The Rev. John P. Raynor, S.J. Fellowship
Nomination Form
Page 1 of 3
Instructions: Type or print clearly. Submit nominations on this form only. Do not alter this form or leave any section blank. If an
item is not applicable, write “not applicable”.
Name (Last/Family)
First
Marquette Identification Number
Address
City
State
Zip
Master’s  Ph.D. 
Graduate Program
Name of Nominator
First semester of graduate study of current program at Marquette
Undergraduate grade point average
Total no. of MU grad credits taken for current program (as of fall semester)
Marquette graduate grade point average
Number of credits remaining to complete degree (include courses &
Thesis/dissertation credits)
The semester that last graduate course was taken (not including
Independent study 6995/7995/8995 or thesis 6999 or dissertation 8999 credits)
No. of credits including thesis or dissertation credits student will
register for during the fellowship year
Doctoral Students Only:
Note: Items 1 and 2 below must be completed by the time of nomination (December). Items 3 and 4 must be completed by August 15 of the fellowship year to be
eligible for nomination. Nominees who have completed items 3 and 4 with hold an advantage over other nominees in the selection process.
1.
2.
Qualifying exam passed?
Advanced to candidacy?
Yes  Date:
Yes  Date:
Name of dissertation director:
3.
4.
Doctoral program planning form approved? Yes Date:
Dissertation outline approved?
Yes Date:
No Expected date:
No Expected date:
Attachments Checklist (Doctoral and Master’s):
Complete this 3-page Nomination Form and attach the following documents:
1. Letter of recommendation #1 from:
*
2. Letter of recommendation #2 from:
*
3. Statement from nominee (2-page maximum). Refer to the Raynor Guidelines for instructions.
4. Six (6) copies of the entire nomination packet.
*Letters of recommendation should be from people other than the nominator.


Deadline: Turn in all nomination materials to the Graduate School, Holthusen Hall, Room 305 by 4:00 p.m. of the 2nd
Thursday of December.
10/15/15
The Rev. John P. Raynor, S.J. Fellowship
Nomination Form
Page 2 of 3
Student Name (Last/Family)
First
Student’s Accomplishments (Please produce a narrative rather than a list or bullet points.)
Student’s Potential for Success (Please produce a narrative rather than a list or bullet points.)
10/15/15
The Rev. John P. Raynor, S.J. Fellowship
Nomination Form
Resume
Page 3 of 3
Student Name (Last/Family)
First
Education
Honors/Awards
Publications (note inclusive pagination)
Talks/Presentations
Memberships
10/15/15