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John Simon Guggenheim Memorial Foundation 90 Park Avenue New York, N.Y. 10016 http://www.gf.org Applications and accompanying documents from citizens and permanent residents of the United States and Canada should reach the office of the Foundation not later than October 1; from citizens and permanent residents of Latin America and Caribbean, not later than December 1. PLEASE TYPE OR PRINT. SEND THIS FORM AND ACOMMPANYING MATERIAL BY POSTAL MAIL. DO NOT SEND IT BY FAX OR EMAIL. Last name First Middle Preferred mailing address Zip Code Telephone Home address (if other than above) Zip Code Telephone FAX number and Email address Title of present position (include name of institution, if any) The specific field of scholarship or art in which your proposal lies The title of your project STOP AND REWIND The inclusive dates of the period for which you are requesting a Fellowship Place of birth Buenos Aires/Argentina Date of birth 9/29 Sex M Citizenship USA If not a native-born citizen, give date and place of naturalization: and address of spouse or nearest kin NINA [[4 Columned Table]] | Educational Summary | Name of Institution | Period of Study (inclusive dates) | Degrees, Diplomas, Certificates (with dates) | | --- | --- | --- | --- | | Academic: Undergraduate | | | | | Academic: Graduate | | | | | Academic: Other: (Artistic, Musical, etc., where pertinent) | | | |
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Spacing? Comprehension of material? Lower case?