511 Albany Post Road   Hyde Park, New York 12538
                        Grant Application Face Sheet
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1. NAME AND ADDRESS

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STREET_______________________________CITY_______________________STATE_____ZIP__________

e-mail______________________________________________________________________________________
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2. NAMES OF THREE REFERENCES (with appropriate affiliations)

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3. EDUCATION

Graduate:
Institution, Degree, and Date:_______________________________________________________________

Undergraduate:
Institution, Degree, and Date:_______________________________________________________________

Other Degrees:_______________________________________________________________________________
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4. ACADEMIC OR OTHER AFFILIATION


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5. AMOUNT REQUESTED                                6. RESEARCH TIME AT LIBRARY

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7. PROJECT TITLE


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8. ABSTRACT










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9. SIGNATURE

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