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Faculty mentors (not student applicants) must complete all items listed on this form.
Be sure to e-mail the application narrative Jennifer Schulte firstname.lastname@example.org after you have completed this form.
If you are a faculty mentor applying for an NCUIRE Research Assistantship or Team Award on behalf of a student, do not use this form. Instead, use the NCUIRE Research Assistant or Team Award application form available via the NCUIRE program webpage.