Personal Email Address (do not give us your work email)
Your answer
Are you applying for an individual fellowship?
Clear selection
If applying for an individual fellowship, explain what you would like to use the money for? Examples might be teaching and learning, professional development, scholarly research, continuing education, etc.
Your answer
Are you a local chapter applying for recruitment funds?
Clear selection
If applying for recruitment funds, how does your chapter plan to spend this money? Examples might be membership incentives for joining, goodwill to the institution to build recognition, materials/supplies, events, etc.
Your answer
What is the amount you would like to apply for? (the limit is $500)
Your answer
Provide a budget indicating how the funds will be spent.
Your answer
Do you understand that if you are awarded funding, it will be in the form of a reimbursement after we collect receipts?