Application for Mavis and Sidney John Palmer Scholarship
(Please type or print legibly.)
Name
Address
City, State, ZIP
Phone
E-mail
To be considered for the scholarship, please complete and submit this form along with the following
supplemental items:
 One-page essay detailing your aspirations and interest in the field of environmental, natural history, or wildlife
filmmaking.
 Current resume.
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I certify that all information is complete and accurate. I also understand that the scholarship is a one-year award
and is not renewable.
______________________________________________________________________________________________
(Signature of Applicant)
(Date)
Please return to:
Graduate Services Office
AU’s School of Communication
McKinley Building, Room 111
4400 Massachusetts Ave. NW
Washington, DC 20016
Application Deadline: July 1