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Farrell Grant Application for Undergraduate Summer Internship Application form for Summer 2001 |
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DUE DATES: There are two rounds of competition. They differ only in timing, which may provide some students earlier assurance of funding for planning their summers. Funding is available only for returning students. |
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April 20 is the 1st due date |
May 20 is the 2nd due date |
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Your Name |
Round of funding: |
April 20 [ ] or May 20 [ ] |
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Graduating class |
Social Security Number |
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Address to which a grant check should be sent |
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Local Phone |
e-mail: |
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Summer Phone |
Dates of internship |
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Have you received Farrell Funds before? If so, describe |
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Objective of the internship / organizations involved |
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Housing: |
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Transportation: |
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Meals |
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Other |
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Total estimated expenses |
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Special circumstances
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Signature |
Date of application |