Farrell Summer Experiential Learning Grant Application

The Political Science Department provides financial support for rising sophomores, juniors, and seniors to engage in summer experiential learning related to their political science studies. Full details about this award, including eligibility requirements and deadlines, can be found on our website: https://www.polisci.northwestern.edu/undergraduate/grants-prizes/farrell-summer-grant.html Students should not expect to rely exclusively on these funds for summer funding. Applicants must be specific and forthcoming regarding other available sources of financial support. Students' financial need for the summer may be taken into account in determining award amounts. At the bottom of this questionnaire, please attach the following: - Proposal explaining what you will do during the summer and how the summer experiential learning activity is related to your political science studies (1 page maximum) - Documentation regarding the internship, organization, or program you plan to participate in - Official letter or email from the program confirming your participation, and any relevant attachments, showing acceptance into program/internship. - Resume - Unofficial transcript

Last Name*

First Name*

Expected graduation date*

Student ID #*

7 digit number on your wildcard

Are you a political science major or minor?*

Select or enter value

Phone #*

Email Address*

Home Address*

Campus Address*

Employed at Northwestern?*

Have you been employed at Northwestern University within the last year?

Select

Name of Program*

Name of summer experiential learning program:

First Day of Internship*

Last Day of Internship*

Apply to SIGP?*

Did you apply to SIGP (summer internship grant program)? We ask that students first apply to SIGP (if eligible) and if you accept SIGP funds, you can not accept a Farrell Grant from the department.

Select or enter value

How Much?

If so, how much funding did you apply for?

Due Date?

Application due date?

Decision Date?

On what date will you find out if you've been awarded the amount?

Other Funding Sources

Provide detailed list of other funding sources for which you've applied. Include program name. How much? Application due date? On what date will you find out if you've been awarded the amount? If amount has been awarded, how much?

Alternative Plans*

Explain what you will do if you do NOT receive funding from Political Science:

Housing Cost

Budget estimate for housing expenses ($ dollar amount only here)

Housing Details

What type of housing will you be living in:

Transportation Cost

Budget estimate of transportation expenses ($ dollar amount only here)

Transportation Details

Type of transportation

Meal Cost

Estimated cost of meals ($ dollar amount only here)

Meal cost details

Other Costs

Estimated cost of other expenses ($ dollar amount only here)

Other cost details

Special Circumstances

Are there any special circumstances or other information about your budget or participation in this program we should know about?

Total Estimated Expenses*

Sign (Type) Your Name

With your signature, you certify that all the above information is correct and agree to notify the department immediately of any changes in your summer plans or if other funding comes through. The Department reserves the right to request you to return funds if they are not used for the stated purposes. If funding is approved, grant checks are issued 4-8 weeks after approval letter is sent to you. If you are in the University’s payroll system, the check may be issued electronically. If your check is mailed in hard copy, it will be sent to your address on file with the University. Please be sure your active address on file with the University is correct and is where you would like your check mailed. Awardees agree to provide the department with a reflection paper that describes their experience, including how the experience enhanced their understanding of politics by September 30th. The paper should be submitted to the department’s Undergraduate Program Assistant, Pamela Straw, via email: pamela.hines@northwestern.edu

File Attachments

Please attach the following here: - Proposal explaining what you will do during the summer and how the summer experiential learning activity is related to your political science studies (1 page maximum) - Documentation regarding the internship, organization, or program you plan to participate in - Official letter or email from the program confirming your participation, and any relevant attachments, showing acceptance into program/internship. - Resume - Unofficial transcript

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