WLLCLDA Nomination Form | Council of Graduate Schools

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Submitted by admin on February 6, 2012 - 04:00

2013 CGS Gustave O. Arlt Award in the Humanities

Field of Competition: The Arts (Art History/Criticism/Conservation and Music)

NOMINATION FORM

Name of nominee

First Name: *

Middle Name: *

Last Name: *

Nominee may be reached at

Complete Mailing Address: *

Telephone: *

Email Address: *

Nominee’s doctoral degree

Degree Awarded: *

Specialty: *

Institution: *

Date Degree Awarded: *

Place of employment

Current Employer: *

Position Title: *

Book to be considered

Title: *

Publisher: *

Date of Publication: *

Nominator

Name and Title: *

Certification of institution

Name and Title of Graduate Dean or Other Institutional Officer Responsible for Doctoral Programs: *

Institution: *

Individual completing this form (name and email address): *

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