Gender Affirming Bursary
Recognizing that trans members of our union continue to face severe economic and social challenges in undergoing gender confirmation surgeries or procedures, and these challenges pose significant barriers to their well-being in the workplace and in the union, the union will offer financial support to its capacity to offset these expenses. The financial costs associated with gender affirmation cannot be tied down to a simplistic list. Thus, the Union holds an open definition of what constitutes gender affirmation. There is no predetermined list of eligible or ineligible expenses for reimbursement through this Gender Affirming Fund. The only requirement is that the cost(s) for which you are seeking reimbursement be associated with the processes of gender affirmation, which will remain expansive. BURSARY VALUE: $2000 PER APPLICATION. FUND: $10000
Student's Name
*
First Name
Last Name
Employee Number
*
Name as appearing in Banking information (if different from above)
Prefix
First Name
Middle Name
Last Name
Suffix
Date of Birth
*
-
Year
-
Month
Day
Date Picker Icon
Pronouns to be used in correspondence
E-mail Address
*
example@example.com
Cell Number
*
(area code) xxx-xxxx
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Address for Cheque Delivery (if using a different one from official address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Expense
*
Forseeable
Already Borne
Both
Other
Receipts and Relevant Documents
Browse Files
Drag and drop files here
Choose a file
Please combine all the documents in one PDF. Although this is not a requirement, it will help us process your application faster.
Cancel
of
Please provide some details about your expense(s) for which you are currently seeking support for. Some examples of eligible expenses can be found on our website. However, the Union recognizes that this list is not exhaustive. All details in this form will be kept confidential. Although this is not a requirement, it will help us process your application faster.
We welcome feedback on how to better approach gender affirmation funding.
Employment Information
Department Currently/Most Recently Employed in
*
Position most recently held
*
Unit 1 Union Member (TA/RA/TF)
Unit 2 Union Member
If you are unsure about your position, click other and describe your situation
Other
Certificate
I certify that all information presented herein is accurate to the best of my knowledge.
Signature
*
In case you have accessibility issues with the signature widget, please indicate here that the image drawn is your signature (Write your name here)
Save
Submit
Should be Empty: