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Contact Information

1. Name

2. Department

3. Email Address

4. Summer 2013 Phone Number

6. Are you also applying to the NTAC Workshop Leader (formerly called TA Fellows) program for 2013?

7. Will you have passed your qualifying exams by August 2013?

* 8. Will you be funded for the 2013-2014 academic year? (Note: You must be fully funded with a full tuition scholarship and stipend for the year in order to be eligible for this fellowship.)

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