Print Form APPLICATION FOR VISITING LECTURESHIPS 2010 - 2011 THE AMERICAN-SCANDINAVIAN FOUNDATION Please consult the Visiting Lectureship application instructions when completing this form. Please type. In addition to this application form please submit a complete CV for the visiting lecturer in both English and his/her native language; a resume for the host institution's primary contact; a letter of interest from the visiting lecturer and a letter from the appropriate office at the host institution confirming complementary support. If you run out of space you may attach an additional page(s) for continued responses. DEADLINE: FEBRUARY 5, 2010 FOR RECEIPT OF FULLY-DOCUMENTED APPLICATIONS Letter of intent must be submitted by: Submit to: November 6, 2009 The American-Scandinavian Foundation Final proposals must be submitted by: Attn: Fellowships and Grants February 5, 2010 58 Park Avenue Award decisions will be announced by: New York, NY 10016 April 16, 2010 1. Name and address of host institution. Please indicate sponsoring unit(s) (department/program/etc.) 2. Name, title, postal address and e-mail address of contact professor at host institution. Please attach resume. 3. Name and home affiliation of the visiting lecturer. Please attach CV in both English and native language. 4. Semester during which prospective lecturer would be in residence (check one): Fall 2010 Spring 2011 5. Name, title and signature of department head/appropriate authority confirming interest in hosting an ASF Visiting Lecturer in 2010-2011. Name: Signature: ___________________________________________ 6. Please indicate whether the visiting lecturer has any previous affiliation with your institution. 7. Please indicate institutional support, complementing the $20,000 ASF stipend. (Please be as specific as possible.) 8. Please define the visiting lecturer's responsibilities: (a) Teaching obligations (course description, undergraduate vs. graduate level, number of students, etc.) (b) Outreach opportunities (public lectures, conference activity, etc.) NOTE: The ASF Visiting Lectureship includes a $5,000 travel stipend for lectures and appearances outside the home institution. (c) Research possibilities within the institution 9. Please describe the projected impact of the visiting lecturer within the institution and in the outside community. 10. Please provide information on why the visiting lecturer's experience in the specific field of study is of particular value to your program/institution. 11. Please indicate what the visiting lecturer's plans are following a possible tenure at your institution if this has been determined.