This form is used for submissions to GradImpact.

Full name of graduate student being nominated(Required)
Full name of person filling out this form:(Required)
Phone number:
If you are not the Dean of the Graduate School at your institution, please list his or her name here. The Dean of the Graduate School will be included in any communications about stories chosen to appear on the CGS website or in GradEdge.
We will send an email to your graduate student or alum's hometown newspaper with a link to our GradImpact story. This information is helpful in our advocacy efforts.
I am submitting an example of (check the box that best applies):(Required)
Did this research receive federal funding?(Required)
My submission falls into the following broad field of research or professional activity (check the box that best applies):(Required)
URL Format:
If my institution’s example is chosen for the CGS website, we can provide CGS a photo to accompany the story:(Required)
This field is for validation purposes and should be left unchanged.