Please complete the fields below by June 15th to secure your spot. Please complete this information carefully as it is used for the disbursement letter to your university.
The following information will be used to inform your website biography. Please review the past biographies at the Foundation’s website for a better idea of what to include.
You will receive an email from Dr. Balkhi after your disbursement letter has been sent to your university and again with your bio is ready for your approval. Congratulations!