ARNOLD AND MABEL BECKMAN FOUNDATION

APPLICATION FOR BECKMAN YOUNG INVESTIGATOR AWARD

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Principal Investigator Name

Starting Date of Current Appointment

Academic Rank or Title

Department

Telephone Number

Name of Institution:

Institution Address:

Institution City, State, Zip:

E-mail Address

Web Site Address

Citizen of what country:

Permanent resident of what country (documentation must be provided with every application):

Brief Descriptive Title of Proposed Research:

Brief Synopsis of Proposed Research:

Principal Investigator:

Signature:

Date

Institutional Endorsements:

Chief Institutional Academic Officer (President, Chancellor, Provost):

Name:

 

Signature:

Title:

Dean of College/School/Division for Participating Academic Unit(s):

Name:

 

Signature:

Title:

If you have any problems, please email murphy@beckman-foundation.com for assistance.
Thank You