Your name * 

Email * 

Department

Rank

Title of Proposed Project * 

Duration of Fellowship * 
 

Project Description (Ordinarily 1,200 words or less) * 

Have you consulted with the Office of Sponsored Research to identify potential external funding sources? * 
Yes No

Please list pending applications for outside fellowships/grants (indicate notification dates). * 

Do you intend to apply for financial aid elsewhere? * 
Yes No

If yes, where? *

Provide two references: 

First Reference Name *

Institution *

Second reference Name *

Institution *

Please submit a current CV either by mail or electronically (mheyer@mtholyoke.edu)