Brython Davis
Fellowship 20152016 Application
The Brython Davis Fellowship provides financial support to master’s degree (except MBA) or Ph.D. students who demonstrate
outstanding past academic achievement as well as future promise, have financial need, are U.S. citizens, and are the child of
a service member or veteran of the U.S. Navy or Marine Corps.
This award provides graduate aid of $12,000 (fees/stipend) during Spring Quarter of the academic year of the award.
Instructions: Qualified students submit this completed form and the attachments listed below under CHECKLIST to the
Graduate Division at ganzivin@uci.edu. The student’s Associate Dean must review and sign the form prior to submission.
Completed applications must be submitted to the Graduate Division no later than 12:00 p.m. (noon) on Monday, November 16, 2015
STUDENT INFORMATION
Name (Last, First Middle): Click here to enter text.
Address: Click here to enter text.
City, State and ZIP: Click here to enter text.
SID#: Click here to
Email: Click here to
Phone: Click here to
enter text.
enter text.
Academic Program/School: Click here to enter text.
Degree Objective: ☐Ph.D. ☐M.S. ☐M.A. ☐MFA ☐ Other: Click here to enter text.
Date of Advancement to Candidacy: Click
Expected date of degree completion: Click
here to enter text.
here to enter text.
enter text.
REQUIRED SIGNATURES
_______________________________________________________________________________
Student (Print Name)
Signature
Date
_______________________________________________________________________________
Associate Dean (Print Name)
Signature
Date
CHECKLIST
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Brython Davis Fellowship Application Form – with all signatures
Apply for FAFSA – If application is recent, please attach a copy of the confirmation document/email.
Recommendation letter from faculty advisor or department chair
Statement of research, written for reviewers in other fields – approximately one page
Current Curriculum Vitae (CV)
Unofficial transcripts through Spring quarter
Copy of parent’s current military I.D. or honorable discharge papers
Copy of student’s birth certificate or other official document showing the relationship to the parent