THE COMMUNITY
Primary Applicant

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* Name

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* Email

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* Faculty

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* Department, Program, or Unit

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* Position

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* If this application builds on a Taylor Institute program, activity, or consultation, please explain.

Co-Applicant (if relevant)

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* Name

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* Email

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* Faculty

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* Department, Program, or Unit

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* Position

Additional Participants in the Community 

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* Projected Number of Participants (best estimate)

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* Projected Participants (e.g., instructors from a specific department, faculty and graduate students interested in ____, all instructors teaching a specific course, etc; if a Teaching Square, please include all names)

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