To apply, please send the following information to [email protected] 1. 2. 3. 4. 5. 6. 7. 8.

Name, mailing address, phone number, and email Institution, School/Department, and Degree Objective Date of Graduation (Actual or Estimated) Thesis or Dissertation Topic (if known) If you are receiving support for attendance through other sources (scholarships, grants, awards) please indicate the source and amount. How did you hear about this opportunity? What do you hope to gain from this experience and how will it help advance your career? A single-spaced statement not to exceed 500 words that clearly: 1) identifies a research agenda, including a description of design for a research study 2) describes where you are currently at in the process and next steps; 3) addresses how attendance at the research academy will support your work; and 4) identifies how the applicant has been or is currently involved with service-learning and/or community engagement