MARGARET McNAMARA MEMORIAL FUND

1818 H STREET, NW
MSN H2-204
WASHINGTON, DC 20433

 

Request for MMMF Application Form

 

Please check the criteria on the cover sheet carefully. If you meet all of them, fill in the form below and mail of fax it to the above address. We will then send you the application package (beginning in September). This form may be photocopied.

Please note you must be enrolled by September 2003; the MMMF does not provide preenrollmentt funding. The purpose of the grant is to help women complete the educational program they have already begun.

 

Please type or print clearly.

 

NAME:_____________________________________________________________________

 

ADDRESS:___________________________________________________________________
(in U.S./ Canada.)*
____________________________________________________________________________

____________________________________________________________________________

Email*:_______________________________________________________________________

HOME COUNTRY:____________________________________________________________

 

VISA TYPE:__________________________________DATE OF BIRTH__________________

 

EDUCATIONAL INSTITUTION:_________________________________________________
(where enrolled for Fall 2003 semester)

Application forms are available on line @ www.worldbank.org/yourmet or US mail______________

Only return this form if you require an application by mail.

* Please note we will not send application forms outside the U.S and Canada.