Stipend Application Form

Complete the form below to apply for an On the Cutting Edge Workshop Stipend. Stipends are awarded to applicants based on workshop acceptance and reflecting travel costs and/or fees associated with each workshop. Click on SUBMIT to send this application. Be sure to hit the SUBMIT button before leaving this page or your information will be lost.

Stipend Application Deadlines and Maximum Stipends

Teaching Hydrogeology, Low Temperature Geochemistry, and Soils in the 21st Century
March 15, 2013 ($645)
Teaching Oceanography
March 12, 2013 ($645)
Workshop for Early Career Faculty: Teaching, Research, and Managing Your Career
March 22, 2013 ($1095)
Preparing for an Academic Career in the Geosciences
April 5, 2013 ($695)

Your full name used for federal income tax information:

Your email address (same as used in the workshop application, if possible):

Workshop for which you are seeking funds:

Have you been notified of your acceptance in the workshop?

We will send the stipend award check to your home (not work) address, matching the address used for federal income tax information.
Residence street address:

City:

Select a State:

Zip Code:

Your institution:

Itemized workshop budget as applicable (e.g., airfare, local ground transportation, parking, workshop fee):

Estimate of total workshop cost:

Existing funds available to you (e.g., Department funds, Dean's office, your institution's Teaching and Learning Center):

Total funds requested:

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