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Phillips Student Fellowship Application

Student Name:*
First Last
Bates ID:*
Class Year:*
Campus Box:*
Preferred Phone:*
Email:*
Major (if declared):*
Home Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Project Title:*
Project Start Date:*
MM slash DD slash YYYY
Project End Date:*
MM slash DD slash YYYY
What countries have you previously traveled to, if any?*
What languages do you speak and/or are fluent in?*
Primary Location(s) of the Project:*
Can you confirm that you have no previous association with the country/countries you intend to visit?*
The Phillips Fellowship requires students to have not previously visited or had any significant cultural experience with the intended country for their project.
Sponsoring Organization(s) and if applicable, attach letter of endorsement)*
Letter of endorsement from sponsoring organization
Drop files here or

Max. file size: 10 MB.
Bates Faculty or Staff Sponsor: (attach letter of support)*
First Last
Names and Emails of Two Additional References*
Name: Telephone: Email:
Are you currently on campus?*
If off-campus, please provide an address:
Will you be on campus during Short Term?*
Are you abroad in the Fall?*
Required documents MUST be uploaded as a SINGLE combined PDF.*
Drop files here or

Max. file size: 10 MB.
Order: Abstract, Narrative, Budget, Site Endorsement Letter, Faculty/Staff Letter of Support
Please check off that you have attached/included the following required materials as a SINGLE combined PDF for a complete application:*
- One-paragraph (no more than 100 words!) project abstract
- Proposal narrative of 2-5 pages. No more than 5 pages; Double-spaced!
- Complete and Totaled Budget (e.g., equipment, supplies, air/ground travel, lodging, food, subject/informant reimbursement, gratuities for collaborators/informants, training, admission fees, other expenses, additional supplemental funds).
- Official endorsement from site supervisor*
- Faculty/staff sponsor letter of support*
*Can be emailed directly to Alison Keegan (akeegan@bates.edu)
Applicant Agreement
By signing this form, I agree to grant the Committee permission to secure and view my transcript and other pertinent academic records.
Student Signature*
First Last
Date submitting:*
MM slash DD slash YYYY
Email
This field is for validation purposes and should be left unchanged.

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