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 ___________________________________________________ ___________________________________________________________________________ ____________________________ 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 Student’s data, I am ___full-time ___part-time graduate student at ____________________ ___________________________________________________________________________ ________________________ Student’s signature __________________________________ Student professor’s Name and Department ________________________________________ ___________________________________________________________________________ I confirm that student’s data is correct. Professor’s signature _________________________ Date _________________ Send this form to: Academic Exchange Quarterly    PO Box 131    Stuyvesant Falls, NY 12174   USA - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Print your name and postal address here, to be used by AEQ as a mailing label to you. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________