Center for the Study of
Women and Society
The Graduate School and
University Center, The City University of New York
Application for the Nina Fortin
Memorial Dissertation Award
Name Telephone/Fax # (Please Print)
Email ___________________________
Address
(Street) (Apt. #)
(City) (State) (Zip Code)
Doctoral
Program
Date
of completion of required course work
Date
of Advancement to candidacy
Research
Area
Title
of Proposal
The
following are to be provided:
1. A typed abstract of the dissertation
proposal. A maximum of five pages is recommended.
2. A typed statement on the progress of your dissertation
research to date. A maximum of two pages is allowed. Be specific.
3. Two written references: one
from your dissertation advisor and one from another professor in your
discipline.
Names of References:
1.
2.
All materials must be submitted by May 26, 2007 to:
Elizabeth Small, Assistant Program Officer
Women's Studies Certificate Program, Room 5116
CUNY Graduate School and University Center
365 Fifth Avenue
New York, NY 10016
__________________________________________________
Signature of
Applicant/Date
_____________________________________
Signature of
Executive Officer/Date