AFESD Fellowship forms

Institution and city

Year attended

Discipline/Field

Degree/Date

ARAB FUND FOR ECONOMIC AND SOCIAL DEVELOPMENT

FELLOWSHIPS PROGRAM

Distinguished Scholar Award

^{Application
Forms}

A complete application includes (a) application form; (b) detailed statement of proposed activity; (c) three references; (d) curriculum vitae; and (e) letter of invitation from a distinguished university. All items must be translated into English. Consult instructions on page D before completing this form. Please type or print legibly.

1. Name

Family Name First Middle Title (Dr./Mr./Mrs./Prof.)

2. Position

Department

Institution

Address

City

Country

Department telephone

Department fax

E-mail address

3. Home address

City

Country

Home telephone

E-mail address

4. Citizenship

5. Place of birth

6. Date of birth

Month/Day/Year

7. Female

Male

8. Single

Married

9. Number of accompanying dependents

10. Highest degree earned

11. Major discipline or field

12. Number and dates of previous grants

13. Specify appropriate language for teaching or research in host institution

English

German

French

Other ......................

14. Proficiency of appropriate language

needed to work in host institution:

Reading:

Excellent

Good

Fair

Writing:

Excellent

Good

Fair

Speaking:

Excellent

Good

Fair

15. Proposed project activity (circle one):

Research

Lecturing

16. Project title

The Arab Fund Fellowships Program

The Arab Fund for Economic and Social Development

P. O. Box: 21923 SAFAT 13080. Kuwait

The State of Kuwait

Tel: 4959300, Fax: 4815750/60/70, e-mail: zamalat@arabfund.org

17. State name of host institution and attach letter of invitation.

Host institution, City and Country		Department and professor with whom you will work

18.Colleges, universities, professional schools attended, most recent first (use additional pages if necessary)

19.Academic or professional positions, most recent first:

Institution/Employer	Position	Dates of Employment

20. List cultural, educational, and professional societies of which you are a member.

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

22. List five principal publications with title, publication date, and publisher�s name. (A complete listing of all publications should be included in your curriculum vitae which must be translated into English.) Use the standard format for bibliographic citation.

23. Recommendations: List the names of three persons from whom you have requested a letter of reference. These colleagues should know your work, and at least two should be from outside your university.

Name Title Address

24.Will you be granted leave of absence

or sabbatical?

yes

If yes, provide dates:

25. Date you expect to:

a) Depart from home country	Month	Day	Year
b) Begin your grant	Month	Day	Year
c) Leave the host country	Month	Day	Year
Number of months required for your project:

26. List members of your family who will accompany or join you in the host country.

Name and relationship		Date and place of birth

27. Emergency information: Please provide the name, address, and telephone number of an individual to be notified in case of an emergency?

Name Address Telephone/E-mail

By my signature, I certify that, to the best of my knowledge, the information provided in my application is accurate and complete. I understand that final approval of my application is dependent upon my eligibility for a visa to the host country. I agree to abide by the terms of the award and to undertake the program essentially as outlined in the proposal. I, also, agree to return to my home country upon the expiration of my authorized stay in the host country or the end of duration of my grant.


Signature		Date

Please note that Candidates who are successful in the first screening will be asked to deliver letters of release from their respective universities. Applicants who are awarded the fellowship are responsible for obtaining all clearance that may be required to undertake the proposed lecturing or research, including any necessary clearance or permission of the governments of home or host countries and institutions.

For more details on the application procedure, please refer to the attached documents, or visit our website www.arabfund.org.

Statement of Proposed Activity

Project Title

Applicants should organize their proposals to address the following points either for research or for lecturing.

Research

� Background: When possible, place the project in academic or professional context by referring to the major work by others on the topic. In some cases this can be aided by use of a select bibliography.

� Objectives: Define clearly the aims of the project.

� Methodology: Describe the project and explain the approach and methods you will follow.

� Significance: Explain the significance of the project for the field, your own professional development, and home country.

� Evaluation and dissemination: Describe plans for assessment and dissemination of results both in your home country and elsewhere.

� Other:

- Indicate why residence in the host country is necessary for accomplishment of the project.

- Explain how your project can be completed within the time period requested.

- Describe your competence in the language appropriate to the proposed research project.

Because applications are usually reviewed by multidisciplinary panels, describe your project to the extent possible in terms accessible to scholars not in your field.

Lecturing

� Describe the range of courses you teach at home and how they will be relevant to your proposed teaching in the host country.

� Explain what you propose to teach in the host country.

� Describe your competence in the language appropriate to the proposed lecturing in the host institution.

Project Summary

(Must be completed. Do not exceed one paragraph, approximately 50 words.)

Detailed Project Statement

Do not exceed five pages (3,500 words). Please type and use plain white paper for continuation pages. Number each subsequent page, beginning with page 6.

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