To apply for this award, complete the form and submit it in triplicate with the following:

1.  Cover letter

2.  Resume

3.  Letter of support from your immediate supervisor

Send your application materials to:

Katherine Steiner
The Mint Museums
Associate Registrar
Charlotte, NC 28207
2730 Randolph Rd.
704 337-2020

fax 704 337-2101
katherine.steiner@mintmuseum.org

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2007 Dan Silosky Award Application Form

PLEASE PRINT AND TYPE FORM:

Applicant’s Name and Title:

Institution:

Address:

Telephone and Fax Numbers:

Email Address:

Respond to each of the statements below in the space provided, if more space is needed use an additional sheet of paper:

Describe the project or task for which the award will be used:

 

 

 

 

 Outline and describe the professional benefit to the recipient:

 

 

 

 

 Completely detail the benefit for SERA Colleagues:

 

 

 

 

 

Comment on the need for financial assistance and benefit to beneficiary’s institution: