NHPRC ARCHIVAL RESEARCH FELLOWSHIP

Application

Postmark deadline: March 1, 2002

Name:

____________________

____________________

____________________

 

Last
First
Middle

Home Address:



Telephone: Home ( ) _______________ Office ( ) _______________

E-mail:__________________________

Employing Institution: ________________________________________________

Address: __________________________________________________________

Position title: _______________________________________________________

Supervisor's name, title, telephone number:



Colleges and/or universities attended; concentration; degrees; years conferred:

College
Concentration
Degree
Year

_________________

_________________

_________________

_________________

_________________

_________________

_________________

_________________

Professional references: list the individuals who will be providing written references

 

Name, Address, Phone

Institution

Position
Relationship

1.

___________________

_______________

_______________

_______________

2.

___________________

_______________

_______________

_______________

3.

___________________

_______________

_______________

_______________

Attach a professional resume that includes all education, work experience, professional activities, and publications.

Attach fellowship project proposal on separate sheets (not to exceed three single-spaced, single-sided sheets), stating succinctly your fellowship project and its relevance to issues concerning modern records. In addition to a narrative description, the proposal must include a detailed plan of work.

Attach letter of institutional support.

A false statement on any part of your application will render you ineligible for a fellowship or be grounds for revoking your fellowship after it has begun.

I certify that all of the statements made by me are true, complete, and correct to the best of my knowledge, and are made in good faith.

I understand that continued funding for the NHPRC archival fellowship program, while approved by the Commission at its spring 2001 meeting, is dependent upon the Commission's subsequent annual federal appropriations as determined each year by Congress.

 

Signature:__________________________________________

Date:__________________________

 

Return to:

NHPRC Archival Research Fellowship Program

 

Attn: Brenda Lawson

 

Massachusetts Historical Society

 

1154 Boylston Street

 

Boston, MA 02215

Last edited: July 2001