Sample student declaration

Sample student declaration to be submitted as part of the John Lake or Gilbert P. Whitley Awards

Dear r Conference Organisers

I hereby certify that I was or currently am a ___[hons-MSc-Phd]__ student at ___[institution]___, studying under ___[supervisor’s name]_____. 

I am a member of the Society, or will be at the time of presentation. 

Also, I certify that:

EITHER
I am eligible for the Junior Award by presenting work completed as part of my ___[B.Sc. Honours, or M.Sc. prelim, or Grad Dip]____ that was recently conducted or completed no more than 12 months ago (ie within one year of completion of the degree).  My undergraduate degree was started ___________ and will/did finish _______________.

OR

I am eligible for the Senior Award by presenting work completed as part of my __[Full/Part]__ time ____[M.Sc. or Ph.D]____ research, and is being presented before the degree is conferred, or is within 7 years of completing my first degree (___[month, year]___), or there are special circumstances why I am still eligible ___________________.  My post-graduate degree was started ___________ and will/did finish _______________.

Any significant contribution by others, especially by co-authors to the work presented for the Senior Award is as follows: ___________________________________

Yours sincerely

Name of student: ____________________________________

Signature: ______________________________Date:_________________