Julia Crane Award

Julia Crane Award Application

An application for those wishing to receive the Julia Crane Award. *Travel will be considered following current University travel policies*

Part 1: Applicant Information
Applicant Name:*
First Last
UNC-CH PID:*
Date of Birth:*
Date of Enrollment:*
Expected Graduation Date:*
MM slash DD slash YYYY
Permanent Home Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Permanent Telephone:*
Permanent Email:*
Local Address:*
Street Address Address Line 2 City State ZIP Code
Local Telephone:*
Local Email:*
Thesis Advisor Contact Information:*
Advisor Name: Advisor Email: Advisor Telephone:
Departmental Advisor Contact Information:*
Advisor Name: Advisor Email: Advisor Telephone:
Have you met with your departmental honors advisor?*
- Yes
- No
If not, what are your plans to meet the guidelines for your department's honor research?
Project Title:*
Proposed Departure Date:
MM slash DD slash YYYY
Proposed Return Date:
MM slash DD slash YYYY
Country(ies) to be Visited:
In-Country Contact(s):
Country: Contact Name: Contact Email: Contact Telephone:
Name and contact information of a person who will know how to reach you in the event that we need to contact you regarding the fellowship:*
Please use the scale below to describe your relevant language proficiency:*
Relevant Language: Proficiency:

Scale: 1 - None; 2 - Beginning; 3 - Intermediate; 4 - Advanced; 5 - Native
Have you received previous awards from ISA or UNC-Duke Consortium?*
- Yes
- No
If yes, please indicate type, year, and amount of the award(s):
Award Type: Award Year: Award Amount:
If you have produced a publication, film, or presentation based on fieldwork carried out under an ISA or Carolina and Duke Consortium award, please specify below:
Part 2: Abstract
Please provide an abstract with a maximum of 100 words.
Upload Abstract:*
Max. file size: 98 MB.
Part 3: Project Description
Please include: 1) research question, hypothesis, or argument your study addresses; 2) research method you will employ; and 3) statement about the relevance of the research in your field and to your academic development. ***In the case of creative projects (i.e., artistic, dramatic, musical, or literary theses) please include: 1) project goals; 2) the medium or form in which you will be working; 3) the subject matter (if applicable); and 4) a statement about the contribution this project will make to your development as an artist.
Upload Description (maximum 1000 words):*
Max. file size: 98 MB.
Part 4: Institutional Review Board
If your project involves animals or human subjects in its research, you will have to provide proof that the project has been approved or exempted by the proper IRB committees.
Does this project involve:*
- Animals
- Humans
- Neither
- Both
What steps have you taken or intend to take to seek approval or exemption?
Part 5: Budget
Please provide an itemized budget and explain support from other sources.
Upload Budget:*
Max. file size: 98 MB.
Signature of Applicant:*

Entering your name in the space above indicates that you have read the terms of this award as listed in the Crane Award instructions and that, should you receive an award, you agree to abide by them in full.

Julia Crane Award Application

Part 1: Applicant Information

Part 2: Abstract

Part 3: Project Description

Part 4: Institutional Review Board

Part 5: Budget

Institute for the Study of Americas

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Advisor Name:	Advisor Email:	Advisor Telephone:

Advisor Name:	Advisor Email:	Advisor Telephone:

Country:	Contact Name:	Contact Email:	Contact Telephone:

Relevant Language:	Proficiency: