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ADDENDUM TO ACADEMIC FELLOWSHIPS
THAT SUPPORT THE RAM PROGRAM AND
ADVANCE ITS REQUIRED RESEARCH AGENDA
INSTITUTION:
FACULTY RECIPIENT OF ACADEMIC FELLOWSHIPS
Name:
Title:
Social Security Number:
Home Address (for tax purposes):__________________________________
Mailing Address to which payment will besent:
BRIEF DESCRIPTION OF PROJECT/ CONTRIBUTION TO THE RAM PROGRAM:
DATE THE PROJECT WAS COMPLETED:
Name of Institutional FITW Team Leader (or assistant) who prepared this addendum:
Date Prepared: _______________________________________
Note: This Academic Fellowship is a one-time non-wage payment for work done in support of the RAM
program; that effort will contribute to the scientific analysis of the program’s effectiveness. !wards of
more than $500 are taxable.