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  GLENN W. AND CORNELIA Y. MILLER AWARD APPLICATION FORM  
  1. Name (please print):

  2. SIUC Student ID number:

  3. Class: [ Senior ][ Junior ][ Graduate Student ]

  4. Major:

  5. Minor:

  6. Economics 310 taken in: [ Fall ][ Spring ], [ 199   ][ 200   ]

  7. Other labor-related courses:

  8. GPA:

  9. Signature and Date:

Return this form on or before February 1 to:

Department of Economics, Mailcode 4515
Faner Hall, Room 4121
Southern Illinois University Carbondale
Carbondale, IL 62901-4515

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