WEST AFRICAN RESEARCH ASSOCIATION

WARA/WARC Grant Request Cover Sheet

Please submit with all applications for funding

Applicant’s full legal name:

Institutional Affiliation and position (doctoral student, faculty, other):

Program applied for: Pre-Doc Fellowship Post-Doc Fellowship

Residency WARC Travel Grant

Academic Discipline:

Title of project or activity to be funded:

Proposed country and dates of grant tenure:

Citizenship and Passport information:

Are you a US Citizen?

If not, are you a US Permanent resident (Green Card holder)?

Passport country: Number:

For US permanent residents, US “Green Card” number:

Permanent address:

Phone/Fax/Email:

Please attach a brief (50-80 word) abstract of the research project or activity to be funded.

Signed:

Date: