Gerald R. Ford Foundation Research Grant Application

Name	Address
Telephone Number
E-mail Address
Institution and Position
Project Title
Proposed Final Product (Book, article, dissertation, etc.)
Budget Request Airfare roundtrip Detroit-_________________ (North American city) or Auto mileage roundtrip from ________________at $0.25 per mile Living expenses in Ann Arbor (_________days x $123) Local auto rental or taxi (________days x $15) Photocopy allowance (__________est. pages x $0.20 self-service) TOTAL REQUEST (MAXIMUM $2,000)	Budget _______________ _______________ _______________ _______________ _______________ _______________
Other grants, awards, contracts in support of this project
Supporting Material Please attach a vita and a two or three page proposal describing the research project and how the holdings of the Gerald R. Ford Library will assist in its completion. Ask three professional references to write in support of the proposal.
Signature	Date