If the answer to any of these questions is “No,” except question 6 in Section 2 and
questions 3 in Section 3, please explain:
Student’s signature________________________Date__________________________
Supervisor’s signature______________________ Date_________________________
Return the completed form to the Graduate Program Director. A copy of the
completed form must be submitted to FGS.
SECTION 4: To be completed by the Graduate Program Director
On behalf of the Graduate Program, I have reviewed this form.
Graduate Program Director’s signature__________________________
Date___________________________
Acknowledgment:
This document benefited significantly from the University of Toronto School of Graduate
Studies document, Intellectual Property Awareness
Updated July 24, 2013