Tinker-Nave Short-Term Field Research Grant Application Tinker Nave Short-Term Field Research Grant Application Today's Date* MM slash DD slash YYYY Name* First Last Campus ID*Department* Program* M.A. PhD If Other, please explainDate of prelims, if applicable MM slash DD slash YYYY Home Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please include street name and number, city, state and zip codeCampus Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number*Email Address* Are you a U.S. citizen or permanent resident?* Yes No If not, what is your visa status?Country of citizenship (if not a U.S. citizen) AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Will you be on university payroll this summer?* Yes No Project InformationPlease tell us more about your research project.Project Title* Project Location* Dates of Research* Please provide dates as accurately as possible in the mm/dd format. If you can not provide specific dates, estimate the approximate number of days required to complete your projectBudgetIn the lines below, please provide an estimate of the funds neededInternational Travel*Local Travel (in field)*Food, Lodging and Miscellaneous*Total*Graduate Students OnlyThis section is to be filled out by Graduate Students onlyAre you receiving any type of financial aid? (not including graduate assistantships) Yes No If yes, please specifyNumber of semesters of graduate work completed at UW-MadisonLetters of Recommendation & Language Reference:Letters of Recommendation:*Please provide the name, professional title/affiliation and email/phone of each of your recommenders here. You are required to submit TWO letters of recommendation. Please ask your recommenders to email their letters directly to Sarah Ripp at skripp@wisc.edu. Language Reference:* I will complete the "Language Proficiency Exam" (https://spanport.wisc.edu/proficiency-exams/) I am a Native Speaker I am submitting a letter from a professor, former employer, etc. attesting to my language proficiency skills previously studied, worked or volunteered abroad utilizing the language used in the country where I will be conducting field research (please submit short written explanation) I have completed an extensive number of language courses (please submit list of courses) Applicants are required to demonstrate proficiency in the native language of the country they will conducting field research in. Please select from one of these options to demonstrate your proficiency.AttachmentsProposal Narrative*Accepted file types: pdf, doc, docx, Max. file size: 4 MB.Max of 4 double-spaced pages, 11-12 point font. This does not include the bibliography or budget. Files must be less than 4 MB. Allowed file types: pdf doc docx.Unofficial UW-Madison transcripts*Accepted file types: jpg, pdf, doc, docx, Max. file size: 2 MB.Files must be less than 2 MB. Allowed file types: jpg pdf doc.Additional Documents Drop files here or Select files Accepted file types: gif, jpg, png, pdf, doc, Max. file size: 2 MB, Max. files: 4. Files must be less than 2 MB. Allowed file types: gif jpg png pdf doc.NumberDate MM slash DD slash YYYY