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| >            | National Endowment for the Humanities ° 1100          |
|  ![](media/i | Pennsylvania Ave., NW ° Washington, D.C. 20506        |
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| ="0.80208333 |                                                       |
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**FINAL REPORT FORM FOR FELLOWSHIPS,**

**SUMMER STIPENDS, AND FACULTY RESEARCH AWARDS**

> Award recipients are required to complete and return this
> questionnaire to the Endow­ment within ninety days of the end of their
> award tenure. Send your report to
> [GrantManagement@neh.gov]{.underline} or:

**Office of Grant Management, Room 311**

**National Endowment for the Humanities**

**Washington, D.C. 20506**

Program: ○ Fellowships ○ Summer Stipends ○ Faculty Research Awards

> Award Number:
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Name:
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Home Address:
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> Present Address:
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> E-Mail Address:
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Paperwork Burden**: NEH estimates the average time to complete this
form is one hour per response. This estimate includes the time for
reviewing the instructions for this form, gathering the necessary data
and entering the data on the form. Please send any comments regarding
this estimated completion time or any other aspect of the form,
including suggestions for reducing completion time, to the Director,
Office of Publications, National Endowment for the Humanities,
Washington, D.C. 20506; and to the Office of Management and Budget,
Paperwork Reduction Project (3136‑0134), Washington, D.C. 20503.
According to the Paperwork Reduction Act of 1995, no persons are
required to respond to a collection of information unless it displays a
valid OMB control number.

**PART I: AWARD TENURE EVALUATION**

Please answer questions 1‑6 on a separate sheet of paper. The remaining
questions should be answered on the questionnaire itself in the space
provided.

1\. What did you do during the tenure of your award, and how does this
compare with what you had planned to do when you applied?

2\. Has either your understanding of your subject or your approach to it
changed significantly as a result of the work conducted under your
award? If so, in what way?

3\. How has your award-supported work furthered your scholarly career?
What are your publication plans?

4.  Does your award-supported work have implications for your teaching?
    Please provide titles if your research will contribute to new or
    revised courses.

5\. To what extent will you be able to continue work on the project
supported by the award? What assistance, if any, will you receive for
this from your employer or from other sources (including released time,
research or secretarial assistance, etc., as well as award assistance?

6\. For Faculty Research Award recipients: are there other ways in which
your award-supported work will further the educational mission of your
institution?

Please answer questions 7-9 in the space provided.

7\. Expressed roughly in percentages, what proportion of the award
period you spent:

\(a\) at your own institution or home?

\(b\) at other locations in the U.S.?

> \(c\) at locations abroad? \_\_\_\_\_

100%

Please specify the other locations:

8\. Did your employer contribute any additional funds for travel,
supplies, research assistance, or other such ancillary purpose, to help
you with your work under the award? If so, please indicate amounts.

9\. What is the sabbatical or similar leave policy at your place of
employment?

**PART II: AWARD TENURE DATES**

1\. When did you begin and end your award tenure?

Began \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Ended
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(month/year) (month/year)

If the length of your actual tenure was shorter than that specified in
the official notice of action that accompanied the NEH award letter, the
Endowment will request, on a *pro rata* basis, appropriate repayment.

2\. For Faculty Research Award recipients: if the total amount of full
or half time spent on your project during your award tenure differed
from that indicated in your acceptance form, describe and explain the
difference in the space below.

**PART III: CERTIFICATION**

I certify that the information and award tenure dates given here are
true and correct.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(Signature) (Date)