The Capital Connection Fund

* indicates a required field.

Application Form

Name: *

Mailing Address: *

City, State, Zip: *

Email Address: *

GWID: *

Telephone Number: *

Are you a US Citizen? * Yes No

Are you currently employeed by GW? * Yes No

Degree program and concentration: *

Date of anticipated (or actual) graduation: *

Please consider my application for: *

Capital Connection Scholars Award

Capital Connection Fieldwork Award

Capital Connection Research Award

Conference Attendance Mini-Award

Amount requested ($): *

How will you fund this activity if you do not receive support through the Capital Connection Fund? *

Award Specific Information

Please select the type of award you are applying for above.

Budget Request Form

Instructions: Please detail your anticipated costs below, using the first two columns. Note that amount requested may not exceed the maximum available award amount even if your total anticipated cost is greater. Attach any relevant documentation or justification to demonstrate that your anticipated budget is accurate. Actual cost refers to any expenses incurred to date. Please remember the CCF does not cover course tuition.

Description of Expense	Anticipated Cost	Actual Cost (submit receipts)








	Total Anticipated Cost:	Total Actual Cost:

		Minus Costs Covered From Other Sources:

		Total Amount Requested:

Attachments

Please select the type of award you are applying for above.

If your application is funded...

Please note that total amount to be awarded may be less than total amount requested, based on review for appropriateness of budget and/or the availability of funds.
Seventy-five percent of the total amount will be awarded in advance, and a copy of this form will be returned to you.
Upon completion of your activity, please itemize your actual costs next to your already completed/approved anticipated costs, using the last column in the top half of the table. Attach receipts.