Tripathy Memorial Endowed Summer Graduate Fellowship

First Name

Middle Name

Last Name

Name of Department

Email Address

Phone Number

About your graduate study

Are you a full-time graduate student at UMass Lowell?

Yes

What is your current G.P.A.?

When did you join UMass Lowell? Month/Year

When did you complete your required Ph.D. coursework? Month/Year

When was your Ph.D. proposal defense? Month/Year

When did you pass your Ph.D. qualifying exam? Month/Year

Are you currently working on your Ph.D. Thesis?

Yes

If Yes, please answer the following questions

Topic of your Research

Thesis Advisor’s Name

Thesis Advisor’s Department

Thesis Advisor’s Email

Recommendation Letter from UMass Lowell Faculty

Name

Abstract of Research work (600 words max)

Have you published or presented from your graduate research work performed at UMass Lowell?

Yes

If Yes, please list.

Publications

Presentations

Summary of Planned Research Work, if this Fellowship is awarded to you (250 words max)

Provide Your Vision Statement (500 words max)

Transcript

Certificate from your Thesis Advisor

Resume

It is understood that the selected awardees will perform their research work towards their Ph.D. thesis work under the guidance of their research advisor. If selected, the awardees will acknowledge the receipt of this fellowship in their thesis, publications and presentations resulting from the summer research work. The information provided is correct and accurate.

Applicant’s Signature

Date

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