University Council for Educational Administration (UCEA)

Clark Nomination Form

David L. Clark National Graduate Student Research Seminar in Educational Administration & Policy

Please submit the following information by Sunday, December 15, 2024 at 11:59pm EST.

Please note that this form must be submitted by the nominator and will require that the nominator gather the necessary information from the nominee to complete the nomination form.

First Name *

Last Name *

Email *

Institute *

Nominee Information

Nominee's Name *

Nominee's Email Address *

Institution/Affiliation *

Nominee's Address through May 2025

Street Address *

City *

State *

Postal Code/ZIP *

Country *

Phone Number *

Nominator's Information

Name *

Email *

Nominated by *
Choose up to 4

Dean

Chair

Advisor

PSR

Street Address *

City *

State *

Postal Code/ZIP *

Country *

Phone Number *

Nomination

For planning purposes, please share information on the nominee's status (check all that apply)

Nominee is:

*
Choose up to 5

Finished with Coursework

Developing their research proposal

Advanced to Candidacy

Actively conducting research for the dissertation

Close to finishing the dissertation

Institution's financial contribution to student expenses *

Statement of Nomination (to be prepared by the dean, department chair, advisor or UCEA PSR). A statement of nomination should be no longer than 500 words and explain the nominator’s rationale for submitting the nominee for consideration. *

Student’s Research Project

In the two fields below, provide a full title and an abstract. If the student is invited to the seminar, the title and abstract will be sent to fellow students and seminar faculty in advance of the meeting. The research statement will be blind reviewed by three leadership and policy scholars and used to determine whether or not the student will be invited to the seminar. All three items must be included with the nomination packet submitted by you, the nominator. We do not consider student self-nominations.

Title *

Abstract (150 words or less) *

Upload research file

Upload a three-page, single-spaced statement of research without any personal or institutional identifying information within the document. Including personal or institutional identifying information within the statement of research may cause the nominee’s application to be rejected by the seminar planning committee. As such, please double-check the contents of the file before uploading and submitting this nomination. *

Goals and Expectations as a Clark Scholar (200 words)

Provide a brief statement to answer the following questions:

What are your plans after you complete your dissertation?
What do you hope to gain from being a Clark Scholar?

(Word limit: 200)