IFW Award Eligibility Form
Last Name _______________________________
First Name _______________________________
Status upon application (Check all that apply)
_____Faculty / staff (excluding GA / TA / student assistants)
_____Doctoral student
_____Graduate student
_____Undergraduate student
_____Group affiliated with the University at Albany
If award is granted, will you be a member of the University at Albany community (student/staff/faculty)
when the funds are spent?
Yes
________
No______ (please stop, you do not meet the award requirements)
Major / Area of Study _________________________________________
Supply your GPA (if applicable) _________________________________
Project Title __________________________________________________________________________
Description 35-50 words for program and announcements:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Funding requested for (e.g. "travel costs associated with research"):
_____________________________________________________________________________________
_____________________________________________________________________________________
Budget Summary
Total project cost
Minus amount to be paid from other resources
Equals amount requested of IFW
__________________
__________________
__________________
Students Only (Check all that apply)
____Preparing for a career in teaching
____Preparing for a career in a computer technology field
____Preparing for a career in government or law
____Non‐traditional student
Graduate students only
Check all that apply, provide details in your optional project statement
____Research involves Latinas in the U.S., or women and work, or feminist and gay social movements
____Studying physical science in preparation for a career in science
____Dissertation or thesis research expenses in a feminist topic: in the humanities, or social sciences, or
in social policy research
Undergraduates only
Check all that apply, provide details in your optional project statement
____Pre‐med with the intention of attending medical school
____Completing pre‐med studies
____Science major preparing for a career in science
For faculty/staff only (excludes Gas/TAs/ Student employees)
Check all that apply, provide details in your optional project statement
____A member of the secretarial /clerical staff
____Pursuing studies or advancement in a computer technology field
____Seeking funding for professional development; e.g. conference, seminar
____Seeking a career in higher education administration
Some awards are restricted to certain types of applicants or specify "special consideration". Please
indicate if you belong to any of these categories.
Check all that apply
____African‐American women
____Women of color
____Women with disabilities
____Mothers currently balancing work/school and motherhood
____Woman with demonstrated financial need (these awards will be sent to Financial Aid)
____U.S. citizens
If you have received an IFW award(s) in previous year(s), please indicate the year(s), the project(s) and
the amount(s) awarded. Was the project completed?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
In addition to submitting one (1) copy of this IFW Award Eligibility form, you must submit a Full
Application Packet (original plus five (5) copies) to Carol Anne Germain University Library LI 141A.
For questions about completing the IFW Award Eligibility form contact: Carol Anne Germain at
cgermain@albany.edu – 442-3590