Office of the Dean

FACULTY OF HEALTH Lillian Wright Maternal-Child Health Graduate Scholarship Guidelines

Instructions Please print, complete and submit this form in hardcopy format to the Faculty of Health Research Support Office, HNES 428.

Application Process To be considered for this scholarship, submit this application form and a written statement (maximum 2 pages) outlining your experience and interest in maternal-child health. Statements may include a description of your desire and/or intention to further your research and studies in this area.

For further inquiries contact Melesa Beharry at extension 21006 or by email at [email protected].

Application Deadline April 14, 2008

Award Criteria The Lillian Wright Maternal-Child Health Graduate Scholarship is awarded to graduate students in the Faculty of Health who have a minimum A average in their graduate courses, or for new graduate students in their first year of study and for incoming graduate students, a cumulative grade point average of 7.5 based on undergraduate courses.

Areas of research study may include, but are not limited to:  Early child development  Mother-infant relationships  Mothers, stress and coping  Developmental pathways in infants and young children  Pre-natal and post-natal interventions  Health promotion for mothers and children  Environmental considerations in infant/child health and development  Patient safety issues relating to maternal-child health  Health policy and practice in relation to mothers, infants and children  Other topics in maternal-child health

Award Value $10,000 (may vary)

Protection of Privacy  Personal information in connection with this application is collected under the authority of Freedom of Information and Protection of Privacy Act and The York University Act, 1965.  This information is used to process your application and decide on your eligibility for the award.  Once an award has been granted, York University may disclose certain information to the donor of the award, provincial funding organizations and/or York University academic departments/Faculties and Colleges, as set out below.  If you are awarded a scholarship, your name and photograph may be used for promotional purposes.  If you have any questions about the collection of this information by York University, please contact: Information and Privacy Coordinator, York University, Ross N926, 4700 Keele Street, Toronto, ON M3J 1P3. FACULTY OF HEALTH Lillian Wright Maternal-Child Health Graduate Scholarship Application Form

Student Personal Information Name:

Student Number:

Email Address:

Mailing Address:

Phone Number:

Department/School Affiliation:

 Enclose a written statement (maximum 2 pages) outlining your experience and interest in maternal-child health. Your Agreement I have read and agree to the following:

1. The information I have provided in this application is complete and accurate. 2. All information I have provided in connection with this application is subject to verification and audit by York University. I will provide supporting documentation to York University to verify my eligibility upon request. 3. I give York University my consent to disclose information on this form to other educational institutions and the Ministry of Training, Colleges and Universities to verify information. 4. Any funds I receive will be applied to my student account at York University. 5. Should I be selected to receive a scholarship, I consent to the use and disclosure of the following information for promotional purposes: my name, my award, program of study, year level, the amount of my award, and my photograph.

THIS FORM REQUIRES AN ORIGINAL SIGNATURE. Faxed copies/photocopies or e-mail attachments will not be accepted.

Signature: ______Date: ______

INTERNAL USE ONLY Date received: Received by:

Session: Date:

Award Amount: