Personal Information
Name: Address: Email: Citizenship:
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References (one should be the Curator
with whom you plan to study):
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| Present Academic
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| Approximate date of arrival: |
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Append to this application a statement to include:
- Your research goals.
- The present status of your research.
- Why study at the Academy is essential to complete the research.
- Your work plan while at the Academy.
- What the funds requested will cover in relation to your total budget.
- Publications
The letters of reference and application should be sent to:
Dr. Edward
Daeschler
Jessup-McHenry Fund Committee
The Academy of Natural Sciences
1900 Benjamin Franklin Pkwy
Philadelphia, PA 19103-1101
The applicants must make sure that these letters arrive by the application deadline.
Date: ____________________ Signature: ___________________
Please print and submit with supporting information.