MESDA Summer Institute Application
June 17 - July 14, 2018
Application Deadline: March 18, 2018

Applicants will be notified of the decisions of the Selection Committee by early April.

Email address *
Please indicate type of application *
1. General Details
Name *
Your answer
Name as you would like it to appear on course materials/nametag *
Your answer
Address
Location where all correspondence should be sent
Address Line 1 *
Your answer
Address Line 2
Your answer
City/State/Zip Code *
Your answer
Would you like your email address to be included in the list of participants? *
Telephone Number *
Your answer
2. Current Employment
Job Title *
Your answer
Institution *
Your answer
Responsibilities *
Your answer
3. Abbreviated Biography
Education/Qualifications and Significant Courses (with dates attended) *
Your answer
Previous Work Experience (last two posts held)
Your answer
Professional Interests/Specialties *
Your answer
Membership in Relevant Organizations *
Your answer
Select Publications
Your answer
4. You and the MESDA Summer Institute
Reasons for wishing to attend *
0-400 characters max.
Your answer
How did you hear about the MESDA Summer Institute? *
Your answer
Have you previously attended this course? *
If you answered "yes" to the question above, what year(s) did you attend?
Your answer
Letters of Reference
Two letters of reference should be written from a professional standpoint and speak to the applicant's qualifications and their ability to contribute to the course. These letters should be one page in length and submitted directly to MESDA. Reference letters are not required if you have attended the MESDA Summer Institute in the last five years.
Application Requirements
Once complete, please submit the application form using the submit button below. You will receive an email confirmation.

The following items are required for submission:

1. Application Form Submitted Digitally

2. A Current Curriculum Vitae

3. Scholarship Application Form Submitted Digitally

3. First two pages of your most recent federal tax return submitted by email to mesdaprograms@oldsalem.org (if applying for scholarship assistance)

4. Two reference letters sent under separate cover directly by recommender.

All supporting materials may be sent digitally to mesdaprograms@oldsalem.org or by mail to:

MESDA Summer Institute
924 S. Main St.
Winston Salem, NC 27101
Attn: April Strader Bullin

MATERIALS MUST BE RECEIVED BY THE APPLICATION DEADLINE March 18, 2018.

Please direct questions to:
April Strader Bullin
Director of Museum Programs
mesdaprograms@oldsalem.org

A copy of your responses will be emailed to the address you provided.
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