I.    Application Information:

Student Name:    Year: 

Home Address:

Home Phone #:

CMR Box Number:

Campus Phone: E-mail address:

G.P.A.:                    Major G.P.A.: 

II.    Housing & Funding Information:

On-campus housing is only available Wednesday, May 29, 2013 - Friday, July 26, 2013

A. Will you need campus housing? Yes No

B. Are you applying for an additional expense reimbursement? Yes   No

C. Are you seeking other sources of funding for this project?  Yes    No

     If yes, please list where you might find other funding

Please note: If you have answered "Yes" to either B or C, please supply a detailed rationale including an itemized budget on a separate page and submit it to the Academic Dean's Office.

III.    Project Title:

IV.    Faculty Mentor Information:
Please note: The faculty member* who has agreed to serve as your mentor during the course of the project must approve your project proposal and review your application before its submission.

Name of Faculty Mentor: 

*(Normally, the project mentor will be a full-time teaching member of the St. Lawrence University faculty, in a continuing position. )

Second Faculty Reference (name only): 

Please ask your Faculty Mentor and Second Faculty Reference to complete the on-line Recommendation Form. 

V.    Proposal:   Describe your proposal following the Fellowship Proposal Guidelines and send it by e:mail to nbovay@stlawu.edu.

VI.    Academic Transcript:  You must submit a current unofficial transcript to the Academic Dean's Office, Vilas 103, or e:mail the transcript to nbovay@stlawu.edu.

VII.    Signature: My typewritten signature below indicates my acceptance of the following SLU Fellowship guidelines:
a) I will return as a continuing St. Lawrence University student for the fall 2013 semester;
b) I will not accept employment for more than eight hours per week during the 8-10 week Fellows period;
c) I understand campus housing is only available between May 29, 2013 and July 26, 2013;
d) I will submit two copies of the final 500-word project summary, one to my faculty mentor and one to the Academic Dean’s Office (Vilas 103) no later than September 2, 2013. If my final presentation is in poster format, I agree to submit an electronic copy to the Academic Dean's Office.
e) I understand that during the second half of my summer fellowship I must write a letter thanking the person or family that is supporting the financial costs of my fellowship. This letter must be mailed or delivered to the Academic Dean's office, Vilas 103.
f) I will participate in the SLU Fellows formal presentation during the fall 2013 semester, most likely during Family Weekend, and I will not receive the final $250 of my stipend until the presentation has been completed and my thank you letter and project summary have been submitted to the Academic Dean's office.

        
Student’s signature Date                                                                

Please press the "submit" button below to submit the completed application form to the Academic Dean’s Office no later than midnight on Monday, February 11, 2013.