AnnualScholarshipReport-SPIE.doc

Annual Scholarship Award Report Recipients of SPIE Scholarships are required to submit a report to the Society on how the Scholarship was used. Please print out and complete the form below and fax or mail it to SPIE. You may be eligible to apply for an SPIE Scholarship in multiple years only if you have fulfilled reporting requirements for any previous award. New Scholarship applications must show new activities or research, beyond that upon which a previous award was based. Your name: ________________________________ Email address: ________________________ Year Scholarship Awarded: ________________ Amount of Scholarship awarded: ______________ 1. Please briefly describe how you used the Scholarship: 2. How did receiving this Scholarship help you achieve your long-term goals and contribute to the field of optics? Signature Date August 4, 2008 0 Page 2 SPIE.orgspie@spie.orgMail: PO Box 10, Bellingham WA 98227-0010 USAShip: 1000 20th Street, Bellingham WA 98225 USATel: +1 360 676 3290Fax: +1 360 647 1445