Geology Department Research Award Application

Applicant Name: _________________________ Date:___________

Thesis Chair(s): _________________________ , __________________________

Thesis Committee Members:

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Thesis Title : ______________________________________________________________________
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Brief Research Abstract:

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Attach a copy of the Yellow Proposal Signature Form and a list of anticipated expenses

Advisors Verifications:

_____  An external request for funding has been submitted

Advisors Signature __________________________

Action Taken ________ Date:___________

Committee Members: ____________________ , _________________________