Nomination Form
Tom Slick Graduate Research Fellowship
College of Agriculture and Life Sciences
NOMINATING FORM
Nominee’s Name______UIN______
TAMU Mailing Address ______
Phone ______E-mail______
Eligibility Requirements:
Degree Program PhD Degree you are pursing
_____ Agricultural Economics in the Department of Agricultural Economics
_____ Animal Science, Animal Breeding, or Physiology of Reproduction in the Dept of Animal Science
_____ Horticultural in the Department of Horticultural Sciences
_____ Poultry Science in the Department of Poultry Science
_____ Ecosystem Science and Management in the Department of Ecosystem Science and Mgmt.
_____ Agronomy, Plant Breeding, or Soil Science in the Department of Soil and Crop Sciences
_____ Wildlife and Fisheries Sciences in the Department of Wildlife and Fisheries Sciences
Answer Yes or No
_____GPR 3.5 or above: ______current cumulative GPR
_____Completed preliminary exam ______or ______
Date Completed Date Scheduled
_____Full time student (9 credit hours fall, spring, 6 credit hours summer)
_____ Degree program approved by the Office of Graduate and Professional Studies; date ______
_____ All coursework completed, except 681 and 691
If no, list courses yet to be taken:
Expected Graduation Date: ______
Month Year
If fellowship is received, do you plan on being on other means of support?
GAT ______GANT ______GAR _____Percent effort ______
Name: ______
Major: ______Department: ______
Chair Advisory Committee: ______Email ______
PhD Dissertation Proposal:
Full Title: ______
______
______
Date filed with OGAPS: ______if not, date submitted to committee: ______
Abbreviated CV
Academics
GPR ______GRE: Verbal _____ Quant: _____ Written _____ Total: ______TOEFL: ______
Awards and Honors (please list)
Publications and Grants
Refereed Journal articles
Published
Accepted/In-Press
In Review
Non-Refereed or editor reviewed publications, chapters or books.
Presentations – abstracts and posters presented at scientific meetings
International
National
State
TAMU
Grants
Accepted/Pending
Submitted
Leadership and Experiential Learning
List Internships
List Organizations and Offices Held
Department Level
TAMU
State Level
National Level
List International Experience(s)
List Teaching Experience (s)
Statement from the applicant
Give reason for applying for a Tom Slick Fellowship, significance your research, and any biographical information that the applicant deems necessary. (1 page maximum)
Brief summary of the applicant's Dissertation Proposal and progress to date (1 page maximum)
Required Additional Information to be included the Nominations Packet
As separate PDF documents submit:
- Letter of recommendation from the Chair of the student's graduate advisory committee (major professor).
- A current copy of the Degree Program approved by the Office of Graduate and Professional Studies with amendments as necessary.
____________
Student Signature Major Professor Signature
Submit one (1) copy of Nomination Form, Chair letter, and Degree Program as a bookmarked PDF to:
Theresa Nemec,
Copy: David Reed,
By: COB November 17, 2014
Email PDF of completed & signed application to:
Theresa Nemec, , and copy David Reed,