Graduate Student Group Change of Information/Operational Bursary Form

Information in this form cannot be saved and completed later. Please make sure that you have all necessary information. If you have problems submitting the embedded form, please use the manual form at the bottom of the page.

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 GSG's information and executives, and to receive your operational bursary.

Fill out this form at any point during the year if there have been any changes to your GSG.
If you have any questions, please contact the Governance Coordinator at

Information in this form is collected following the standards set by the Personal Information and Privacy Act. This information will only be used for purposes relating to the Graduate Student Group program.

* 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 Student Engagement Coordinator  and Administrative Assistant -; - with the required documents attached. Sorry for the inconvenience.

Email the GSA Student Engagement Coordinator

Subject Line: GSG Change of Information Form

GSG name: 
Name Change(if applicable):
Bylaws and minutes from the AGM: (please attach)
GSG bank account agreement: (please attach)
GSA Bank form: (please attach)
GSG member list: (please attach)
Total number of members: (please include all members, not just executive members)
Signed GSG Agreement for the current year: (please attach)
Insurance Application: (please attach)

GSG contact email:
GSG mailing address:
GSG election date: 
GSG 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 execs: 

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

If yes, please indicate to whom the cheque should be made payable*:

Signing Authority Signature Name:
Student ID:

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