Departmental GSA Registration Form

Departmental Graduate Students' Association (DGSA)
Registration Form

For inquiries about the form and DGSA registration please contact internal@yugsa.ca

This form must be completed by the executive of the DGSA, and is necessary in order to have Departmental YUGSA councillors recognized.

DGSA's Information

Association's Full Name*

Short Name*

York U Campus*

Campus Building / Room #*

Graduate Program. If your program is not in this list, choose "Not Listed" at the top.*

Graduate Program (If Not Listed)*

DGSA Executive Information

Primary Position/Contact (e.g. Chair)

Full Name*

Position*

Phone Number*

Email:*

example@yugsa.com

Additional Positions (e.g. Treasurer)

Full Name*

Position*

Phone Number*

E-mail*

example@example.com

Full Name

Position

Phone Number

E-mail

example@example.com

Full Name

Position

Phone Number

E-mail

example@example.com

Representatives to the YUGSA Council

Each DGSA must appoint 2 representatives to the YUGSA Council.

DGSAs may appoint 1 additional councillor per 200 students enrolled in their department/program. For example, if a DGSA has 350 students, it will be entitled to 3 councillors: 2 base + 1 additional for reaching the first 200 mark.

Student headcount is based on the enrollment numbers of the month of November (Fall Term) of the previous academic year as reflected on York's official Graduate Headcount.

Appointed councillors may include the executives of a DGSA.

Please do not declare more councillors than you are entitled to.

DGSAs may appoint interim proxy councillors by informing internal@yugsa.ca prior to a council meeting, in case any of its councillors cannot attend.

Full Name*

E-mail*

example@example.com

Phone Number*

Full Name*

E-mail*

example@example.com

Phone Number*

Full Name

E-mail

example@example.com

Phone Number

Full Name

E-mail

example@example.com

Phone Number

Signature