Application Form for Engaging Geography in the Humanities (June 13 - July 1, 2022)
Please email geohumNU@gmail.com with any questions.
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Email *
Name *
Email address *
Phone Number *
Home State *
Home Zip Code *
Home Institution Name *
Home Institution City *
Home Institution State *
Institution Type (choose one that best matches) *
Department *
Employment Status *
Number of years Teaching Experience *
Number of Students Taught Per Year *
List of Subjects Taught *
By selecting "yes," I am verifying that I am a United States citizen, a resident of a U.S. jurisdiction, or a foreign national who has been residing in the United States or its territories for at least the last three years. *
How do you hear about this program? *
List the name of your most recently attended NEH Seminar, Institute, or Workshop. If you have never attended one, write "none" *
If you have attended one in the past, list the date of your most recently attended NEH Seminar, Institute, or Workshop. If not, leave blank.
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Please list the name of professional reference #1 and their relationship to you (e.g. colleague, supervisor, mentor, professor, etc.). *
Email address for reference #1 *
Please list the name of professional reference #2 and their relationship to you (e.g. colleague, supervisor, mentor, professor, etc.). *
Email address for reference #2 *
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