Beckman Award Application

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Thank you for your interest in the Beckman Political Award offered through the Caltech Y. In addition to completing this application form with your proposal details, you must also submit a completed proposal budget form found on the Beckman Award webpage - https://www.caltechy.org/beckman-award.

Applications as well as budgets are welcome early but are due by 12:00 Noon - October 23rd. Late applications may, or may not, be considered at the discretion of the selection team.

Note: if applying with a co-applicant, each person must complete their own application form but only one budget (reflecting costs for both) is needed.

Last Name / sur name / family name (as it appears on government issued ID): *

First Name / given name (as it appears on government issued ID): *

Preferred Name (if different than official first name):

Email Address: *

Cell Phone Number: *

Gender: *

What is your Caltech affiliation? *

The ACT Award is open to both Caltech undergraduate and graduate students in good standing.

Caltech Undergraduate Student

Caltech Graduate Student

Academic Option or Major:

Year of Study: *

Cumulative G.P.A.: *

UID *

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