Please fill out this form before November 1, 2024 to update the GSA on your DGA’s information, documents, executives, and GRC representatives, and to receive your annual $300 Operational Bursary.

Fill out this form at any point during the year if there have been any changes to your DGA.

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 program.

If you have any questions, please contact the Governance Coordinator at governance.gsa@ucalgary.ca

NOTE: If you receive an error message with this form, please carefully double-check each entry to make sure the boxes are filled and attachments are uploaded. You can also email governance.gsa@ucalgary.ca to verify receipt of your form before attempting to submit multiple times.

* Required

Sometimes, the GSA web site might experience unexpected problems with our embedded forms. If you are unable to submit the form above, please copy the manual form underneath to an email’s body, fill out the requested information, and email the completed form to the GSA Governance Coordinator and Administrative Assistant – governance.gsa@ucalgary.ca; admin.gsa@ucalgary.ca – with the required documents attached. Sorry for the inconvenience.

Subject line: DGA Change of Information Form

Department Name:
DGA name:
Total number of graduate students:
If your group is a Consortium, please list all the DGAs your group represents:
Name Change (if applicable):

Governing documents: (please attach)
Signed DGA Agreement: (please attach)

NEW: Completed Insurance Application: (please attach)
DGA bank account or PeopleSoft document: (please attach)
Bank Account name:

DGA contact email:
DGA phone number:
DGA mailing address:
DGA election date:
DGA official website/Facebook Group:

President’s name:
President’s email:
President’s phone number:

Position of Executive 2:
Name of Executive 2:
Email of Executive 2:

Position of Executive 3:
Name of Executive 3:
Email of Executive 3:

Position of Executive 4:
Name of Executive 4:
Email of Executive 4:

Other Executives:

Names of GRC Representatives:

Do you want to apply for an operational bursary if eligible?   Yes/No

Acknowledge Bylaws have been read: I acknowledge that I have read the Bylaws of the Graduate Students’ Association and the DGA Policy and I agree to all terms and conditions imposed by these documents.

Signing Authority Signature:
Student ID:

By emailing this form to the GSA, I can confirm that all information listed above is accurate and true.