Self-Defined Research or Skills Enhancement Fellowship Form

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Contact Information

First Name

Last Name

Email Address

Phone Number

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

File Uploads

We only allow 1 file per upload. Files must be less than 10MB and should be one of the following formats: .pdf, .doc, .xls, .ppt, .jpg, .png.

Resume

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Your current resume.

Project Outline

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Explain your proposed fellowship and the motivations behind it. The outline (up to four pages) should include: (1) purpose and timing; (2) details of the project or special courses/studies to be undertaken; (3) output including future use of the material, benefits to the applicant, media and community; and (4) budget, including a breakdown of your expenses such as travel, course fees, etc.

Letter From Employer

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A letter from your employer supporting the application and confirming your availability to participate.

Reference Letters (2X)

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Two reference letters.

I declare that all the information provided in this application is true and correct.

Comment

Self-Defined Research or Skills Enhancement Fellowship Form

Contact Information

File Uploads

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