Canadian Studies
Grant Application Form 2010-11

After completing the form below, please send all attachments to the Academic Relations Program Assistant at AcademicRelations@CanadianEmbassy.org to confirm that your application is received in its entirety.

Please be sure to include your first and last name.

If you do not receive an e-mail within five business days indicating that your application has been received, please contact the Academic Relations Program Assistant at 202-682-7727.

Thank you for your understanding.

* required

Name of Principal Applicant:
First: *	Last: *
Co-Applicant(s) Full Name:
Co-Applicant1:	Co-Applicant2:
Select Type of Grant Requested
*Select Type of Grant Research Grant Doctoral Student Research Faculty Enrichment Program Enhancement Conference North American Research Linkages Outreach
Research Project/Proposed Course: Title of Proposed Research, Course, Conference or Program *
Abstract of Proposal (not to exceed 200 words)*
*Your Discipline:	* Amount requested (USD)
Professional Affiliation:
*University:	*Department:
*Complete address:	*City:
*Select your state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
*Zip code:	*Telephone:
Alt-Telephone:	Fax:
*Email:	Email2:
Where Would You Like Your Mail to be Sent?
*where to send: Same as above Address below
Complete address:	City:
	Zip
Select your State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Please send your application documents as an attachment (PDF or RTF format only) to AcademicRelations@CanadianEmbassy.org

For details on what materials to include, please consult the Grant Guidelines.

If you have any questions regarding Canadian Studies Grants or the application process, please contact AcademicRelations@CanadianEmbassy.org

Please report any technical difficulties in using this form to: webmaster@canadianembassy.org
Subject line: Online Grant Application - Technical.