THE UNIVERSITY OF TULSA



THE UNIVERSITY OF TULSAApplication forBellwether FellowshipApplication due no later than 5:00 pm, December 2 to the Graduate School Office, and applicant must be enrolled for the coming spring semester by December 2.Recipients of this award are expected to have demonstrated outstanding potential for academic success, and the ability to complete their degree in a timely manner, with personal and professional integrity, while in good academic standing, and will abide by the rules and regulations of the University now existing or existing in the future. You must be a current full time doctoral student that is admitted to or will be admitted to candidacy (passed all qualifying or comprehensive exams and successfully defended the prospectus or dissertation proposal) prior to receiving this award. (Please type or print when completing the application)Name FORMTEXT ?????TU ID: FORMTEXT ????? (last) (first) (middle)Telephone No. FORMTEXT ?????Email FORMTEXT ?????Present Address FORMTEXT ?????City FORMTEXT ?????State FORMTEXT ?????Zip Code FORMTEXT ?????Doctoral Discipline FORMTEXT ?????Colleges or universities attended to dateDates attendedDegrees awarded FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Number of graduate credits attempted at TU through this fall semester: FORMTEXT ?????Number of graduate credits enrolled for the coming spring semester: FORMTEXT ?????Number of graduate credits beyond spring enrollment needed to complete the degree (Should be ≤21): FORMTEXT ?????Initial semester and year in doctoral program: FORMTEXT ?????Anticipated degree completion date: FORMTEXT ?????Check ALL that applyI am applying for a Bellwether Fellowship for the following semesters:Summer FORMCHECKBOX Fall FORMCHECKBOX Spring FORMCHECKBOX Summer FORMCHECKBOX I am applying for the University housing for the following semesters: (No supplement or additional funding is provided for off-campus housing).Summer FORMCHECKBOX Fall FORMCHECKBOX Spring FORMCHECKBOX Summer FORMCHECKBOX Have you attended or do you plan to attend the free summer series of writing workshops offered by the Graduate School? Yes FORMCHECKBOX No FORMCHECKBOX If no, why?_ FORMTEXT ?????______ _________ Research Compliance:Does your research involve human subjects or animals? Yes FORMCHECKBOX No FORMCHECKBOX If yes, did the Institutional Review Board (IRB) or Institutional Animal Care and Use Committee (IACUC) review and approve the research? Yes FORMCHECKBOX No FORMCHECKBOX Does your research involve the use of infectious agents, select agents and toxins, human or endothermic vertebrate materials (including blood, body fluids, cells and tissues), recombinant DNA, synthetic nucleic acid molecules or transgenic animals? Yes FORMCHECKBOX No FORMCHECKBOX If yes, did the Institutional Biosafety Committee (IBC) review and approve the research? Yes FORMCHECKBOX No FORMCHECKBOX If you answered yes to any compliance question, a copy of the approval letter from the appropriate committee must be submitted with this application or an explanation provided as to when approval is anticipated.Supply the following itemsFellowship Application Letter: Attach a one-page letter to the Dean of the Graduate School that explains your career interests and goals, discusses your ability to meet academic milestones based upon your past academic record, discusses how the Bellwether Fellowship will help with the timely completion of your doctoral degree, and how the award will help shorten your time to degree completion. Applicants must provide convincing evidence that they could complete the dissertation during the fellowship period.Degree Completion Timeline: Submit a one-page timeline for degree completion that you discussed with your dissertation advisor.Describe all remaining tasks associated with your dissertation and planned professional or academic activities (practicum, classes, etc.) that are expected to occur during the fellowship period. The format for the timeline template is given below. Timeline Example: Place an X in the appropriate month(s) for each task to chart your timelineTasksJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberJanuaryFebruaryMarchAprilMaySuccessful Bellwether Fellows are expected to work independently, seek advice of their committee as a resource when appropriate, and have regularly scheduled meetings (at least every two weeks) with their advisor to discuss the doctoral candidate’s progress. Applicants must discuss their proposed timeline with their advisor. ResumeLetter of Recommendation Only one letter of recommendation is required; it must be from the applicant’s advisor. The advisor’s letter must address the following points:the applicant’s timeliness to meet past academic milestones in the degree program and applicant’s potential to meet the proposed timeline for degree completion,the availability of the advisor for regular meetings, the committee members’ availability to aid the doctoral candidate according to the proposed timeline, if the anticipated defense is during the summer, the advisor and committee will be available at that time. Please provide the name of your dissertation advisor who will be writing your letter of recommendation.Name FORMTEXT ?????Please list the name(s) of any other individual that will be submitting a letter of recommendation. FORMTEXT ????? FORMTEXT ?????Submit letter of recommendation to competitive-awards@utulsa.edu or mail to:The University of TulsaGraduate School800 South Tucker DriveTulsa, Oklahoma 74104-9700Use this checklist to ensure that your application is complete. FORMCHECKBOX Letter to the Dean of the Graduate School that discusses (one-page)your career interests and goals,your ability to meet academic milestones as demonstrated by your past track record, andhow the award will help you shorten your time to degree completion. FORMCHECKBOX Timeline for completion of degree The (one-page) timeline (on the previous page) may be submitted on a separate sheet of paper but using the matrix format. FORMCHECKBOX Resume FORMCHECKBOX Compliance: IRB/IACUC/IBCIf you responded yes to any research compliance question on the first page of the application form, a copy of the approval letter from the appropriate committee must be submitted with this application or an explanation provided as to when approval is anticipated.If your research involves human subjects or animals, and you have not submitted your protocol for approval, contact Carmen Schaar-Walden at 918-631-3310 or carmen-schaar-walden@utulsa.edu. Review of proposed research by the IRB or IACUC is intended to ensure that research activities involving human or animal subjects safeguard the rights and welfare of the subjects, as required by federal regulations.If your research involves the use of infectious agents, select agents and toxins, human or endothermic vertebrate materials (including blood, body fluids, cells and tissues), recombinant DNA, synthetic nucleic acid molecules or transgenic animals, and you have not submitted your protocol for approval, contact Dr. Estelle Levetin at 918-631-2764 or estelle-levetin@utulsa.edu to determine if IBC or other approval is necessary. FORMCHECKBOX Completed Application FormFailure to supply any of the requested information by December 2 may result in the applicant being disqualified from consideration for this award.If you accept another award prior to the awarding of the Bellwether Fellowship, please notify the Graduate School to remove yourself from consideration.Email completed application to the Graduate School at competitive-awards@utulsa.edu by 5:00 pm, December 2.All completed application forms and supporting materials must be received by the Graduate School no later than 5:00 pm, December 2.Failure to supply any of the requested information will result in the applicant being disqualified from consideration for this award.Application received after 5:00 pm, December 2 will not be considered. Assurance:My signature below indicates thatI certify that all of the foregoing is complete and correct;B. I understand that this award may be terminated at any time for 1. failure to maintain a satisfactory academic record, 2. failure to maintain personal and professional integrity, or 3. failure to abide by the rules and regulations of the University, now existing or existing in the future; C. I also understand that renewal is not automatic and application for extension is required;D.If the fellowship ends on a day other than the last day of the month, the stipend will be prorated to the end date on my letter/award notification.Signature of Applicant FORMTEXT ?????Date FORMTEXT ?????The Graduate School800 South Tucker DriveTulsa, Oklahoma 74104-9700(918) 631-2336Toll free (800) 882-4723E-mail Address: grad@utulsa.eduInternet Access: utulsa.edu/graduateThe University of Tulsa is an equal employment opportunity/affirmative action institution. For EEO/AA information, contact the Office of Human Resources, 918-631-2616; for disability accommodations, contact the Center for Student Academic Support, 918-631-2315.?90487582486500 The Graduate SchoolBellwether FellowshipsRecipients are expected to have demonstrated outstanding potential for academic success, the ability to complete their degree in a timely manner, personal and professional integrity, and are in good academic standing.The Bellwether Fellowships are to assist doctoral candidates in the completion of their degree. The selected fellowship recipients are expected to be leaders in their respective disciplines and trendsetters for The University of Tulsa doctoral degree. New recipients will receive awards for up to an entire calendar year (12 months) with up to 21 credits in tuition, stipend up to 12 months for $13,500, and requested University housing for up to 12 months. If the Bellwether Fellowship ends on a day other than the end of the month, the stipend will be prorated to the end date on the letter/award notification.To be eligible for an award, a doctoral student must be admitted to candidacy (passed all qualifying or comprehensive exams and successfully defended the prospectus or dissertation proposal), prior to receiving this award, and can demonstrate a good track record with respect to timely completion of Ph.D. milestones. Candidates for the award are expected to be in the writing stage of their dissertation work with the majority of the research (and data collection where applicable) completed. Fellowships are awarded for up to one year. Progress reports are due June 1, August 1, October 1, December 2, February 1, and April 15 for all recipients. The Bellwether Fellowship program is designed for full-time doctoral candidates who are working full time toward the completion of degree requirements. It is expected that Bellwether Fellows will be working full time on average at least 40 hours per week, on activities for completion of the dissertation. Hence, participants in the Bellwether Fellowship program may not receive payment for any work on or off campus during the Fellowship period except with the written permission of the Dean of the Graduate School. These fellowships are intended to provide an opportunity for doctoral candidates to focus on their dissertations without other work commitments.Submit completed application directly to the Graduate School by 5:00 pm, December 2.Items student must submit to the Graduate School:Letter to the Dean of the Graduate School from the applicant that explains career interests and goals, discusses ability to meet academic milestones as demonstrated from past track record, discusses how the Bellwether Fellowship will help with the timely completion of the Ph.D. degree, and explains how this award will shorten the time to degree completion. Applicants must provide convincing evidence that they will complete the dissertation during the fellowship period.Timeline for the completion of the degree programResumeCompliance Documentation, if applicable, the approval letter from the appropriate committee (IRB/IACUC/IBC) or an explanation provided as to when approval is anticipated.Application completed for the Bellwether Fellowship Student must have a letter of recommendation pertaining to this award from the dissertation advisor sent to the Graduate School no later than 5:00 pm, December 2.Current Bellwether Fellows may apply for an extension only with extenuating circumstances that are academic or health related. Application can be made for an extension of a summer semester and/or one additional fall semester. Convincing evidence must be presented that the extension is necessary and that the doctoral degree will be completed during that time period. Applications for extension are available from the Graduate School Office and must be submitted by 5:00 pm, December 2st. Extension is not automatic and is contingent upon evidence of good academic progress relative to the original proposed timeline and the awardee remaining in good academic standing. ................
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