We are interested in your total compensation for your role as a grad student, less your required fees. Please enter what you were paid in a specific year by indicating the academic year and your year in your program. If you are paid different rates for the school and the summer please enter both pay amounts using the "9 month" salary setting.

University

Department/Program

Academic Year:

Program Year:

Are you paid a 12 month or 9 month salary?

Gross Pay

$

Required Fees

$

Additional comments: