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Ash Institute Summer Internship & Research Grant Application
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1
. I am applying for the following summer internships/research grants
I am applying for the following summer internships/research grants
Fellowship in Innovation
Fellowship in Latin American Government
Fellowship in Urban Policy
Research Grant
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2
. Personal Information
Personal Information
First Name
Last Name
3
. Please enter the name of your partner(s), if applicable.
Please enter the name of your partner(s), if applicable.
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4
. Degree Program
Degree Program
MPP
MPA/ID
MPA2
MC/MPA
PhD
Other
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5
. Expected year of graduation
Expected year of graduation
2009
2010
Other
Other (please specify)
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6
. Are you a U.S. Citizen?
Are you a U.S. Citizen?
Yes
No
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. If you are not a U.S. citizen, please indicate your Visa type or if you are a U.S. Permanent Resident.
If you are not a U.S. citizen, please indicate your Visa type or if you are a U.S. Permanent Resident.
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. Please provide your local (research location) contact information:
Please provide your local (research location) contact information:
Street Address
Apartment or Suite #
City
State
Zip/Postal Code
Phone
Email
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9
. Name of Faculty Advisor
Name of Faculty Advisor
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. For Research Grant Applicants Only: Travel Destination Information
For Research Grant Applicants Only: Travel Destination Information
Travel Destination (Country and City)
Field Contact First Name
Field Contact Last Name
Title
Organization
Street Address
Address (cont'd)
City
State/Province
Zip/Postal Code
Country
Phone
E-mail
Website
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. For Research Grant Applicants Only: What is the length of your proposed travel (in days)?
For Research Grant Applicants Only: What is the length of your proposed travel (in days)?
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. For Research Grant Applicants Only: What is your anticipated departure date (MM/DD/YY)?
For Research Grant Applicants Only: What is your anticipated departure date (MM/DD/YY)?
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. For Research Grant Applicants Only: What is your anticipated return date (MM/DD/YY)?
For Research Grant Applicants Only: What is your anticipated return date (MM/DD/YY)?
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. For Research Grant Applicants Only: What is the total amount of funding needed? Please detail budget requirements.
For Research Grant Applicants Only: What is the total amount of funding needed? Please detail budget requirements.
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. For Research Grant Applicants Only: If you have received any funding outside HKS, please indicate source and amount.
For Research Grant Applicants Only: If you have received any funding outside HKS, please indicate source and amount.
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. Please provide additional information about you and your research for consideration.
Please provide additional information about you and your research for consideration.
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