ARCHIE GREEN FELLOWSHIP || APPLICATION COVER SHEET:

Your 3-page proposal must be prefaced with a cover page containing the following information:

PROJECT OVERVIEW

Applicant (Name):

Title of Project:

Amount Requested:

Number of Interviews Proposed:

CONTACT INFORMATION

Applicant Name (same name as above)*:

Address (street, city/town, Zip code):

Primary Phone Number:

Additional Phone Number:

Email:

PROJECT SUMMARY (100 words maximum)

Provide a short description summarizing project in no more than 100 words.

*Applications must identify the same individual to serve as awardee and primary contact for the project. Awarded funds are dispersed only through direct-deposit electronic transfers, so awardees will be required to provide banking information as requested.