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The Folger Institute Application for Admission




Items marked with an * are required.

Personal Information
Name  
First*:
Middle Initial:
Last*:
Preferred Mailing Address  
Line 1*:
Line 2:
City*:
State/Province*:
ZIP or Postal Code*:
Country:
Contact Information  
Email Address*:
Office Phone:
Home Phone:
Fax Number:
Present Position or Status
If you have selected Faculty, please specify your rank. If you have selected Graduate Student, please indicate whether you are a PhD Candidate; PhD Student (pre-qualifying exams); or MA Student.

Department:
Folger Consortium Institution:
Non-consortium Institution:
Please check this box if your institution is a member of the Newberry consortium (see the reciprocity agreement for information on obtaining a grant-in-aid).

Are you currently registered as a Folger Reader? Yes        No
   
 The Application
Program to which you are applying: *
 
* Please append a statement of research and study plans, indicating the ways in which participation in the Institute program will be important to those plans. The statement ought not to exceed three pages. (MS Word or Adobe PDF only)
* Please append your current curriculum vitae (succinct curricula vitae are appreciated). (MS Word or Adobe PDF only)
   
 Grant-in-Aid Request
Unless external funding is specified in a program description as extending eligibility, grants-in-aid are funded by consortium dues and are only available to consortium affiliates. They are intended to make a substantial contribution to travel and lodging. However, train and air fares are reimbursed at the lowest available rate and are not guaranteed to cover the full amount of expenses incurred.
How will you be traveling? (Please choose only one)
Train
From  to  
@ $ roundtrip  x sessions = $
Plane
From  to  
@ $ roundtrip  x sessions = $
Automobile
From  to  
Roundtrip mileage x $0.55 per mile
x sessions = $
Ground Transport and Parking
Ground transport will only be paid for participants flying into Washington Dulles International Airport or Baltimore Washington International airport.
Ground transport: Cab, Amtrak/Marc train, Shuttle bus.
From  to  
@ $ roundtrip  x sessions = $
Parking
@  for $
x sessions = $
Accommodations
Seminars or Colloquia
nights in Folger Guest House x $70 = $
Weekend Seminar/Conference/Workshop
nights at local hotel x $209 = $
TOTAL  $
Faculty Released-Time
Awards for released time from teaching may be requested by faculty members at local consortium schools. These requests should accompany the application for admission.
Additional Accommodation Details
   
 Supporting Materials
Scholars who are already registered readers at the Folger Library must submit one substantive letter in support of their application to a program. Referees should receive a complete copy of your application for reference.
 Name*:
 Affiliation:
 Email Address:
Scholars who are not yet Folger readers must submit two letters of support. The second letter may be from the applicant's department chair certifying the applicant's status in the department.
 Name:
 Affiliation:
 Email address:
   
Submitting the Application
Applicants from Folger consortium institutions must secure the signature of their faculty representatives. When an affiliated applicant chooses "Submit Application," a notice will be sent to the faculty representative that the application is ready for review. The representative will then contact The Folger Institute directly.
Applicants from consortium institutions may include a comment to their campus representative.
   
Verification
 Verify Text: Re-type the uppercase letters below
   
                  


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