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 Individual Funding Application 2015-2016 First Name Laura Middle Initial Last Name Kladky Email Address [email protected] Phone Number 4438275532  Address 469 Beacon St City Boston State MA Individual Funding Application Contact Information  REQUIRED

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  • IndividualFundingApplication20152016

    FirstName

    Laura

    MiddleInitial

    LastName

    Kladky

    EmailAddress

    [email protected]

    PhoneNumber

    4438275532

    Address

    469BeaconSt

    City

    Boston

    State

    MA

    IndividualFundingApplication

    ContactInformation REQUIRED

  • Zip

    02115

    9characters

    ValidationValidinputmayinclude:mustbe1015digitslongandmayincludeonlynumbers,hyphens,andspaces.

    NUIDEnteryour9digitNUID.

    001950609

    ValidationValidinputmayinclude:Numericex:1111Charactercountmustbebetween9and9.Spacesarenotallowed.Punctuationisnotallowed.

    College/School

    SocialSciences&Humanities

    ValidationValidinputmayinclude:mustselectavalue.

    DegreeProgram

    DoctoralDegree

    ValidationValidinputmayinclude:mustselectavalue.

    FundingPeriodInordertochoosethefundingperiod,pleasematchthebeginningdateofyourconferencetothemonthsestablishedforeachfundingperiod.Forexample,ifyourconferencestartsonJuly30thandendsonAug4th,chooseFundingPeriodI.IfyourconferencestartsonJuly1standendsonJuly5th,alsochooseFundingPeriodI.

    201516PeriodI(IfyourconferenceisinJun/Jul2015)

    201516PeriodII(IfyourconferenceisinAug/Sept2015)

    201516PeriodIII(IfyourconferenceisinOct/Nov2015)

    REQUIRED

    REQUIRED

    REQUIRED

    REQUIRED

  • 2characters

    18characters

    201516PeriodIV(IfyourconferenceisinDec2015/Jan2016)

    201516PeriodV(IfyourconferenceisinFeb/March2016)

    201516PeriodVI(IfyourconferenceisinApril/May2016)

    ConferenceName

    NA

    ValidationCharactercountmustbeatleast3.

    ConferenceLocation(City/State)

    Oxford/Mississippi

    ValidationCharactercountmustbeatleast6.

    Pleaseindicatetypeofparticipationinconference:PosterPresenter

    Panelist

    REQUIRED

    REQUIRED

    ConferenceStartDateFillindateoftravelifdifferentthanconferencedate

    Apr11,2016

    REQUIRED

    ConferenceEndDateFillindateoftravelifdifferentthanconferencedate

    Apr13,2016

    REQUIRED

    REQUIRED

  • 14characters

    Paper/ResearchPresenter

    Speaker

    GeneralAttendee

    Other

    ValidationValidinputmayinclude:mustselectavalue

    HaveyoureceivedGSG/GPSAfundinginpastyears?Yes

    No

    HaveyouappliedforGSGconferencefundingthisacademicyear?Yes

    No

    Pleasedecribeyoursourcesoffundingandwhyyourdepartment/schoolisnotfundingyou:

    IrequirefinancialassistancetovisitOxford,MississippiandviewtheRowanOakPapers.IamcompletingadissertationonFaulknerthatrequiresarchivalworkontheoriginalmanuscriptsofAbsalom,Absalom,andSanctuary.Mydepartmentdoesnothavethefundstosupplyforarchivalwork.

    AdvisorName

    PatrickMullen

    ValidationCharactercountmustbeatleast2.

    AdvisorEMailPleasealsosubmitanAdvisorConfirmationForm,availableontheGSGwebsite

    [email protected]

    REQUIRED

    REQUIRED

    REQUIRED

    REQUIRED

    REQUIRED

  • 3characters

    ValidationValidinputmayinclude:[email protected]

    AdvisorConfirmationFormPleaseattachyouradvisorformhere.THEFORMMUSTINCLUDEYOURADVISOR'SSIGNATURE.Youdonothavetomailoremailthisformtousseparately.

    Themaximumsizeofafileuploadis20MB.

    FirstBudgetItem(Type)

    73021Airfare

    ValidationValidinputmayinclude:mustselectavalue.

    FirstBudgetItem(AmountUSD)PleaseentertheamounttothenearestwholeDollar.PleasenotethatyourtotalamountrequestedshouldNOTexceed$375.

    200

    ValidationValidinputmayinclude:Numericex:1111Charactercountmustbebetween1and3.Spacesarenotallowed.Punctuationisnotallowed.

    SecondBudgetItem(Type)

    73027Hotel

    ValidationValidinputmayinclude:mustselectavalue.

    SecondBudgetItem(AmountUSD)PleaseentertheamounttothenearestwholeDollar.PleasenotethatyourtotalamountrequestedshouldNOTexceed$375.

    REQUIRED

    REQUIRED

    REQUIRED

    REQUIRED

    REQUIRED

  • 3characters

    175

    ValidationValidinputmayinclude:Numericex:1111Charactercountmustbebetween1and3.Spacesarenotallowed.Punctuationisnotallowed.

    ThirdBudgetItem(Type)

    Select

    ThirdBudgetItem(AmountUSD)PleaseentertheamounttothenearestwholeDollar.PleasenotethatyourtotalamountrequestedshouldNOTexceed$375.

    0

    ValidationValidinputmayinclude:Numericex:1111Charactercountmustbebetween1and3.Spacesarenotallowed.Punctuationisnotallowed.

    FourthBudgetItem(Type)

    Select

    FourthBudgetItem(AmountUSD)PleaseentertheamounttothenearestwholeDollar.PleasenotethatyourtotalamountrequestedshouldNOTexceed$375.

    0

    ValidationValidinputmayinclude:Numericex:1111Charactercountmustbebetween1and3.Spacesarenotallowed.Punctuationisnotallowed.

    REQUIRED

    REQUIRED

    REQUIRED

    REQUIRED

  • TermsandConditionsIhavecompletedthisformaccuratelytothebestofmyknowledge.IalsoattachedanAdvisorConfirmationForm.

    IAgree

    TermsandConditionsIIIhavereviewedthe"IndividualConferenceFundingPolicy"availableat:http://nuweb4.neu...

    Yes

    REQUIRED

    REQUIRED