FAMF Stipend Application - 2019

Priority given to those that have already registered and apply by July 31st. First come first served.

Please note: Speaker Deadline is July 19th, however speakers should have requested assistance in advance.

Date Date / MM / DD YYYY
Name *
Museum / Organization Name (if applicable)
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Museum/Daytime Phone Museum/Daytime Phone * - ### - ### ####
Cell Phone Cell Phone - ### - ### ####
Email *
Please see instructions for brief explanation of categories.
Select Only One *

Select Only One Speaker Emerging Museum Professional Student Professionals in Transition Small Museum Professional
Total Years in Museum Profession (New, Small, Emerging ONLY)
Museum at which employed (New, Small, Emerging ONLY)
Enrolled in (name of college/university) STUDENT ONLY
Explanation of why you are applying for a stipend. (50 words or less) *
I understand and accept the eligibility, requirements, and restrictions of this stipend, and I understand that this is a reimbursement only program.
I understand and accept the eligibility, requirements, and restrictions of this stipend, and I understand that this is a reimbursement only program.
* First Last
Title

FAMF Stipend Application - 2019

FAMF Stipend Application - 2019

Please see instructions for brief explanation of categories.