Docstoc

APPLICATION FOR A JOSEPHINE DE KARMAN FELLOWSHIP (DOC)

Document Sample
APPLICATION FOR A JOSEPHINE DE KARMAN FELLOWSHIP (DOC) Powered By Docstoc
					APPLICATION FOR A TURKISH CULTURAL FOUNDATION FELLOWSHIP
For the Academic Year 2010-2011

Attach a recent photo of yourself 1. 2. 3. Please read the fellowship guidelines and qualifications. Be sure to complete all pages of the application form. Submission of this form does not constitute in any way any promise of fellowship aid. To be considered for a fellowship your completed application; ALL OTHER DOCUMENTS as indicated in the requirement list must be received.

PERSONAL DETAILS Dr Last Name First Name Middle Mr Mrs Miss Ms

Gender

Date of Birth (month/day/year)

Country and Place of Birth

Citizenship

Permanent Address

Mailing Address (if different from above)

Telephone (Work) …………………........ Telephone (Home) …………………..... Fax (Work)………………………………… Fax (Home)……………………………… Marital Status Name of Spouse

Telephone (Cell) …………………..... Email……………………………………

PROPOSED STUDY Field of Study

Project Title

Place of Study

Expected length of study program

Commencement date (expected date)

1

Career Goals (250-300 words). Applicant should emphasize their long term objectives; and also emphasize their current and proposed research.

EDUCATION BACKGROUND INSTITUTION FIELD DATE GRADE AVERAGE

Names and dates of honors, awards, scholarships and fellowships.

LANGUAGE ABILITY MOTHER TONGUE LANGUAGE UNDERSTAND SPEAK READ WRITE

2

Test(s) of language proficiency. Name of Test Date Place Results Attach official copy(ies) of the certificate(s) or results

Language experience Dates From / To Country and Institution (if any) Activity undertaken Language

REFERENCES (Names and addresses of THREE persons whom you have asked for letters of recommendation.) NAME Referee 1 POSITION INSTITUTION

Referee 2

Referee 3

I certify that the information given in this application is complete and accurate to the best of my knowledge. In the event I am selected to receive a Turkish Cultural Foundation Fellowship, I agree to submit a brief report on my achievements, as well as a copy and a summary of my research or publication as a result of my having held a fellowship.

SIGNATURE

DATE

3

Return completed forms via both mail and email to: Turkish Cultural Foundation Istanbul Office Cumhuriyet Cad. Cumhuriyet Apt. 17/1 Taksim 34437 Istanbul Turkey Istanbul@turkishcullture.org By March 1, 2010.

4


				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:5
posted:1/21/2010
language:English
pages:4
Lingjuan Ma Lingjuan Ma
About