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					Opportunities for Indian Students to Study at CIC Universities in the
United States

Program Overview
The program will pay all expenses for 80 Indian students to travel to the University of
Wisconsin-Madison and to partner universities to engage in a hands-on research project.
Indian students will be matched with faculty members based on what type of project they
would like to work on. This is an excellent opportunity to apply lab skills in an indepen-
dent environment. At the end of the program, students will present their projects at a
symposium.

Program Dates: Mid-May – End July 2012
Application Deadline: 30 November 2011 at 16:30 (India time)

Eligibility
1. Candidates currently enrolled in B.

Tech, M.Tech, or M.Sc. courses in science, engineering, and medicine are eligible to
apply. You must be currently enrolled in recognized institution of higher education in
India. This program is not open to those who already have a graduate or undergraduate
degree.
2. The applicant should have a have a Grade Point Average (GPA) of 8.5 or higher
(Percentage equivalent: 80% and higher).
3. Candidates are encouraged to submit the application as a single pdf document. Scans
or other electronic versions of documents will also be accepted.
4. Applications in subject-fields other than those specified in the advertisement will not
be considered.
5. Incomplete applications and applications received after the stipulated date will not be
considered.

A list of partner universities in the United States is available online. Please do not
contact faculty at these partner universities, we will arrange for internships when finalists
are selected.

Scholarship
The program will pay all expenses for 80 Indian students to travel to U.S. universities to
engage in a hands-on research project. This includes a stipend, accommodation, and
airfare. Accommodations will be arranged when finalist are selected. Students may be
responsible for covering minor administrative costs.

Application for download

Application deadline is 30 November 2011 at 16:30 India time.
No extensions will be granted.
Please be aware that large numbers of last minute applications may be rejected by the


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email server. We advise you to apply well before the deadline to assure we receive your
application.

This is a professional study program, please word your application and inquiries in a
professional manner.

Final applications should be emailed to: scholar@indousstf.org

Finalists will be notified by 15 February 2012.

For Program information contact
Dr. Nishritha Bopana
Indo-US Science and Technology Forum (IUSSTF)
12 Hailey Road, Fulbright House,
New Delhi- 110 001
E-mail: scholar@indousstf.org

Due to the large number of emails, it may not be possible to answer every question or
acknowledge every application received.




`      The Khorana Program is envisaged to:

• provide encouragement to young scholars
• stimulate creativity amongst students
• transform research into societal benefits
• build a seamless scientific community between India and the United States.




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     APPLICATION FORM FOR KHORANA SUMMER RESEARCH
                 Khorana Scholars Program 2012


1. Name:
     First name                              Middle name
     Surname

2. Male             Female

3. Date of Birth (dd/mm/yy):

4. City of Birth:

5. Country of Birth:

6. Country of Citizenship:

7. Country of Permanent Residence:

8. Passport number:
   Country:
   Expiration Date:
   Date Issued:

9. Name of the University/Institution:

10. Address:



      Institution /
      University Address

      Residential
      Address
                               Landline Number #           Mobile #
      Telephone

      Alternative
      Telephone No.
      E-mail

      Skype id

      Fax #




                                         3
11. Major field of study:

12. Degree program currently enrolled in (e.g., BS, MS, B.Tech., MBBS, M.Tech.,
    Integrated BS/MS):

13. Cumulative Grade Point Average / Percentage:


14. Expected date of Graduation (Completion of Degree): ____(mm) ____(yy)




                                     4
15. Academic Record:

 EDUCATIONAL QUALIFICATIONS (10th Standard onwards)
                                                   Duration                              Percent
                                Institute/
 Examination/    University/                        (from         Subjects studied/       -age/
                                 College/
   Degree          Board                           mm/yy to        Specialization        CGPA/
                                 School
                                                   mm/yy)                                 Rank




16. Please indicate if you are NOT comfortable working in a research lab that
handles the following animals:

ANIMAL                                           Check here if you are NOT comfortable
                                                 working with this animal
Mice

Worms

Flies

Cows

Sheep

Pigs




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17. Statement of Purpose: Research interests, possible project ideas and what you
hope to gain from this experience (Please restrict your response to the space given
below)




                                          6
18. Research experience, technical background, other internships, courses, lab
work, techniques exposed to and past lab experience (Please restrict your response
to the space given below)




19. References (One of the referees should be your teacher/tutor. In case you have
completed a training/internship in any lab, a reference from your supervisor there
would be preferred. The references should be provided on the official letter-heads of
the Referees).

 REFERENCES
 (Please furnish details of persons who can provide an assessment of your suitability for this internship)
               Details                           Reference 1                          Reference 2
 Name of Referee
 Organisation
 Designation
 Relationship with Applicant
 Email id

 Phone number #




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20. Signed and stamped no objection certificate from Parent Institution—This
should be given on the official letter-head of the parent institution/organization in
the following format:

STATEMENT FROM PARENT INSTITUTION

This is to certify that this institution has no objection to the consideration of application
for Khorana Program for Scholars from Mr./Ms ………………………..bonafide
B.Tech./ M.Tech./ M.Sc. student in the ……………(name of the department/institute/
organization) to undertake a research internship for the duration of 10 weeks at a U.S.
university affiliated with the Khorana Program.




Place & date:                                           (Head of Institution/Organization)


21. Supporting Documentation check-list:

Current transcript (Latest Marks sheet)

Two letters of recommendation from a
faculty member, advisor or lab supervisor on their official letterhead

No objection certificate from Parent Institution
(in the format provided in S.No. 15)

Photocopy of photo and information page of passport




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