William F. Podlich Distinguished Fellows Program - Application Form

Use this form to apply for the Distinguished Fellows Program. All information will be held strictly confidential. All materials submitted shall be kept on file solely for the duration of the current selection process.
APPLICANT INFORMATION:
* Name
* Title
* Discipline
* Institution
* Phone
* Address

DOCUMENTATION:
Deadline for receipt of materials is November 21. Applications should include the following materials:

  1. Curriculum Vitae

  2. Program Proposal for the Fellow while on campus, including possible lecture topics, proposed research or writing projects, and curricular involvement.

  3. Proposed budget/timeline for Fellowship period
     
The above materials can be submitted via the form below in Microsoft Word, text, or PDF or via email at podlichfellows@claremontmckenna.edu
   
FILE UPLOAD: (Errors will result if the same document is attached multiple times).
 
  1. Curriculum Vitae

  2. Program Proposal

  3. Budget/Timeline

*Validation:
* = required fields