Research Illustration Request Form | Office of the Vice Provost for Research

Today's Date *

Month

Day

Year

Name *

School *

Department

Phone Number *

Email Address *

Article Title *

Project Deadline (date planned to submit the manuscript or publicly release information) *

NOTE—project requests must be submitted 5 full weeks prior to this deadline in order to be eligible for consideration

(200 character limit)

Publication date (if known)

Month

Day

Year

Where will the manuscript be submitted (or presented)? *

(500 character limit)

Are there any other places you would like to use the potential artwork? (on your website, powerpoint presentations, proposal, etc) *

(200 character limit)

Please explain the significance of the work and why it will be of interest to a non-technical audience: *

(1400 character limit)

Please describe what you think needs to be depicted in the artwork *

(1400 character limit)

Are you willing to discuss the work with GW writers and/or news media? *

(200 character limit)