APPLICATION COVER SHEET
FOR NEW MEXICO GEOLOGICAL SOCIETY
COMPETITIVE SCHOLARSHIPS & AWARDS
SUBMIT TO: Kate Zeigler, Scholarship Chairperson
zeiglergeo@gmail.com
DEADLINE:
Application must be emailed as a PDF or Word file by the third Friday in February
FROM: Name:
E-mail:
NM Institution:
Address:
APPLYING FOR:

Lucille Pipkin Undergraduate Grant-in-Aid of Research
Honors thesis? ____ Junior thesis? ____ Senior thesis? ____

Graduate Grant-in-Aid of Research (top ranked candidate will receive the Kottlowski award)
M.S. ____ or Ph.D. ____ candidate?
Including Graduate Mentorship funding? (see instructions)
Yes_______
No _______
ANTICIPATED GRADUATION DATE (Month/Year):
TITLE OF PROJECT:
NMGS FUNDING HISTORY:
(Note: Final reports from your most recent NMGS grant award must be attached to all copies of the application.)

Have you received a previous NMGS Grant-In-Aid of Research?
Yes _____ No_____

If yes, how many times and for what amount(s)?
RESEARCH ADVISOR (name and contact information):
Name:
E-mail:
Phone:
Address: