Fellowship Application Financial Statement
Fellowship Application Financial Statement
Name
Name
First
Middle
Last
Present Position
Present or most recent academic or annual salary, not including anticipated increases, fringe benefits, extra compensation for summer teaching, consulting fees, or other sources of income apart from your regular salary:
$
Dollars
.
Cents
Sabbatical salary or retirement income
$
Dollars
.
Cents
Grants or research support already awarded
1. Source
1. Amount
$
Dollars
.
Cents
2. Source
2. Amount
$
Dollars
.
Cents
3. Source
3. Amount
$
Dollars
.
Cents
Grants or research support you have requested for the year in residence at the Center
1. Requested
1. Amount Requested
$
Dollars
.
Cents
2. Requested
2. Amount Requested
$
Dollars
.
Cents
3. Requested
3. Amount Requested
$
Dollars
.
Cents
Please add below any further information that affects your request for support from the Robert Penn Warren Center for the Humanities