Jessup or McHenry Fund Application

Personal Information
Name:
Address:
Email:

Citizenship:

___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________

___________________________________________

References (one should be the Curator with whom you plan to study):

  1. ________________________________________________

  2. ________________________________________________

  3. ________________________________________________

Degrees:    
     
     
Present Academic Affiliations:    
     
     
     
Approximate date of arrival:    
Planned length of stay:    

Append to this application a statement to include:

  1. Your research goals.
  2. The present status of your research.
  3. Why study at the Academy is essential to complete the research.
  4. Your work plan while at the Academy.
  5. What the funds requested will cover in relation to your total budget.
  6. 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.