NATIONAL TAX ASSOCIATION
2008
DOCTORAL DISSERTATION AWARDS
ENTRY APPLICATION FORM. A completed
Entry Application Form must be submitted to the Chairperson of the
entrant's doctoral dissertation committee. The entrant should also submit a copy of the
dissertation to National Tax Association, 725 15th Street NW #600,
Washington DC, 20005-2109.
The deadline for
submission is June
15, 2008.
(Please print or type.)
1. Name
______________________________________________________________
Last
First
Middle
2. Present position or status___________________________________________
3. Present address (including telephone and
E-Mail)________________________________
___________________________________________________________________________
____________________________________________________________________________
4. Permanent address and telephone (if
different)________________________________
___________________________________________________________________________
5. Social Security Number
____________________________
6. Educational Background. List
institutions of higher education attended starting with the most recent.
Institution
Major Field(s)
Period Attended
Degree
Earned:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
7. Date Ph.D degree conferred (if
applicable) ____________________________
8. List names and position of members of doctoral
dissertation committee
Chairperson______________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Date________________________
Signature_____________________________
This form must be submitted to and returned by the
Chairperson of dissertation committee.