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Shohet Scholar Applicant Cover Form
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Name
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First
Last
Position (Institutional )
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Institution
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Address
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Phone
*
a recommendation: of
Email
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Date of PhD
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— Select Choice —
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PhD Institution
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Are you a current or past recipient of Shohet Scholar Grant Program Funding?
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Yes
No
If you have previously received funds from the Shohet Scholars Program, will all of your reporting obligations for accepting prior funding from this grant program be met by the current application deadline?
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Yes
No
As stated in the program description, the reporting requirements for the Shohet Scholarship are: “1. acknowledge the Shohet Scholars Program of the International Catacomb Society in all publications and activities that are funded in part or in whole with the award with direct notification to the Society when these events occur and 2. provide the Shohet Scholarship Committee no later than three months after the end of the fellowship year with a brief, illustrated report of the work carried out or in course, suitable for publication on the ICS website.”
Total funds requested (not to exceed $30,000):
*
Contact information for individuals submitting two letters of recommendation:
If choosing this option, please submit names and contact information for two professional references
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