AWA Bente Roed Graduate Student Award
APPLICATION FORM
Name:________________________________________________________________
Mailing Address:________________________________________________________
_____________________________________________________________________
Phone Number: (day) __________________
(evening) ____________________
E-Mail Address:________________________________________________________
Program/Department in which you are a graduate student:
_____________________________________________________________________
Graduate Diploma _________
Masters ___________
Doctorate ________
Date degree or diploma expected:____________________________________
I declare that, to the best of my knowledge, the information submitted is accurate.
Signature __________________________
Date ______________________
Please ensure you complete the following attached forms:
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Statement of research or scholarly work (e.g., project, exhibition)
Statement of eligibility. How do your research, scholarly work, and/or community
involvement contribute to the advancement of women? For example: advance the role of
women; increase information about and/or improve understanding of women’s status,
women’s achievements, or the problems faced by women.
Enclosures: Please also include the following information in your application package:
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Up-to-date curriculum vitae (maximum 4 pages, 12 point font)
Up-to-date transcript of all University of Alberta marks (unofficial, stamped transcripts
are acceptable)
Two (2) letters of reference. Letters submitted for University of Alberta Graduate
Scholarship competitions are acceptable
Application checklist
Submit three (3) copies of your complete application package (one original and two
copies)
Please note: incomplete applications will not be forwarded to the adjudication committee.
The records arising from this competition will be managed in accordance with provisions of the Alberta Freedom of Information and
Protection of Privacy Act (FOIPP)
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Statement of Research: In the space provided describe your research or scholarly work. Line
spacing: 1.5, Font: 12 point Times New Roman or Helvetica. Do not exceed one page in length.
Revised April 2013
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Statement of Eligibility: In the space provided clearly outline how your research, scholarly
work, and/or community involvement contributes to the advancement of women or women’s
issues. Line spacing: 1.5, Font: 12 point, Times New Roman or Helvetica. Do not exceed one
page in length.
Revised April 2013
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Application Check List
Provide the original and two (2) copies of the following:
Application form – signed and dated
Statement of research (not exceeding one page)
Statement of eligibility (not exceeding one page)
Curriculum Vitae (not exceeding four pages)
Transcript
Two (2) letters of reference
Application check list
Assemble each application package in the above order (1-7) and staple each in the top
left hand corner.
Submission Deadline: 12:00 noon Thursday, June13, 2013
Submit your complete application package via Campus Mail labeled as follows:
Attention AWA Awards
C/o Catherine Anley
Human Resource Services
2-60 University Terrace
Edmonton, Alberta T6G 2T4
Revised April 2013
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