USRA application checklist

Reference Number

o   

The number generated when the form is completed online. This number must be forwarded to the proposed supervisor(s) to complete Part II.

Department

o   

Student should indicate the department where he/she is currently registered.

PIN

o   

If a student is a previous USRA awardee, he/she has been assigned a PIN by NSERC. This would be found in NSERC’s award letter to the student. If available, it should be entered. If first-time applicant, leave blank.

Full-time or Part-time

o   

Check one of the boxes.

Past NSERC applicant

o   

Check either Yes or No.

No. of academic terms completed towards degree program when award is held

o 

Please specify the number of terms, not years, completed.

Citizenship

o   

Check one box only. If a permanent resident, provide date of landing.

Gender and designated group

o   

This is optional information.

Signature

o   

Student must sign Part I.