Dale & Vivian Jackson award Interest Form

The Jackson's family helps EdD students excel in their dissertation

Use this form to express interest in the award and provide the right information to determine eligibility.

Ready to apply? Fill this form

Make sure you provide the information and we'll start with the next steps required to confirm your eligibility for the award but also to connect with the appropriate faculty to complete your nomination and materials.

UID Number

First Name

Last Name

UNI Email Address

Select your current EdD program

Cummulative GPA

EdD Program Details

Committee Chair Full Name

Committee Chair Email

Dissertation Title

Attach your current dissertation draft or final document

Select the term/semester you're planning on completing your dissertation defense and therefore to become eligible for the award

Have you completed all of your EdD degree coursework? (or if you plan to be done by the semester you've selected in the previous question)

YesYes, except dissertationNoNot sure

I will ask for a Letter of Support from the following faculty

Recommender Full Name

Recommender Email

After submission, you should get a copy of this form. All of the faculty you've included will get notified of your submission. UNI's Division of Graduate Studies will review this information to determine your eligibility for the award and then start the next steps connecting with you and your faculty to make sure all of the required submission materials are on file. Submission of this form does not guarantee you will be awarded the scholarship.

Need assistance with this form?

Contact gradcollege@uni.edu for any questions and requests.