Northeast Regional Honors Council Conference 

Baltimore, Maryland  April 12-15, 2012

Minority Fellowships

Minority Fellowships Form

The NRHC distributes a number of fellowships to minority Honors students in order to defray the expense of participating in the annual conference. Minorities of all types are encouraged to apply for this award. A typical award covers the cost of registration for one student from a university or college. Students who receive the award must be a presenter at the conference.

Deadline for receipt of Fellowships Forms is January 15, 2012.

Presenter name: __________________________________

Institutional Affiliation: _____________________________

Postal Address:
________________________________________________________

____________________________________________________________________

e-mail address:
__________________________ phone number:__________________

Title of Presentation: ___________________________________________________

Format of Presentation: Paper  Poster  Roundtable (circle or underline one)

Name of Honors Director: ______________________________

Honors Director e-mail: ________________________________

Honors Director phone: ________________________________

Honors Director mailing address:_________________________________________

___________________________________________________________________

The student listed above is an Honors student in good standing in our program and a member of a visible minority group. If this student is awarded a minority scholarship, I will undertake that he or she will attend and present at the NRHC 2012 conference.


________________________________
Signature of Honors Director

If accepted as a presenter at the NRHC conference and awarded a minority scholarship, I will attend and present at the NRHC 2012 conference.

________________________________
Signature of Student Presenter

Send forms to
Dr. Shirley Shultz-Myers
(shirley.shultz.myers@gallaudet.edu