Stanford Graduate Fellowships in Science & Engineering
BANKING REQUEST FORM
To be completed by Fellows who wish to defer quarter(s) of support for later use. Quarters of support
may be banked provided all can be used in the first five years of graduate study.
(STUDENT ID) QUARTER(S) of SGF SUPPORT TO BANK
Academic Year Quarter(s)
(LAST NAME) (FIRST NAME) (MIDDLE NAME)
(DEPARTMENT) (E-MAIL ACCOUNT)
(LAST NAME, FIRST NAME) (DEPARTMENT) (E-MAIL ACCOUNT)
REASON FOR REQUEST:
No form is required if the reason to defer SGF support is a teaching appointment, use of a training grant,
or up to 4 qtrs. of an approved leave of absence. Banking will be approved when those actions are
entered in the student’s academic record. Certification is needed to request banking for all other reasons.
RA INTERN INTERN AND/OR PRACTICAL TRAINING
OTHER (PLEASE DESCRIBE):
Briefly describe how the activity will contribute to Ph.D. degree progress.
Fellow’s Signature / Date Advisor’s Signature / Date
Send to: Stefanie Moss, Fellowship & Program Coordinator
Building 310, ID Mail Code: 2102
Fax: 723-7237; Phone: 736-9796