ALICE HAMILTON SCHOLARSHIP FUND

Application Submission Cover Sheet

(to be completed by Applicant) 

Full Name:

 

Mailing Address:

 

Phone (Day):

 

Phone (Evening):

E-mail:

 

College/University:

Department:

 

 

Letters of Reference

1.

2.

Education Level:      __ Undergrad  __ Masters Candidate  __ PhD Candidate

Scholarship Use: __Field School  __Thesis Fieldwork  __Lab Analysis/Tests __Other

 

__I AM __I AM NOT-- willing to share my experiences and/or project results with a local CAS chapter (typically a short newsletter article, poster or presentation)