ACADEMIC YEAR- RESIDENT SCHOLAR FELLOWSHIPS

Submit this cover sheet with each application. Please type or print.
Photocopies are acceptable.

_________________________________________________________________
Name
_________________________________________________________________
Current position
_________________________________________________________________
Department
_________________________________________________________________
Institution
_________________________________________________________________
Preferred mailing address (indicate whether home or office address)
_________________________________________________________________

_________________________________________________________________
City, State, Zip
_________________________________________________________________
Office phone                                  Home phone                            E-Mail
_________________________________________________________________
Project Title
_________________________________________________________________

_________________________________________________________________

For which fellowship(s) are you applying? (Check all that apply.)

Weatherhead _____                         SAR _____                     Katrin H. Lamon____

Date Ph.D. was received or is expected:________________________________

Name of institution________________________________________________

Would you accept a fellowship that provides housing and office but
no stipend?______________________________________________________

Will you be accompanied by your spouse/companion/family? If so, whom?
_______________________________________________________________

How did you learn about the resident scholar program?______________________

Applications and letters of recommendation should be mailed to:

Resident Scholar Program
School for Advanced Research
P. O. Box 2188
Santa Fe, NM 87504-2188

For overnight delivery:

660 Garcia Street
Santa Fe, NM 87505