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Application Form - The Andrew W. Mellon Summer Academy and Undergraduate Curatorial Fellowship Program
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First Name
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Last Name
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Your answer
Are you eligible to work in the United States?
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Yes
No
Permanent Mailing Address
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Telephone Number
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Email Adress
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Your answer
Current Mailing Address (if different from above)
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Current Address Valid Until
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MM
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DD
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YYYY
Alternate Telephone Number
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Alternate Email Address
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Name of College or University You Attend
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Current Class Standing
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Freshman
Sophomore
Other:
If "Other," please explain
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Expected Graduation Date
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DD
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YYYY
Current Major/Minor
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Cumulative GPA
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Your answer
If GPA not based on a 4.0 scale, please explain
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Letter of Recommendation - Recommender Name
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Letter of Recommendation - Recommender Email Address
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Your answer
Letter of Recommendation - Recommender Telephone Number
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Your answer
Checking the box below will act as your signature:
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I certify that the above information is true and correct to the best of my knowledge.
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