Nomination Form for Marathon Alumni Centennial Graduate Fellowship

Academic Year 2004/2005

 

 

This form must be completed by the Program Chair and received in 248 Deike Building by:

Friday, April 30, 2004

 

 

          

           Student Name:           ___________________________________                                     

           SS#:                 ___________________________________                        

           Department/Program:           ___________________________________

 

 

 

Checklist

 

*** Nominees should be working toward a degree in Petroleum or Natural Gas Engineering, Geology, Geophysics or similar disciplines vital to a strong oil & gas industry in the United States.

 

q       Continuing Student    [Department may nominate three candidates]

q       Cover Sheet

q       Two letters of recommendation

q       Curriculum vitae

q       Candidacy exam scheduled           ______________

                                                                         date

q       Comprehensive exam scheduled  ______________

                                                                         date

 

 

 

 

_________________________________________

Graduate Program Chair (please print)

 

_________________________        ____________

Signature                                                            Date