Conference Fellowship Application
NOTE: STUDENT MUST BE REGISTERED DURING THE ACADEMIC
YEAR THIS FELLOWSHIP IS GRANTED AND MUST BE A
CENTER FOR WRITING STUDIES STUDENT.
Date: ____________________
Applicant’s UIN:______________________________
Name: _______________________________________________________________________
(Last)
(First)
(MI)
Graduate Dept.: _______________________________________________________________
(Dept.)
(Address)
(MC)
Dates of Conference: _______________________________
Name of Conference: _______________________ Location: __________________________
Brief Title of Paper or Presentation ________________________________________________
____________________________________________________________________________
DESCRIPTION OF PRESENTATION AT CONFERENCE (Provide a brief description or
abstract of the paper you will present or describe the role you have been asked to assume at the
conference.)
PLEASE ATTACH (Proof of acceptance of your paper at the conference—letter of acceptance
and a conference program listing your name.)
______________________________________
Student Signature
________________________________
Center for Writing Studies Director