APPLICATION for RICHTER SUMMER 2011 FELLOWSHIP

Submit this application, a one-page proposal detailing your research project and a copy of your registration sheet from the student grants data base to your Master’s office by Friday, March 25, 2011 at noon. (Make sure you have a profile set up on the student grant database first in order to register.) International students: make sure your paperwork is complete with Daysi Cardona, International Tax Coordinator, Tax Department.

Student Name: ______Class: ______

College: ______Email: ______

Address to mail check: ______

Address to mail tax forms: ______

Are you a U. S. citizen? ____ Yes _____ No If No, what Visa Type: ______

Project Title: ______

Indicate other funding source(s) for this project Amount

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Budget Items Amount

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Total Project Budget ______

Faculty Advisor: ______Signature: ______

Richter Fellowship Student Guidelines: A Richter Summer Fellowship is awarded for independent study and research, not for mere travel, work or enrollment in a school. An internship is a valid use only if the primary component is study or research, being part of a research team is a valid use.

1  The maximum Richter award is $1,000. Awards are reported to the IRS as taxable income.

2  Students must sign the Assumption of Risk Waiver Form for any international travel. Visit www.world.yale.edu/travel for the complete travel policy.

3  Awardees must disclose the amount of any other funding supporting the proposed project.

4  Richter Fellowships are ordinarily awarded to juniors, but freshmen, sophomores and graduate affiliates are eligible. Seniors are not eligible.

5  Recipients must promptly consult with the Master if changes occur in their project.

6  Accepting the award obligates recipients to prepare a report. Recipients must submit summary reports explaining the use of their Richter fellowships to the Council of Masters Office, 432-1145, 1 Prospect St. LL32, by Friday, September 30, 2011 or e-mail deborah.bellmore @yale.edu or fax 436-9004.

Master’s Signature: ______Award Amount: ______