Application for Big 12 Faculty Fellowship
(Please Indicate Category of Application) |
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Regular Fellowships | |
Mentoring component |
Name of K-State faculty mentor: | |
Name of Applicant: | |
Academic Rank: | |
Department/Unit: | |
College: | |
Campus Phone: | |
E-Mail Addresss: | |
Name of Host University: | |
Name of Host Department/Unit: | |
Name of Faculty Host: | |
Dates of Proposed Visit: | |
Title of Project: | |
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Attach a more complete description of the proposed visit (not to exceed two pages). Please address the following issues.
Attach a copy of the letter of invitation from the host institution. This letter should indicate their willingness to accept you as a visitor and also that they can accommodate your specific technical needs such as lab space or access to materials in the library as well as access to key individuals. Describe how your duties at Kansas State University will be covered in your absence. |
Budget (provide detail):
Transportation: | |||
Airfare: | |||
Other: | |||
Meals: | |||
Lodging: | |||
Other (Specify & Itemize): | |||
Total Budget:
Submit electronically in pdf format, both the completed application and a one page Vita to provounivawards@ksu.edu |