PSYDOC Application for Dissertation Grant

Application for Dissertation Grant - Published
Directions: Completed Application for Dissertation Grant forms shall be submitted to the Doctoral Psychology Program Administrator for consideration by the Program Director. The student shall be notified via email by the DoctoralPsychology Program Administrator of the outcome of the Grant request. The Assistant to the Deanfor the School of Psychology, Counseling & Family Therapywill submit a request for funds from Wheaton College Accounting Department. The student grantee must submit an expense report with original receipts to the Assistant to the Deanand any unused funds returned to Wheaton College with the expense report.

Please see the Clinical Dissertation Manual for a listing of eligible expenses.
Name

First NameLast Name
Student ID
Email Address
example@example.com
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Dissertation Committee Chair

First NameLast Name
Chair's Email
example@example.com
Amount Requested (Up to $500)
Please give a brief description of your dissertation research and a rationale for your request:
Please provide an itemized budget for the amount you are requesting

Browse Files

Cancelof
Please provide the estimated timeframe of expenditure (e.g., mo/yr –mo/yr):
I understand and agree to comply with the terms of the Wheaton College Psy.D. Program Dissertation Grant.
Student Signature

Application for Dissertation Grant - Published