Amanda Award Statement of Intent
Applicant's name *
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Applicant's Email address *
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Nominee's name *
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Nominee's email address *
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Nominee's school *
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Nominee's school address *
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School level of program *
Name of collaborator, if any
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Collaborator's email address
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Collaborator's school
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Collaborator's school address (if different from above)
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Is the collaborator a FAME member? *
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