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APPLICATION
for the
H.A. & MARGRET REY/de GRUMMOND COLLECTION
TRANSLATION FELLOWSHIP PROGRAM
Please
feel free to download and/or print out a copy of this form.
Submissions should be postmarked by January 4, 2010. Please send to Ellen Ruffin, Curator
of the de Grummond Collection, through one of the following
channels:
-
Mail:
de Grummond Collection, 118 College Drive, #5148, Hattiesburg,
MS 39406-0001
-
E-mail:
ellen.ruffin@usm.edu
-
Fax:
601.266.6269
-
Name:
__________________________________ Phone: ____________________
Fax:
_____________________ E-mail: ___________________________________
Address:____________________________________________________________
___________________________________________________________________
___________________________________________________________________
Present
position or status: ____________________________________________
___________________________________________________________________
- Experience: _______________________________________________________
(Please provide a full description of your experience with languages and translation. Specify which language is your specialty. Include the document as attachment A. Estimated research time required at the de Grummond Collection and anticipated research dates, which must be prior to May 31, 2010).
___________________________________________________________________
___________________________________________________________________
- Total
amount of funds requested: ____________________________________
(Please provide an itemized list of anticipated travel and research expenses as Attachment B)
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