Lily's Fund for Epilepsy Research at the University of Wisconsin 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the 'Name of Applicant' field. Ensure that your name is spelled correctly as it will be used for all official correspondence.
3. Next, indicate your highest degree(s) obtained in the designated field. This information is crucial for eligibility verification.
4. Fill in your current mailing address, including street, city, state, and zip code. Accurate contact information is essential for communication regarding your application.
5. Provide your telephone and fax numbers in the specified fields. Include area codes and any necessary extensions.
6. Indicate your citizenship status by selecting the appropriate option from the provided choices. This section is important for determining eligibility.
7. In the space provided, write an abstract of your proposed project, ensuring it includes a statement of relevance to epilepsy. Use Arial 10pt font as specified.
8. Finally, sign and date the form to certify that all statements are true and complete. This step is vital for validating your application.

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