You will receive a confirmation email upon successful submission of this application. If you have any questions or concerns, please contact Funding@TheIHS.org.

Personal Information

Preferred Salutation

Salutation

First Name

First

Last Name

Last

Preferred Name

Preferred Email Address

PersonalWorkAlternate

Affiliation Information

If you are not currently enrolled in a program but were recently, then put your most recent educational information.

Are you primarily a:

StudentFacultyAcademic AdministratorProfessional

University

Start typing to select your institution from the list.

Company

Role

Discipline

Career Stage

Degree Type

Graduation Year

Primary Career Interest

Advisor First Name

Advisor Last Name

Research Interests

CV/Resume

Website

How did you hear about this program?

Your Request

With which of our topics does your research most closely align.

In one short paragraph, please outline your research interests.

Please explain your interest and goals in applying.

Do you have an ideal mentor or mentor profile (such as background, discipline, skills, expertise, etc.)?

Have you ever received a grant from IHS before?

Please provide a 1-2 sentence update on the outcome of that activity.

Please upload any additional documentation to support your Academic Mentoring application.