Consortium Change of Information/
Operational Bursary Form
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Please make sure that you have read the following documents:
Please fill out this form before October 15 of each year to update the GSA on your Consortium’s information, executives, and GRC representatives, and to receive your operational bursary of $100 or $0.50 per member, whichever is greater, to a maximum of $350 per year (April 1 – March 31).
Fill out this form at any point during the year if there have been any changes to your Consortium.
If you have any questions, please contact the Governance Coordinator at firstname.lastname@example.org
Information in this form is collected under Freedom of Information and Protection of Privacy (FOIP), this information will only be used for purposes relating to the DGA/Consortium program.