Graduate Student $500 Grant-in-Aid Application Form

10 March 2010     CANCELLED due to lack of response ...

To apply
       1- read and observe Graduate Student $500 Grant-in-Aid Process and Rules
       2- complete this form and send to the postal address at the bottom

Student's name and address ___________________________________________________

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____________________________ E-mail _________________________________________

Select one 2010 issue ---------- application deadline ------- grant disbursement
____2010 Spring issue ----------- end of September 2009 ------ March 2010
____2010 Summer issue -------- end of December 2009 ------- June 2010
____2010 Fall issue --------------- end of March 2010 ------------- September 2010
____2010 Winter issue ----------- end of June 2010 --------------- December 2010

Studentís data, I am ___full-time ___part-time graduate student at ____________________

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________________________ Studentís signature __________________________________

Student professorís Name and Department ________________________________________

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I confirm that studentís data is correct. Professorís signature _________________________

Date _________________

Send this form to:
Academic Exchange Quarterly    PO Box 131    Stuyvesant Falls, NY 12174   USA

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Print your name and postal address here, to be used by AEQ as a mailing label to you.

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