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Instructions for the Graduate College Fellowship/Grant Competition Nomination Form

For questions about form submission: e-mail the Fellowship Office at gradfellowships@illinois.edu or call (217) 333-0036 (hours 9:00 a.m. to 12:00 p.m. and 1:00 p.m. to 4:00 p.m.)
 

Departments are required to submit the Graduate College Fellowship/Grant Competition Nomination Form in conjunction with the Nomination Cover Page to nominate a student for the following programs: Illinois Distinguished Fellowship, Graduate College Fellowship for Underrepresented Students, Dissertation Completion Fellowship, and Dissertation Travel Grants.
 

The form should be completed fully and submitted along with all required materials: See Fellowship Opportunities for specific fellowship/grant requirements.
 

The Nomination Form is available as a PDF file which can be downloaded.
 

Note: The Adobe PDF Reader Program does not allow you to save the data entered into the form fields. If you save the document, you will have a blank form.
 

Please use the following instructions to assist in the completion of the Nomination Form.
 

Sections
 

STUDENT INFORMATION

  • Student’s UIN.
  • Student's Name (Last, First and Middle, if known).
  • Student’s Gender.
  • Student’s Race/Ethnicity.
  • Student’s Date of Birth.
  • Student's Department: For students in the Medical Scholars Program (MSP), please list both MSP and the other academic program (PhD, JD, etc).
  • Student’s Program Code - For MSP students, please provide the graduate department code.
  • Citizenship - indicate whether student is a U.S. citizen, permanent resident or non-resident alien.
  • Student's Current Mailing Address - Please note that the Notice of Fellowship Appointment (NOA) will be sent to whatever address is listed in this section. For incoming students, do not list department address.
  • Student’s Email Address - Please provide an address other than the assigned University email if available.

SCHOOLS ATTENDED

  • Undergraduate Institution Name - If multiple institutions attended, provide the name of the degree- granting institution(s).
  • Graduate Institution Name (degree-granting or not).
  • Dates of Attendance.

For current students, list date of admission.

  • GPA - For current students, list current cumulative GPA (Current GPA provides documentation that the student is not on academic probation).
  • Number of credits used in computation of GPA.
  • Degree awarded from institution.

GRE SCORES

  • List GRE, MCAT, or GMAT scores, if required for admission into department. If not required, write "Not Applicable" in this section.

TOEFL SCORE

  • List TOEFL Score if applicable.

COMMENTS BY DEPARTMENT/APPOINTING UNIT

  • Provide any additional relevant comments.

APPOINTING UNIT

  • Approval of Appointing Unit: Department Head, Chair, or other authorized person (from Authorized Signature Form) must date and sign to indicate approval. If Appointing Unit is different than student’s department, please provide name of Appointing Unit.

For questions about Form Submission: Email the Graduate College Fellowship Office at (GradFellowships@illinois.edu) or call (217) 333-0036 between 9:00 am to Noon and 1:00 pm to 4:00 pm.
 

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The Graduate College at the University of Illinois Urbana-Champaign 801 South Wright Street 204 Coble Hall, MC-322 Champaign, IL 61820-6210 Phone: (217) 333-0035 Fax: (217) 333-8019