Back                                           Alabama Baptist Historical Commission 
                                                          Study Grant Program Application Form

Name         

Street         

City            

State          

Zip              

Home Phone 

Work Phone  

Email Address   

Date of Birth  

Institutional Affiliation 

Position         

Research Proposal
(please include title of research project)

Capsule Summary of the Research Project You Wish to Conduct
(150 words or less; resources to be consulted)

Funds Requested
Please indicate expenses

Travel 
     Means of travel      
     Approximate fare:  $

Lodging
     Accommodations needed       
     Length of stay         One Night Two Nights Three Nights More

Research Related Expenses
(such as photocopying, etc.)

Education/Honors
(List in reverse chronological order)

Professional Occupational Experience
(List in reverse chronological order)

Publications/Writings

Thank you!  We will evaluate your request and respond in 7-10 business days.