2025 Herbert Lee Stetson Graduate Fellowship Award Agreement Use this form to accept or decline your 2025 Herbert Lee Stetson Graduate Fellowship Award. Name(Required) First Last Preferred NameKalamazoo College Email(Required) Student ID number(Required)Please enter your six digit student ID number. This will be used to fill out the forms necessary for your stipend and reimbursements. If you are not already set up for direct deposit with the college, it is recommended that you do so (SOON!) at https://businessoffice.kzoo.edu/forms-2/.Funding Accept/Decline(Required)I agree to the five terms below and wish to accept the Herbert Lee Stetson Graduate Fellowship. Yes No Decline Confirmation(Required)You have selected that you do not want to receive the offered award. Please confirm that this is correct. If you made the selection in error, please change your response to the previous question to “Yes” and continue to complete the form. I confirm that I decline this funding offerStipend Distribution Date(Required)I understand that I my award will be distributed after the close of the current academic year. Yes No Funding Term 1(Required)I agree to term 1: “In academic year 2025-2026 I will enroll in the graduate program I submitted in my proposal.” Yes No Funding Term 2(Required)I agree to term 2: “The graduate program in which I am enrolled during academic year 2025-2026 meets the requirements of the Herbert Lee Stetson Graduate Fellowship: Harvard, Yale, Johns Hopkins, or [University of] Chicago, or at a European university.” Yes No Funding Term 3(Required)I agree to term 3: “I will earn my diploma from Kalamazoo College, with degree conferral on June 15, 2025.” Yes No Payment Distribution(Required)How would you prefer to receive your stipend payment and/or reimbursement funds? Pick up a physical check from campus Direct Deposit Have a physical check mailed to your home address Address(Required)Please enter the address (house/apt number, street name, city, state, zip) where you would like to have your stipend check mailed Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code International Student(Required)Are you an international student? If you are an international student, all stipends and reimbursements will be REDUCED by the tax amount required by the IRS. Yes No Signature(Required)CommentsIf you have any questions or comments, please enter them here, and Jessica Fowle will follow up as needed. Δ
