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* 1. Name:

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* 2. SVP Membership Affirmation

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* 3. Degree:

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* 4. University:

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* 5. Address 1:

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* 6. Address 2:

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* 7. City:

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* 8. State/Province:

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* 9. Country:

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* 10. Email:

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* 11. Advisor's Name:

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* 12. Advisor's Email Address:

GENERAL INFORMATION

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* 13. Title of Project (150 character limit):

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* 14. Description of the Proposed Project (3000 character limit):

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* 15. How success of project depends on award (3000 character limit):

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* 16. Specific Museums that will be visited using this award and amount of time at each museum (750 character limit):

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* 17. Required Acknowledgement

I (or my nominee) have (has) never been found guilty by my employer, my legal system, organizations that I volunteer for, institutions where I have conducted research, or other professional societies of any activity that violates the Society’s Meetings Code of Conduct. If I have incorrectly represented myself (or my nominee) or are found guilty in the future by one of the previously listed entities or SVP, my (nominee’s) award may be revoked at the discretion of the Executive Committee.
DOCUMENT AND FILE UPLOAD

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* 18. Include a complete budget and clearly indicate what percentage of the total project cost would be contributed by this award:

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 19. Please upload a photo. (This is for the SVP Awards Banquet and website, only used if applicant receives award)

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* 20. Please upload 300-500 word short bio. (This is for SVP website; only used if applicant receives award)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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