Shohet Scholar Applicant Cover Sheet

Shohet Scholar Applicant Cover Sheet

International Catacomb Society  •  Shohet Scholars Program
71 Prince Street, Suite 21
Boston, MA 02113
shohetscholars@catacombsociety.org  •  www.catacombsociety.org

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Instructions to the applicant: please cut and paste this page onto a Word document to complete. All sections must be filled out.  Email completed applicant cover sheet along with the rest of the Shohet Scholar application to: shohetscholars@catacombsociety.org no later than January 15, 2017.

 

Applicant Name:

 

Position:

 

Institution:

 

Address:

 

Phone:                                                                 E-mail:

 

Date of Ph.D.:

 

Institution:

 

Department:

 

Total funds requested (not to exceed $30,000):

 

Contact information for individuals submitting two letters of recommendation:

1.

 

2.

 

Contact information for individual submitting statement of institutional support: