Name: __________________________________________________
(Please Type or Print; Last Name First)
Social Security Number: _________________________________ Date of Birth: __________
Applicant's Citizenship
__ United States -or- ___________________ (Country)
Mailing Address: ________________________________________________
______________________________________________________________
Permanent Address (if different from above): _________________________
_______________________________________________________________
Home Phone: ____________________ E-mail: _________________________
Work Phone: _____________________ Fax: ___________________________
College/University Attending: _________________________________________________
Major: ______________________ Expected date of graduation: ____________
Title of Research Project: ____________________________________________
_________________________________________________________________
Title, name, address, phone of faculty adviser: ___________________________
_________________________________________________________________
_________________________________________________________________
Please include: (1) project description and proposal not to exceed five pages in length; (2) letter of support from faculty adviser; (3) a statement indicating how this research experience relates to your future development.
Deadline: September 30
Name of archivist contacted at Truman Library: _________________________________
Estimated funds needed:
Total amount requested: $________
Advance Airfare Rate: $__________ Car: $______ (mileage: 37.5 ¢ per mile
for those driving in)
Number of days @ $75 per diem: $_____ Bus: $ _______ (Greyhound, Trailways)
Photocopying fees (up to $100): $____
Estimated dates at Truman Library: From: ___________ to: ______________
Applicant's Signature: _____________________ Date: ____________________
************** FOR LIBRARY USE ONLY BELOW THIS LINE *************
Date Received: _____________ Archivist's Evaluation and Comment: Days/Feet ____/_____
Archivist Comments:
Mail or fax application to:
Grants Administrator
Harry S. Truman Library Institute
500 West U. S. Highway 24
Independence, Missouri 64050-1798
816/268-8248
Fax: 816/268-8299
e-mail: truman.library@nara.gov
Archivist questions should be directed to truman.reference@nara.gov