GSBF contact info
This form is for those members who believe they are entitled to a GSBF disbursement from the 2014-15 claim year to provide the Local with long-term contact info in case the resolution of the dispute takes months or years.
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Full legal name: *
Department of study: *
In the 2014-15 academic year, were you a Masters or PhD student? *
In the 2014-15 academic year, what year of your program were you in? *
What is your primary (long-term) email address? *
What is your secondary email address or a phone number? *
Please list any other ways we may be able to get in touch with you.
You may include phone numbers, email addresses, and mailing addresses.  If you are unsure what will be reliable contact methods for you over the course of the next few years, feel free to include contact info for family members who will be able to direct us to you as well.
What was your total funding (after tuition and fees) for the 2014-15 academic year?
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