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9560 rockville pike, bethesda, MD 20814-3991


AMERICAN PHYSIOLOGICAL SOCIETY
Teaching Career Enhancement Awards

APPLICATION


NAME________________________________________________ DATE__________________

APS Membership ID #                                                   (REQUIRED)

ADDRESS____________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

PHONE_______________ FAX_________________ E-MAIL___________________________

TOTAL AMOUNT REQUESTED__________________________________________________

TO BE CONSIDERED FOR THIS AWARD, AN APPLICANT MUST SUBMIT THE FOLLOWING ITEMS:

1. Description of the Proposed Project (not to exceed 2 pages)

2. Justification for Requested Funds (not to exceed $4000)

3. Letter of Support from the Applicant's Department Chair or Other Appropriate Individual

4. Letters of Agreement from Appropriate Individual or Department Hosts of Schools to be visited

5. Description or Outline of Courses to be attended

6. Curriculum Vitae focused on activities and achievements related to education

 

DEADLINES: April 15 and October 15


Submit an Original and Twelve copies of all application materials to:
 

Dr. Martin Frank
Teaching Career Enhancement Awards
American Physiological Society
9650 Rockville Pike
Bethesda, MD 20814-3991
Phone: 301-634-7118    
Fax: 301-634-7242    
E-mail: [email protected]