Application for Women’s Studies Graduate Scholars Colloquium and Award Name: E-mail address Unique ID # Current Degree Program (please indicate University if not enrolled at Duke): Primary Department Expected Date to receive Degree: Campus Box # Campus phone Permanent mailing address Local Mailing Address Telephone: Day ( ) Evening ( ) Are you currently enrolled in the Women’s Studies Certificate Program? If no, are you interested in enrolling in the Certificate Program? Are you receiving other Graduate School funding? YES NO YES____ NO YES NO Describe briefly on the back of this form your work as a feminist scholar or interest in gender and feminist studies. Interdisciplinary academic course work in Women’s Studies at Duke or elsewhere, at the graduate or undergraduate level. (This course work need not necessarily have resulted in a major, a minor or a certificate.) Research foci on women, gender or feminist theories as a prelim or dissertation area Teaching that involves women, gender, or feminist theories or pedagogies Feminist advocacy or service (in communities outside Duke, in a student’s department, or university committees, or in non-departmental organizations for at least one academic year). Please note: Because the departments and disciplines in which Women’s Studies graduate students work are so different from one another, we recognize the need to be flexible regarding individual applications to the program. This is particularly true for the applicants outside the humanities departments, which may not afford graduate students many opportunities to pursue feminist scholarship in the classroom. ……………………………………………………………………………………………… For Office Use Only Date Request Received: Signature (Graduate Scholars Program Coordinator)