PHI ALPHA THETA 2017 DOCTORAL SCHOLARSHIP APPLICATION Entries must be received by March 1, 2017 Eligibility requirements: Phi Alpha Theta Graduate student members who are pursuing a Ph.D. in History and who have passed general examinations by February 15, 2017 are eligible to apply. Name: Current Date: | College/University: eamail: Permanent Address: City State [ Zip) COLLEGES/UNIVERSITIES ATTENDED. Dates Attended Degrees Received Name of School College/University where you joined ®AQ: Key Consideration will be placed on Phi Alpha Theta involvement including: Offices held: Specific chapter activities in which you participated:Foreign language(s) in which you have + A fluent reading knowledge: © Fairreading knowledge: UNDERGRADUATE Major} Overall GPA. Jcumulative GPA in History: L_____] No. of Semester hours completed in courses taught by the History Department: [ere eed] GRADUATE Master’s Program ‘Cumulative GPA: No. of Semester hours completed: Doctoral Program University of current graduate enrollment: Canin cpa (ead No. of Semester hours completed Title of doctoral dissertation: Pod Dissertation advisor: Date passed comprehensive/general exams: Anticipated date of completion of doctoral degree: [7 ) ‘Name and school affiliation of three (3) individuals (including the dissertation advisor) submitting letters of recommendation: LFor your application to be complete it must include the following: Application (6 copies) Official transcripts (one official copy from the institution that conferred the baccalaureate degree and from each institution in which graduate work was undertaken) Curriculum Vitae or resume (6 copies) Writing sample (5 pages, double-spaced) Letter of recommendation from each of the 3 individuals listed above (only the original) Dissertation prospectus of no more than 3 double-spaced pages (6 copies) Letter from the History Department Chair confirming the applicant is not enrolled in an online degree program Entries must be received by March 1, 2017, Send your application packet to: Doctoral Scholarship Committee Phi Alpha Theta History Honor Society University of South Florida 4202 E, Fowler Ave, SOC107 Tampa, FL 33620-8100 Itis the responsibility of the applicant to ensure that all required documentation is received by the competition deadline. Incomplete applications or those submitted after the deadline or by individuals whose membership in Phi Alpha Theta cannot be verified will not be considered for the competition. Print Form