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CGS/ProQuest Dist. Dissertation Award - Application

Contact Information

First Name

Last Name

Email Address

Student ID#

The effective date of the degree awarded, or the completion of doctoral degree requirements and dissertation, must lie in the period of July 1, 2023 to June 30, 2025. Provide the date of your award or completion.

Field of Competition (choose one)

Biology/Life Sciences

Humanities, and Fine Arts

Dissertation Title

Current Position Title

Current Affiliation/Employer

Upload the following as a single pdf:

1. An abstract of the nominee’s dissertation (not to exceed five double-spaced pages). Appendices containing other material, such as charts, tables, and/or references, may be included as additional pages (not to exceed five pages).

2. Three letters of recommendation evaluating the significance and quality of the nominee’s dissertation work. One of these letters is to be from the nominee’s dissertation supervisor, another from a member of the nominee’s dissertation committee, and the third from a person of the nominee’s choice.

3. The nominee’s curriculum vitae (not to exceed five pages).