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Research & Projects Awards Panels Application/Vita Form

Instructions: Please fill out this form online and submit it using the "Send Form" button.

IMPORTANT NOTE: You are limited to 1,000 words. Anything over 1,000 words will not be accepted.

Name  
Street Address 
Line 2 
City   State   ZIP  

Home phone  
Business phone  
Fax  
E-mail  


EDUCATION (include institution, degree, year conferred, and field)



PROFESSIONAL EXPERIENCE (starting with present position)



RESEARCH, SOCIAL POLICY, OR OTHER AREAS OF PROFESSIONAL INTEREST



CIVIC, COMMUNITY OR PROFESSIONAL ACTIVITIES RELATED TO EDUCATION AND EQUITY FOR WOMEN AND GIRLS




MEMBERSHIP IN PROFESSIONAL ORGANIZATIONS



GRANTSMAKING OR PROJECT ADMINISTRATION EXPERIENCE (Including planning, budgeting, and evaluation):



AAUW EXPERIENCE




PREFERENCE


Community Action Grants
Career Development Grants
Either

Optional:
To help the Foundation assure that there is diversity on all committees and panels, please indicate the underrepresented group of which you are a member, as stated in AAUW's diversity statement: In principle and practice, the Foundation values and seeks diversity. There shall be no barriers to full participation in this organization on the basis of gender, race, creed, age, sexual orientation, national origin, disability, or class.




SIGNATURE OF RECOMMENDER (OPTIONAL)*

TITLE


* Recommender not required for self-nomination.



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