Send completed for form to Dr. Adrienne Anderson,
Ward F. Weakly Memorial Fund,
1440 S. Kendall St., Lakewood, CO 80232 or Adrienne_Anderson@nps.gov

WARD F. WEAKLY MEMORIAL FUND:
a scholarship that will contribute to better understanding of Colorado archaeology,
- in the Memory of Deceased Members of the
Colorado Council of Professional Archaeologists

APPLICATION

Name  ______________________________________________________________

Institution ___________________________________________________________

Mailing Address ______________________________________________________

____________________________________________________________________

Phone (w)                                              (h)                                                     

E-Mail                                                                                                            

Explanation of Project (use additional sheets if necessary and attach copy of thesis proposal, if applicable):

Aspect of project for which you are requesting specific support:

Budget* for Ward Weakly request (line item cost breakdown with justification, such as travel, per diem, supplies, expendable equipment, registration, analysis cost, and the like):

Other funding sources:

Benefit to Colorado archaeology:

Advisor's name, address, phone (include letter of support from current advisor):

* No capital equipment.