Outreach Fellowship Application IBACS Graduate Student Outreach Fellowship Date(Required) MM slash DD slash YYYY Applicant Name(Required) First Last Applicant Email(Required) Applicant Net ID(Required) Cell Phone #(Required)Department(Required) Anticipated Graduation Year(Required) Applicant CV(Required)Max. file size: 100 MB.What are your current research interests?(Required)Please list any sources of summer funding you will be receiving and the corresponding dollar amount.(Required)Preference will be given to applicants who either have no other source of summer funding or are in receipt of summer funding that amounts to less than $5,000 from UConn or external funds (such as an NSF or NIH fellowship, teaching contract, departmental stipend etc.).Please describe why you believe you would be a good fit for this fellowship(Required)Priority consideration will be given to graduate students who (1) are members of groups that are underrepresented at the University of Connecticut; or (2) have overcome obstacles such as socioeconomic, educational, or other societal disadvantages (arising, for example, through prejudice and/or discrimination); or (3) have worked with such groups to help overcome these or other obstacles.Will you have reliable means of transportation to/from outreach events?(Required) Yes No Have you been awarded IBACS Summer Funding in the past 3 years?(Required) Yes No What year were you awarded a previous IBACS Fellowship?(Required) I have discussed my plans for applying for this Fellowship with my advisor(Required) Yes No Advisor Name(s)(Required) Add RemoveAdvisor Email(Required)This application will be sent to your advisor for approval. Please provide the email address of the advisor providing the letter of recommendation. I have completed or intend to complete the IBACS Affiliate Membership form(Required) Yes No CommentsThis field is for validation purposes and should be left unchanged.