2009 Community Forestry & Environmental Research Partnerships Application Name: Applying for: Masters Pre-dissertation Dissertation Southwest Communities & Natural Resources Fellowship Funding Request: $ Contact Information Home Address: University Address: Phone: Home: Cell: Email Address: **Providing Information about your Race/Ethnicity and Gender is Optional** Gender: Male Female Race / Ethnicity: (Check all that apply) Asian African-American Hispanic Native American White Other Research Proposal Details Research Title: Research Location: University /Department: Community Organization: Letter of Reference Name Academic Advisor: Community Partner: Other Letter Writer: Other Letter Writer: How did you hear about the CFERP Program? Email - What was the source of the email? Brochure Advisor/Colleague - Name: Web Search Contact Info (Email or Phone)