Fellowship Recipient Form

Name(Required)

First Last

Email(Required)

Hometown(Required)

Major(s), Minor(s)(Required)

Graduation Date/Anticipated Graduate Date (Month, Year)(Required)

Scholarship/Fellowship received and, if applicable, target country(Required)

Brief description of the project/program/pursuit/research this award will support (1-2 sentences)(Required)

Quote (for publication)(Required)

This quote is for use in UT press releases, news stories, social media, etc. Depending on the award, your quote might be about: being selected for X scholarship and what it means to you; the prospect of being a cultural ambassador in your host country; why you’re pursuing this opportunity / where it fits into your plans and goals; your gratitude/excitement for what this will allow you to do; etc. Your call! But no more than 1 – 2 sentences, please.

High-resolution photo for publication

Max. file size: 10 MB.

This can be a full-body shot, a headshot ... whatever you like. But it should be a photo you'd be comfortable seeing published. Max file size 5MB.

Do you intend to accept this scholarship/fellowship (For internal purposes)(Required)

Have you notified your recommenders/mentors of your selection? We'd like for you to be able to let them know before we do.(Required)

Did you attend an information session related to this scholarship/fellowship (For internal purposes)(Required)

We (URF/UT) would like to use the information/photo in this form to publicize your selection for this nationally competitive award. Please select "Yes" below to allow URF/UT to use the information/photo in this form in press releases, news stories, social media campaigns, etc regarding your selection. Thank you!(Required)

We (URF/UT) would like to share this information in a press release in your hometown newspaper. Please select "Yes" below to allow us to do so. Thank you!(Required)

The University of Tennessee, Knoxville

Undergraduate Research & Fellowships
Division of Student Success