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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 Email 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.
