ISEN Cluster Fellow Competition Application, Academic Year 2017-2018
IMPORTANT:
Upon completion of this online application, you will be prompted to submit the following REQUIRED documents to isened@northwestern.edu. You are also responsible for ensuring that your Recommenders submit their letters of recommendation to isened@northwestern.edu. All documents should be in PDF format. Please name the files according to the guide below.

1. Two Letters of Recommendation (File name: Student Last Name_Student First Name_Recommender Last Name.pdf)
2. Project Abstract (File name: Student Last Name_Student First Name_Abstract.pdf)
3. CV (File name: Student Last Name_Student First Name_CV.pdf)
4. A Sample of Scholarly Work (File name: Student Last Name_Student First Name_Sample.pdf)
5. An Unofficial Northwestern Transcript (File name: Student Last Name_Student First Name_Transcript.pdf)

GRADUATE STUDENT TO BE CONSIDERED
Last Name
Your answer
First Name
Your answer
Middle Name
Your answer
Mailing Address Line 1
Your answer
Mailing Address Line 2 (optional)
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
E-mail Address
Your answer
ACADEMIC INFORMATION
Student ID
(To find your ID, log in to CAESAR at www.registrar.northwestern.edu and click on "View Student ID." It's a 7 digit number beginning with 1 or 2.)
Your answer
School & Department or Program
(Example: Weinberg & Chemistry)
Your answer
Name of Business Administrator in Department
(ISEN will coordinate with this person if funds are awarded)
Your answer
Graduate Degree Sought
Anticipated Graduation Date
MM
/
DD
/
YYYY
RESEARCH & FUNDING INFORMATION
Adviser Name
(First Last)
Your answer
Adviser E-mail Address
Your answer
Adviser Department
(Example: Chemistry)
Your answer
Adviser Campus Telephone Number
(XXX-XXX-XXXX)
Your answer
Please choose up to TWO categories that describe the topic of the proposal
Required
Briefly Describe Your Research Topic or Creative Focus
(Be more specific than simply listing the associated department or program - 320 Characters Max)
Your answer
Cluster funding is for two quarters. Will you be supported by external funds during the academic year for which you are applying for Cluster funding?
(Examples: grants, fellowships, etc.)
If you will be receiving external funding, please list the funding source(s) below:
Your answer
LETTERS OF RECOMMENDATION INFORMATION
The Family Educational Rights to Privacy Act of 1974 and its amendments guarantee enrolled students the right to see their letters of recommendation unless they explicitly waive that right.
Do you waive the right to inspect the contents of letters of recommendation submitted on your behalf?
Name of Recommender #1 (Department chair is preferred)
(First Last)
Your answer
E-mail Address of Recommender #1 (Department chair is preferred)
Your answer
Name of Recommender #2 (Adviser is preferred)
(First Last)
Your answer
E-mail Address of Recommender #2 (Adviser is preferred)
Your answer
If one or both of your letters of recommendation are not coming from the preferred individuals, please explain:
Your answer
ADDITIONAL INFORMATION
Have you applied for a Cluster Award previously (ISEN or other?)
SUBMISSION OF APPLICATION DOCUMENTS & LETTERS OF RECOMMENDATION
Please submit the following REQUIRED documents to Linda Naunapper at isened@northwestern.edu. You are also responsible for ensuring that your Recommenders submit their letters of recommendation to isened@northwestern.edu. All documents should be in PDF format. Please name the files according to the guide below.


1. Two Letters of Recommendation (File name: Student Last Name_Student First Name_Recommender Last Name.pdf)
2. Project Abstract (File name: Student Last Name_Student First Name_Abstract.pdf)
3. CV (File name: Student Last Name_Student First Name_CV.pdf)
4. A Sample of Scholarly Work (File name: Student Last Name_Student First Name_Sample.pdf)
5. An Unofficial Northwestern Transcript (File name: Student Last Name_Student First Name_Transcript.pdf)

VERIFICATION
By checking this box, I certify that the statements herein are true, complete and accurate to the best of my knowledge, and accept the obligation to comply with all relevant institutional requirements, potentially including but not limited to those regarding material transfer agreements, conflicts of interest, safety plans and documentation, and intellectual property disclosure/protection, as well as sponsor terms and conditions (applies to ISEN funds if used for cost share) if a grant is awarded as a result of this application. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties.
Required
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