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Funding application
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* Indicates required question
Name
*
Your answer
Email address
*
Your answer
Affiliation
Your answer
Academic status (for NSF reporting purposes)
*
Graduate student
Post-doc
Recent Ph.D. (5 years or less since Ph.D.)
Other
Are you a member of an underrepresented minority?
*
Yes
No
Other:
Will you require travel support?
*
Yes
No
If your answer to the previous question is "yes", how much funding will you need? Please list costs in USD or indicate if other currency.
Your answer
Will you require funding for accommodation?
*
Yes
No
If your answer to the previous question is "yes", how many nights do you expect to stay in Bethlehem?
1
2
3
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