Fulbright-Hays DDRA Intent to Apply Form 2024
This form indicates your intent to apply for a Fulbright-Hays Doctoral Dissertation Research Abroad Fellowship.  This form must be submitted by February 12, 2024.  The application will be due to the Department of Education on March 29, 2024 with a UA internal deadline of March 18, 2024. 
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First Name
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Last Name
 *
Email address (UA address)
 *
Best phone number to reach you
 *
Department
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Are you currently employed by the UA? (As a graduate assistant or otherwise) *
Are you eligible to apply for the grant? *
Date you expect to or did pass to candidacy: *
Country(ies) where you plan to do research: *
Date you would like to depart: *
How many months would you like to spend in country? *
If you have identified your affiliation(s) in the country of research, please list. *
In what language will you conduct the research? *
Advisor name: *

Advisor email: *

Advisor phone:
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