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Billie M. Levy Travel and Research Grant Application Form


Application for:    _________Travel Grant    ________Research Grant



Name:


SS# (required for payment):


Mailing Address:




Telephone:

Fax:

Email:


Education:
(Include Degree, Institution and Date Awarded/Expected)






Employment History:






Other (Awards, Honors, Publications):





Product of research: _____Book _____Dissertation _____M.A./M.S. Thesis _____Article ________ Illustrations _____
Other (please explain)____________________________



Title of Project:


Please attach a description, no more than two pages, of your project and include a preliminary list of the manuscript materials or book collections within the Northeast Children's Literature Collection at the Dodd Research Center which you believe will support your research. Also, please include a tentative budget, a current resume and two letters of support attesting to the value of the research. You will receive a notification if your proposal is accepted within one month of the receipt of the application. Travel grants are paid upon completion of the visit to the Dodd Research Center and there is a minimum processing period of eight weeks from the time a grant is accepted.


Signature:________________________________________________Date:_____________________



Send applications to:
Terri J. Goldich, Curator
Thomas J. Dodd Research Center
405 Babbidge Road, Unit 1205
University of Connecticut
Storrs, Connecticut 06269-1205


This page is maintained by T. Goldich.