Applying for a Houghton Fund Grant
(for students in their first two years of graduate study)

Directions:

1.  Print the following page, and fill in the information.
     The text is copied below if you don't have Acrobat Reader.
2.  Sign the bottom, and ask your advisor to sign too.
3.  Bring or mail the application to Mary Elliff, 54-1710,
     617-253-2281.  She'll notify you whether you're approved to
     spend Houghton Fund grant money.)

     Press here for a PDF of the Application Form.
______________________________________________________
                                    
                                                            Today's date______________

APPLICATION

Houghton Fund grants for students in their first two years of graduate study

1.  Student’s Name___________________________________________
    
     Address for sending the student refund__________________________

     Which year are you in MIT graduate school?______________________

2.  Educational  Program (Atmospheric Science, etc.)__________________

3.  Student’s e. mail address_______________campus phone#_________

4.  Faculty Advisor’s Name______________________________________

5.  Faculty Advisor’s e. mail address_______________________________

6.  Faculty Advisor’s office phone_________________________________

7.  Purpose of requested funding__________________________________

8.  Estimated Expenses  (Please list items and show total.  Do not include
                                            any sales tax; for a Tax Exempt Certificate, see
                                            Kristen Barilaro, 54-1614.)

Total on this form__________________

Student’s Signature__________________________________________________

 ************************************************************************************
I hereby confirm that the above claim is for legitimate expenses related to the student’s PAOC education:

Advisor’s name_____________________________________________________