* 1. The primary purpose of my award was:

* 2. It has impacted my growth as a researcher by:

* 3. It has impacted the larger body of scholarship in my field by:

* 4. The use of the award resulted in:
(Please select all that apply.)

* 5. Please provide details on scholarly results of the award, for example, the name of the grant an application was submitted to, the title of the journal(s) an article was submitted to, the name of the conference(s) an abstract was submitted to, etc...

* 6. Please supply on additional information on how the award program can be more helpful to you:

* 7. Additional Comments:

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