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GRADUATE STUDENT NOMINATION FOR FELLOWSHIP Agricultural Research Division / Nebraska Agricultural Experiment Station /
Institute of Agriculture and Natural Resources / University of Nebraska–Lincoln
Instructions: Please complete the following and submit with supporting materials by May 1, 2020 for consideration to Tala Awada, Associate Dean & Associate Director
Agricultural Research Division 207D AGH East Campus 68583-0704 [email protected] (electronic submission preferred)
FELLOWSHIP APPLYING FOR (please mark your top choice only) Al Moseman International Fellowship Award* Shear-Miles Fellowship TIP: hold down
Shift key to clear checked button anywhere on form
Hardin Distinguished Graduate Fellowship Widaman Distinguished Graduate Assistant Award
John and Louise Skala Fellowship If not selected for your first choice, please indicate your willingness to be considered for other applicable awards: Yes No
STUDENT INFORMATION Last Name Middle Name/ Initial
Phone
Advisor's E-mail
No (Applies to Al Moseman Fellowship ONLY) To search for faculty info, visit http://directory.unl.edu/
SUPPLEMENTAL FILES (see checklist for details)
To view attached documents, go to: View>Show/Hide>Navigation Panes>Attachments.
Be sure all form fields are completed and supplemental files are attached before electronically signing.
DEPARTMENT AND INSTITUTE APPROVAL 2% 4% 10% other % of our current graduate students The Department considers this student to be among the top
Graduate Committee Chair or Department Head Department Date
If any questions or problems with this form; contact [email protected].
Nominator’s Phone
GRA
M.S. Ph.D.
Anticipated Completion Date
First Name
Advisor's Name
*Is Student a U.S. Citizen? Yes
Nominator (check if same as Advisor 1)
Nominator’s Email Assistantship Amount (if applicable)
Student's Program / Field of Study Student's Home Department
Degree Objective
Duration (in years) (Check one)
GTA
Nominator’s Department
DEPARTMENTAL INFORMATION/COMMITMENT
Date Program Initiated
Second Advisor's Name (if applicable) Second Advisor's E-mail
(mm/yyyy)
Please Note: The department will submit the signed form to ARD. The student does not submit the nomination form directly.
Checklist of Items Necessary to Complete Award/Fellowship Application
Completed Graduate Student Nomination for Fellowship form
Supplemental Files
• Research work or plan of student• Resume/Curriculum Vitae of student• Two (2) letters of support• Transcripts
The checklist is provided for your convenience. Please review the announcement to ensure that you have included all necessary materials. Please contact the Agricultural Research Division ([email protected]) prior to submitting the nomination if you have questions.