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Koch Foundation Student Research Fellowship Application

Title of proposed project:

Applicant's Name:

Applicant's Campus mailing address:

Applicant's Campus telephone extension:

Applicant's cell phone number:

Applicant's university e-mail address:

Applicant's alternate e-mail address:



Coursework or independent research relevant to this fellowship:

Expected graduation date:

Name of faculty member or other qualified mentor:

Mentor's campus mailing address:

Mentor's campus telephone extension:

Mentor's university e-mail address:

Mentor's UR deparment or unit:

What is your mentor's faculty status?
Adjunct Instructor

Project Description (maximum 500 words):

Brief statement of project's relation to classical liberalism (maximum of 250 words):

Bibliography (maximum of 20 entries):

Anticipated student outcome (e.g. research paper, documentary video, screenplay, etc):