Cooper Sharpless Fellowship Nomination Form

Mary and Charles C. Cooper/Emma I. Sharpless

GRADUATE STUDENT NOMINATION FOR FELLOWSHIP
This fellowship will be awarded to graduate students who have been accepted into either an M.S. or Ph.D. program, and have been offered a graduate assistantship. Nominations are open year round and are due before the student begins their program.

Instructions: Please complete the following and submit with supporting materials by time student matriculates

Supporting Materials: A resume, transcripts and one supporting letter are required for each nominee.

The CASNR Graduate Fellowship Committee will review the nominations. Include any other supporting materials and nominations the department would like to provide.

Supporting materials should be in pdf format and attached to this nomination.

All fields with an * are required.
Student Information
Student Name*

First NameLast Name
Student ID Number (8 digits, no dashes or spaces) if available:
Student 8 digit NU ID number
Student Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student E-mail*
Degree Objective:*

MSPhD
Student Residency Status*

U.S. CitizenPermanent ResidentNon-Resident Alien (with SS#)Non-Resident (not a U.S. Citizen)
Degree Program*
Start Date (Month and Year)*
Expected Graduation Date (Month and Year)*
GPA:*
Advisor Name(s):*
Advisor Phone Number:*
This fellowship is paid in two equal payments of one half the award amount over two semesters. If the student is entering in the spring semester, would you like the second payment to be in summer or fall? If the student is not starting in spring, please select N/A.*

SummerFallNA
Unit Information/Commitment
Unit Name:*
Proposer Name*
Proposer Email Address*
example@example.com
Proposer Campus Address:*
Proposer Campus Phone Number:*
Assistantship Amount ($)*
Duration of Assistantship:*
Type of Assistantship:*

GRAGTA
FTE:*
Source of Funds:*
Advisor/Proposer Signature*

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Please attach files of all supporting materials. PDFs are preferred, but not required. Letter of support, CV, and transcript.

Browse Files

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The Unit Head or the Graduate Committee Chair is required to indicate approval and recommendation of the application by signing and submitting the form. The form will be provided to either based on the email entered below. Once signed and approved, the form will be sent to the Dean's Office for processing.
Please enter your Unit Head's or Graduate Committee Chair's email address below:*
example@example.com
Graduate Committee/Unit Approval

Please review the nomination indicate whether you approve. Approval signifies that if a graduate fellowship is funded, the department's cost share will be met by the proposing department. After you sign and submit, you will receive a copy of your signed form. This is for your records and you do NOT need to sign and submit again.
Unit Head or Committee Chair Name*

First NameLast Name
Unit Head or Committee Chair approves the nomination.*

YesNo
Reason Not Approved
Unit Head or Committee Chair Date*

MonthDayYear
Unit Priority Rank (if applicable):
i.e. 1
Unit Head or Committee Chair Signature

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Should be Empty:

Mary and Charles C. Cooper/Emma I. Sharpless

Student Information

Unit Information/Commitment