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* 1. Last Name

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* 2. First Name

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* 3. Email

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* 4. Department

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* 5. Title of funded proposal:

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* 6. Semester and year awarded (e.g. Fall 2020)

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* 7. I am submitting the final report for the following type of award I received:

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* 8. Were the funds you were awarded spent as you originally proposed?

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* 9. Briefly report on benefits to the field, including dissemination and results (e.g., conference presentations, publications, proposal submissions, or grant/contract funding).

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* 10. Were there any other personal, professional or departmental benefits that resulted from the activities supported by this award?

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