Student Grant Application to SSSS

You must be a member of SSSS in good standing.
This grant is funded by FSSS and managed by a committee of SSSS members.

See end of form for files required to be submitted. Applications that are incomplete will not be evaluated.
Submitting this form electronically constitutes my signature as to the accuracy of the infomation contained herein.

Student's Name First: Last:
Street address
City State Zip Code
Email
Phone number
Institution
Field of Study
Faculty Research Advisor
Purpose of Research Master's Thesis Dissertation Other, Please describe
Other Purpose
Goal Degree Sought: Year Anticipated:
Title of Research Submitted
Provide a brief abstract of your proposal.
Please enter a short biographical sketch

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