Gallatin Awards & Fellowships Acceptance Form

This form is required of students who have been awarded a Gallatin award, grant, or fellowship. You must submit this form and any other required documents before the award money can be disbursed. Please note that information from this form, including photos, may be shared with donors and publicized on a website. After you complete your project, you will be able to resubmit an edited version of this information, if necessary.

Information from this form, including photos, may be shared with donors as well as the NYU community.

First Name

Last Name

NetID

University ID

Academic Level

Award or Fellowship

Email Post Graduation

What is the title of your research project?

Write a brief summary of your research project

Concentration or Thesis Title

What is the location of your research project?

How does your research project relate to your concentration?

Expected start date of your project

Expected completion date of your project

Are you hoping to hold a Gallatin event associated with this project?

Yes

* Please note that approval of this project does not guarantee approval for an event or an event space. If you are interested in an event, please get in contact with the Office of Special Events as soon as possible.

Please upload a photo of yourself to be used in a future profile on the Gallatin website (.gif, .jpg, and .png formats accepted)

Photo must be a headshot that is at least 480p x 640p. Photos and bios may be used on the Gallatin website.
One file only.
3 MB limit.
Allowed types: gif, jpg, jpeg, png.