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SIGNATURE PAGE OF APPLICANT
Name of Applicant _______________________________________
Country of Applicant _______________________________________
I certify that I have completed this application accurately and truthfully.
I understand that my application will be reviewed initially by the Cyril O. Houle Scholars in Adult and Continuing Education Program selection committee and that, if invited, I will attend a personal interview before final selections will be made. In submitting this application, I give my permission for it and any attachments and recommendations to be shared and/or copied for these purposes.
If awarded a fellowship, I agree to fully participate in all activities planned for the Cyril O. Houle Scholars in Adult and Continuing Education Program.
I understand that failure to fulfill ANY program requirement may lead to termination of the award.
Applicant's Signature _______________________________________
Date ______________________
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