SSAP Final Report and Budget Summary – Student Success Action Plan

Application Reference Number

To find the reference number please check your email receipt for the original application

Step 1 - Your Info

Today's Date*

Name*

First Last

Phone No./Local*

Email*

Department/Program/Service*

Sector*

Step 2 - General Information about your Project

Project Title*

Date of Project*

No. of Students Involved*

Project Details*

Describe how your project was implemented. Please include photos, videos and/or project samples which we may use on our website and social media pages.

File Upload (optional)

You can upload images, video, posters, etc. which may be used on the SSAP website.

Drop files here or

Max. file size: 35 MB, Max. files: 30.

Step 3 - Links to the Graduate Profile and Sustainability

Did your project foster students' development and progress as described in the Graduate Profile Outcomes? For reference please consult the Graduate Profile webpage.

Links to the Graduate Profile

Please check all that apply.

Briefly explain how your project met some or all of the Graduate Profile Outcomes.

Was your project sustainable?

If applicable, please describe how your project was sustainable. See examples of what makes a project sustainable Sustainable Event Checklist

Step 4 - Budget Summary & Receipts

Amount Received from SSAP ($)*

Please indicate the amount SSAP allocated to your project.

Please list all expenses approved by SSAP (refer to your project approval email for the type of expenses that were approved).

A copy of receipts for expenses approved by SSAP must be uploaded with this report.

Number of Expenses Approved by SSAP

SSAP Expense 1 (please include quantity)

Cost ($) of expense 1

SSAP Expense 2 (please include quantity)

Cost ($) of expense 2

SSAP Expense 3 (please include quantity)

Cost ($) of expense 3

SSAP Expense 4 (please include quantity)

Cost ($) of expense 4

SSAP Expense 5 (please include quantity)

Cost ($) of expense 5

SSAP Expense 6 (please include quantity)

Cost ($) of expense 6

SSAP Expense 7 (please include quantity)

Cost ($) of expense 7

SSAP Expense 8 (please include quantity)

Cost ($) of expense 8

SSAP Expense 9 (please include quantity)

Cost ($) of expense 9

SSAP Expense 10 (please include quantity)

Cost ($) of expense 10

Total SSAP Approved Expenses

Receipt Upload*

Please upload a copy of all receipts for expenses funded by SSAP (original receipts not required). Label all receipts so that they can be matched to the correct amounts you indicated for each expense above. Receipts for expenses funded by other sources are not required.

Drop files here or

Max. file size: 35 MB.

Additional Comments regarding project expenses

Step 5 - Amount from Other Sources of Funding

Please indicate if you received funds from other sources. Receipts are not required.

Other Sources of Funding. Please select all that apply.

Fundraising
Sector Dean
Sponsors
Students
Other

Fundraising $

Sector Dean Contribution $

Sponsors $

Students (out of pocket) $

Other $

Total Amount from other Sources of Funding $

Step 6 - Unused Funds

Do you have unused SSAP Funds?

Please indicate if you have unused SSAP funds. These funds must be returned to SSAP so that they can be used for other upcoming projects. Please contact Anne Piggott at local 1410 to find out how unused funds can be returned to SSAP.

Yes
No

Please contact Anne Piggott at local 1410 to find out how unused funds can be returned to SSAP.