Application Cover Sheet for Canadian Studies Awards and Fellowships

Please complete one for each nomination for each award by typing or writing clearly.

1.  Award:______________________________________________________________________

2.  Name of Student: ______________________________________________________________
                                                  (LAST NAME, first name, middle initial)

3. Current contact information (address, phone, e-mail) __________________________________________________

______________________________________________________________________________

4.  Student I.D.#______________________________________________ G.P.A.______________

5.  Degree Program ________________ Department: ____________________________________

6.  Undergraduate Institution: ________________________________________________________

7.  Semester admitted to UM Graduate School: __________________________________________

8.  Other graduate work: ____________________________________________________________

9.  Previous Scholarships or Awards: __________________________________________________

_______________________________________________________________________________

10.  Advisor: _____________________________________________________________________

Rank order of Department nominees: Nomination # ________ of ________Nominations
for this award category. (Students may be nominated for more than one award.)

FOUR copies of all material must be submitted for EACH nomination for EACH award. 
Incomplete applications will not be processed.

Deadline for applications to be returned to the Canadian-American Center:
MARCH 15th

For more details about the awards and fellowships and about the application process,
contact the Canadian-American Center.   (207) 581-4220

Canadian-American Center 154 College Ave. Orono, ME 04473 (207) 581-4220
A member of the University of Maine System