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THE MELISSA INSTITUTE FOR VIOLENCE PREVENTION & TREATMENT
DISSERTATION AWARD INFORMATION FORM
NAME_______________________________________________________
MAILING ADDRESS__________________________________________
__________________________________________
__________________________________________
EMAIL ADDRESS____________________________________________
GRADUATE SCHOOL________________________________________
DEPARTMENT/PROGRAM___________________________________
DISSERTATION ADVISOR___________________________________
ADVISOR’S EMAIL ADDRESS________________________________
TITLE OF DOCTORAL THESIS_______________________________
____________________________________________________________
APPLICATION DEADLINE IS APRIL 1, 2004
Send all information to:
The Melissa Institute
6200 SW 73 Street
Miami, FL 33143
ATTN: Dr. Donald Meichenbaum, Research Director