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Otis Student Fellowship Application

Student Name:*
First Last
Bates ID:*
Class Year:*
Preferred Phone:*
Email:*
Major (if declared):*
Home address (NOT your Bates campus address):*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Project Title:*
Project Start Date:*
MM slash DD slash YYYY
Project End Date:*
MM slash DD slash YYYY
Primary Location(s) of the Project:*
Are you currently on campus?*
If not on campus, please provide an address and phone number.
Will you be on campus during Short Term?*
Will you be on campus in the Fall?*
Please check that you have all the required materials in PDF(s) form for a completed application:*
(For more detailed instructions on attachments, please consult the Otis website.)
- Personal statement of approximately 1,000 words
- One-paragraph abstract (not more than 100 words) that summarizes your activities
- Resume-like summary of academic work and interests
- Complete and totaled Budget.
Please upload all required materials as a SINGLE PDF.*
Drop files here or

Max. file size: 9 MB.
Applicant Agreement
By signing this form, I agree to grant the Committee permission to secure and review my transcript and other pertinent academic records, and I authorize the Committee to make my proposal available to future students interested in seeing exemplary proposals.
Student Signature:*
First Last
Date submitting:*
MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.

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