colleges
and Universities Act, R.S.O. 1990, c. M.19, as amended. If you have any questions about the collection or use of this information,
contact the Director, Student Financial Assistance Branch, Ministry of Training, Colleges and Universities, P.O. Box 4500, 189 Red
River Road, 4th Floor, Thunder Bay, ON P7B 6G9.
Applicant’s consent and declaration:
1. I confirm that the information provided in this application package is complete and accurate to the best of my knowledge.
2. I understand that I am responsible for providing all required documentation as indicated in the application instructions or as
directed by the administering office, and that if I do not submit the required documentation/information I may be disqualified for
consideration of this scholarship.
3. I understand that the collection of personal information provided in this application package is used solely for determining my
eligibility for this award and similar awards. Information submitted during the application process will be protected, used, and
released in compliance with Ontario’s Freedom of Information and Protection of Privacy Act (R.S.O. 1990, c. F31) and the
University of Waterloo’s policies.
4. I authorize the University to release a copy of this application package to the appropriate awards selection committee.
5. I understand that if I am selected to receive this award, and am also an OSAP recipient, the award funds may affect my OSAP
funding.
6. I acknowledge that if my funding changes in the term or for the intended period of support for which this award is provided, or if
any details change that would disqualify me from continuing to hold this award, I will immediately notify the Co-ordinator, Graduate
Funding and Awards as I understand that it may result in a reassessment and/or cancellation of my award. All details provided in
the application are subject to verification by the awarding office.
7. If selected as an award recipient, I authorize the University to release any non-financial application details to the award agency,
such as name, program/plan/level of enrollment, value of award, as well as supporting documentation (e.g., letters), where
applicable.
Applicant’s signature:
Applicant signature Date (mm/dd/yy)
September 2019 – Graduate Studies and Postdoctoral Affairs 9 of 10Section 13: Student checklist
I have completed an OGS/QEII-GSST applicant transcript request form, if applicable.
I have completed and signed my application form (Sections 1-12).
I have completed Section 1 of the Academic Assessment Report form and provided both of my referees with the form. I
have also provided each of them with the Academic Assessment Report Instructions and given submission
instructions. I understand that it is my responsibility to follow up with my referees to ensure their forms are submitted by
the applicable application deadline.
Section 14: Departmental checklist (for department graduate co-ordinator use only)
Received complete and signed application form (Sections 1-13).
Received both pages of Academic Assessment Report from referee #1.
Received both pages of Academic Assessment Report from referee #2.
Received transcript package from GSPA.
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