Graduate Student Wellness Initiative Fund – Application
Graduate Student Wellness Initiative Fund – Application
If you have any questions regarding this application, please contact
gradwell@yorku.ca
Date:
Date:
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Student Name/Student Group:
Student Number:
Contact Email:
Contact Phone Number:
Contact Phone Number:
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Program Affiliation:
Name of the Initiative:
Initiative Description. Please provide a brief summary of your initiative including the objective, anticipated impact, timeline, and any other relevant details (350 words maximum):
Maximum of
350
words allowed.
Currently Entered:
0
words.
Please describe how this initiative will contribute to awareness, promotion, and/or enhancement of graduate student mental health and/or well-being:
Please estimate the number of graduate student community members you expect could benefit from this initiative:
Please outline a recruitment strategy outlining how you will advertise your initiative to graduate students
Please describe how you plan to evaluate the impact/success of your initiative:
Will you be partnering with on or off-campus partners to implement your initiative? If so, please list and describe partner roles/contributions:
Amount Requested:
Detailed Budget:
Anticipated Initiative Start Date:
Anticipated Initiative Start Date:
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MM
/
DD
YYYY
Anticipated Initiative End Date:
Anticipated Initiative End Date:
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MM
/
DD
YYYY
Please attach any supporting documentation if applicable:
Attach Files
I/we agree to provide feedback regarding our initiative should we be successful in obtaining financial support through the Graduate Student Wellness Initiative Fund:
I/we agree to provide feedback regarding our initiative should we be successful in obtaining financial support through the Graduate Student Wellness Initiative Fund:
Yes
No