A. Personal Information |
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| Current Address |
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| Permanent Address |
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| | Check this box and skip the fields for Permanent Address if it is the same as your Current Address
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| | Check this box and skip the field for Permanent Telephone if it is the same as your Current Telephone
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B. Academic Information |
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| | Enter None if you have no minor
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C. Proposed Program |
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| | *This will be confirmed with the indicated faculty member.
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D. Past Farber Fund Support |
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E. Conditions for Support |
Students receiving money from the Farber Fund and participating in project sponsored by the Department of Political Science should take note that:
- Students are expected to represent USD in a professional, mature, and positive light while on trips
sponsored by USD and supported by the Farber Fund;
- Students remain primarily and individually responsible for all of their decisions, actions and behavior;
- A mutual respect and concern for other members of the group, their care, and their well-being is
necessary for the success of any group experience;
- The use of alcohol must confirm to USD regulations, state laws,and good sense; students attending
events on Farber Funding are the public face of the Department of Political Science and are expected to
resist any decision or actions of others which exceed these bounds;
- No illegal drugs of illegal activities of any kind are to be tolerated;
and
- Students are asked to recognize the responsibility created when taxpayers' money, donors'
contributions, state vehicles, and the time of state employees are devoted to the support of any trip.
The use of public or donated funds creates a higher duty of trust to use those funds in the best fashion
so as to maximize educational benefits.
In requesting funds, I agree to:
- Comply with all the guidelines and requirements as stated;
and
- Submit to the Department Chairman a 2-page evaluation of the Farber Fund subsidized opportunity
no later than 2 weeks after completion of that opportunity.
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| To submit this document - after completing, click the Submit button |
| * Farber Funds cannot be used to pay for Association memberships, whether standing alone or included as a part of a general registration charge. |
| By submitting this form, I certify that I have read and agree to comply with the conditions for receiving Farber Funding that are outlined above. |
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