2016 Feminist Theory Workshop International Travel Award Application Form Applications are due electronically no later than (Extended deadline: November 15, 2015 at 12am, midnight) Name _______________ Email _____________________ Permanent Mailing Address _______________________________________________ Current Mailing Address ________________________________________ Phone number ____________ _____________ Cell Phone ___________________________ Country of Citizenship ____________ ______Date of Birth______________ __________ Do you hold a current Visa?_______________________________________________________________ _______________________ ___________________________________________________________________________ ___________ If so, what kind University ______________ Program, Discipline Status City, Country ___________________________ ________________________ Year or _________ Faculty Advisor or Reference ______________________________________________ Reference E-mail _________________ Reference Phone ________________________ Research Interests or Title of Dissertation ________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ __ Background in Women’s Studies or Feminist Theory ____________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _________________________________________________________________________ NO payment of any funds will be made to an individual. If selected, awardee will make travel arrangements and Women’s Studies will pay directly to the airline/hotel. Estimated cost of round-trip coach airfare to RDU Airport: $ US dollars ___ cost of Estimated other travel expenses (please itemize) _________________________________ __________________________ ___________________ If you are selected, how will you supplement any remaining costs of your travel?______________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________ Please attach a Curriculum Vita with your application and submit to womenstudies@duke.edu by November 15, 2015. Should you be selected for serious consideration, you will be required to provide an official transcript as proof of your degree and affiliation within one week of request. Application Essay: In the space below (or in a separate attachment), in 500 words or less, please expound on both what you hope to gain from the workshop, what you believe you can contribute to the FTW, and how your perspective might be unique for audience participants here at Duke.