Fulbright Association  666 11th Street, NW,  Suite 525   Washington, DC 20001   (202) 331-1590   fulbright@fulbright.org 

Selma Jeanne Cohen Fund for International Scholarship on Dance


Application Cover Page

Please print and complete this cover sheet and attach it to your application for the 2002 lecture supported by the Selma Jeanne Cohen Fund for International Scholarship on Dance. Please limit the narrative portion of your application to no more than ten pages, double-spaced, and be sure to attach your presentation plan, two letters of reference, and your resume or C.V.

You must submit four (4) copies of the completed application postmarked by August 23, 2002

Name of Applicant

_________________________________________________________________________

Title and Organization or Current Scholarly Affiliation

_________________________________________________________________________

Mailing Address(es):

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

E-mail Address

_________________________________________________________________________

Work Telephone (Please include all digits necessary for international dialing, if applicable.)

_________________________________________________________________________

Home Telephone (Please include all digits necessary for international dialing, if applicable.)

_________________________________________________________________________

Fax Number (Please include all digits necessary for international dialing, if applicable.)

_________________________________________________________________________

Area of Dance Scholarship

_________________________________________________________________________

If applicable, host institution for your Fulbright grant (or other exchange experience.)

_________________________________________________________________________

If applicable, year of Fulbright grant (or other exchange experience.)____________________

For more information, please contact:

Jane L. Anderson
Executive Director
Fulbright Association
666 11th Street, NW,  Suite 525
Washington, D.C. 20001
Tel: (202) 331-1590
Fax: (202) 331-1979
E-mail: jane.anderson@fulbright.org

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© 2002 Fulbright Association, Inc.