University of Alberta Doctoral Recruitment Scholarship Nomination Form KILLAM CENTRE FOR ADVANCED STUDIES 2-29 TRIFFO HALL Student ID Phone: 780.492.3499 Fax: 780.492.0692 http://uofa.ualberta.ca/graduate-studies/ Student Last Name, First Name Department Select Department Scholarship Information Start Term and Year Award (2015-2016) Spring (May 1st) Summer (July 1st) Fall (September 1st) Winter (January 1st) Select JUSTIFICATION (only required if admission GPA is less than A minus = 3.7) Name of Graduate Coordinator/ Dept Chair Signature (digital or hand-written) Date (MM/DD/YYYY) *This form can be electronically signed, or signed and scanned, and emailed to [email protected] from your UofA email account. Last modified: 1/28/2015 (1 of 1)
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