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Summary: REGISTRATION FORM
UNITED KINGDOM AWARDS
CARNEGIE MELLON UNIVERSITY
Name __________________________________________________________________
School __________________ Major(s)/Minor ___________________________________
Expected date of graduation _________________ Current cumulative GPA ___________
Email address ________________________________ Phone _____________________
SCHOLARSHIP(S) FOR WHICH YOU SEEK NOMINATION:
Rhodes ___ | Marshall ___ | Churchill ___ | Gates Cambridge ___ | Mitchell ___
US state of residence _______________ Non-US country _______________
PROPOSED PROGRAM(S):
University _______________________________________ Degree ________________
Title of Program/Course ___________________________________________________
NAMES OF CARNEGIE MELLON FACULTY MEMBERS WHO WILL RECOMMEND YOU
Please list below at least four recommenders to write on your behalf. It is your responsibility to
contact them and provide each of them with a copy of the document, "Instructions for
Recommenders UK Awards." Two letters are due April 15, 2010 (four if applying for Rhodes).
1) __________________________________ 5) _________________________________
2) __________________________________ 6) _________________________________
3) __________________________________ 7) _________________________________
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