Othmer Library Travel Grant Application

Travel Grant Application Form

Othmer Library of Chemical History
You will need to submit
- a research proposal that also details how you will make use of the Science History Institute’s collections (one page);
- a curriculum vitae (up to three pages); and
- contact information for one person who has agreed to provide a reference letter
Please have your documents and referee contact information ready before proceeding.
Full Name*

First NameMiddle NameLast NameJr., III, etc.
Name you prefer to be called (optional):
Important! You must reside more than 75 miles (120 km) from Philadelphia to be eligible for a travel grant.
Address*

Street Address

Street Address Line 2

CityState/Province

Zip/Postal CodeCountry
Email*

Confirmation Email
Phone Number*
Please include the country code.
Research Proposal

Please upload your one-page proposal in Word (.doc, .docx) or PDF format.
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Curriculum Vitae

Please upload your CV (up to three pages) in Word (.doc, .docx) or PDF format.
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How much time do you plan to spend conducting research in our collections?

One weekTwo weeks
Referee Information

Please specify one individual who has agreed to write a letter of recommendation on your behalf. We will contact them by email with instructions on sending the letter to us.
Full Name of Referee*

PrefixFirst NameLast Name
Affiliation
Academic Position
Email Address of Referee*

Confirmation Email
How did you first learn about Othmer Library travel grants?

Science History Institute staff member, fellow, or former fellowOther personal contactsPrinted flierWeb or social mediaMailing list
Please specify:
Note:
By submitting this form you acknowledge that your contact information, application data, and referee contact information will be transferred to the Science History Institute in Philadelphia, Pennsylvania, United States. Review our privacy policy to learn more.
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Travel Grant Application Form

Referee Information