Doctoral Research Application Form 2014

7/27/2019 Doctoral Research Application Form 2014

http://slidepdf.com/reader/full/doctoral-research-application-form-2014 1/7

UNITED STATES-INDIA EDUCATIONAL FOUNDATION

Fulbright House, 12 Hailey Road, New Delhi 110 001

Preliminary Application Form

for

2014-2015 Fulbright-Nehru Doctoral Research Fellowships

Application Instructions

Please read these instructions carefully:

All applications must be computer generated. Handwritten or typed applications will not be

accepted. Please do not exceed the word limit or attach additional pages to answer

questions, unless otherwise specified.

1. Submit your completed application to [email protected] along with the following asattachments:

• Your curriculum vitae or resume that provides a complete picture of your educational

background, work experience, and all major accomplishments (publications, awards,memberships in associations etc.). It should not exceed three pages. Do not include anyphotographs;

• A writing sample, which could be a copy of an article or a paper published/presented,

or extracts from your M.Phil thesis, not exceeding ten pages;

• A scanned copy of your Ph.D. registration certificate; and

• Invitations from U.S. institutions: USIEF strongly recommends all applicants to

identify institutions with which they wish to be affiliated and to correspond, in advance,with potential host institutions. You will be affiliated to one U.S. host institution for your grant. If you have secured a letter of invitation from a U.S. institution, please

include it as a part of your application.

Your application along with your CV and other attachments should not exceed 4 MB.Please indicate your full name and grant category in the subject line of your e-mail. For instance, if your name is Amit Sharma, you should write “Amit Sharma Fulbright-Nehru DR Application,” in the subject line.

Warning: Plagiarism in the application will lead to disqualification. In addition to submitting your application and above mentioned documents as e-mailattachments, you are required to:

2. Print a copy of your application with the attachments and sign it. If you are not employed,

please forward the signed copy with the attachments and the following enclosures to theUSIEF office in your region. If you are employed, you should forward the signed copy of your application through proper channel with the attachments and the following enclosuresto reach USIEF office by the application deadline.

• Self-attested photocopies of mark sheets and diploma/degree certificates from

bachelor’s degree onwards.

• Self-attested photocopies of proof of your work/professional experience, if applicable.

3. You are advised to request three referees to send their recommendations on theprescribed Confidential Letter of Reference Forms to the Executive Director, USIEF,Fulbright House, 12 Hailey Road, New Delhi 110 001 no later than the application

mailto:[email protected]





deadline. One of your referees must be your Ph.D. supervisor. These forms can bedownloaded from the USIEF website www.usief.org.in .

Application Deadline: July 1, 2013

ii

http://www.usief.org.in/

http://www.usief.org.in/



UNITED STATES-INDIA EDUCATIONAL FOUNDATION12 Hailey Road, New Delhi 110 001

Preliminary Application Form

for

2014-2015 Fulbright-Nehru Doctoral Research Fellowships

[Application must be computer generated]

1. Name: [Surname/Family Name] [First Name] [Middle Name]

2. Gender: Male Female

3. Marital Status: Single Married

4. Date of Birth [dd/mm/yy]: Age: 5. Place of Birth:

6

.Country of Citizenship:

7. Designation, Name of the Organization and Address: 8. Phone [Office]: Mobile: E-mail:

9. (a) Academic Qualifications [begin with the latest-list three highest degrees]:

Degree Major Field of Specialization Institution Dates attended[mm/yyyy]

Percentage

From To

(b) Title of the Ph.D. Thesis [please enclose your Ph.D. registration certificate]:

iii



(c) Ph.D. Registration Date (mm/yy):

(d) Expected Ph.D. thesis Submission Date (mm/yy) [Your expected Ph.D. thesis submission date should not be

earlier than three months after your Fulbright-Nehru grant end date. For example, if May 2015 is your grant end

date, you cannot submit your thesis before August 2015]:

10. Work Experience [begin with the latest]:

Designation/Title Organization Dates [From – To](mm/yy)

11. Field in which you are applying for the fellowship (choose one; for others, please specify):

Agricultural Science

Economics

Education

Energy, Sustainable Development and Climate Change

Environment

International Relations

Management and Leadership Development

Media and Communications with focus on Public Service Broadcasting

Public Administration

Public Health

Science and Technology

Study of India with focus on contemporary issues

Study of United States

Others (Specify) 12. Area of Specialization:

13. Abstract or Summary of your proposal (up to 5 lines of text):

14. Statement of Purpose [Write a clear and detailed description of your study objectives, and

give your reasons for wanting to pursue them in the U.S. Be specific about your major fieldand your specialized interests within this field. Describe the kind of program you expect toundertake, and explain how your study plan fits-in with your previous training and future

objectives. Your statement of purpose is an essential part of your application. Please useonly the space provided. Your response should not exceed 50 lines of text. However, if your Statement of Purpose includes charts, graphs or illustrations, please submit it as anattachment]:

15. Explain the relevance of your project in relation to India and/or the U.S. Indicate the expected

impact of your participation on your home institution and your field of study. Your responseshould not exceed 20 lines of text.

iv



16. University Preferences: You will be affiliated to one U.S. host institution for your grant.Mention three U.S. institutions which you would prefer to be affiliated with or may havecorresponded with, stating specific reasons for your preference. Please list departments andprofessors. Please attach correspondence such as letters of invitation, if any,indicating the duration of your visit, preferably with dates, as part of the enclosures :

Name of U.S.

Institution

Department Specialization/Concentration Specific Reasons Contacts/E-mails of

Professors

17. Personal Statement: [This should be a narrative statement showing your strengths as acandidate for this fellowship. It should include information about your education, practicalexperience, special interests, career plans and any significant factors/accomplishments thathave influenced your educational or professional development which distinguishes you fromothers and which you would like to bring to the attention of the Selection Committee. Pleaseuse only the space provided. Your response should not exceed 50 lines of text]:

18. The purpose of the Fulbright-Nehru Program is the promotion of mutual understanding amongpeople of the U.S. and India. This involves more than academic/professional work. During your Fulbright-Nehru grant, do you anticipate becoming involved in any way with your host societybeyond the scope of your immediate academic objectives? If yes, explain how. If no, why not?Please use only the space provided. Your response should not exceed 15 lines of text]:

19. Recommendations: List below names of three referees with their designation and contact

details. Please request the referees to complete a frank evaluation about you as an individual,and a scholar on the prescribed Confidential Letter of Reference Form and commentspecifically on your study plan. The referee may be a supervisor at work, a

professor/academic advisor/dean, or a community leader who is familiar with your academicand/or professional work. One of your referees must be your Ph.D. supervisor. Please requestyour referees to send their letters of reference directly to the Executive Director, USIEF, 12Hailey Road, New Delhi 110 001, so as to reach by the application deadline.

i ii iii

20. Current Mailing Address:

Phone [Home]: Mobile

E-mail

21. Permanent Home Address (specify if different from current home address):

22. Indicate preferred mailing address [please tick any one]: Office

Home

v



23. Have you taken TOEFL? Yes /no : If yes: Test Date: Score:

24. Do you have a valid Passport? Yes No

If yes, please mention: Passport No. Date of Expiry (dd/mm/yy):

25. Have you traveled abroad? If yes, mention places, dates and sponsorship.

26. Name, address and relationship of person to be contacted in India in case of emergency.

Phone [Home]: Mobile

E-mail

27. Employer's Comments: [Must be filled-in by the Administrative Head of the institutionand not the immediate supervisor or head of the department]. Your opinion about theusefulness of the program to the institution as well as to the applicant on his/her return fromthe U.S. is invited. Please indicate whether the applicant will receive leave for the period of his/her grant, if selected.

Employer's Signature :

Official Seal: Name :

Date (dd/mm/yy): Designation :

28. How did you learn about the Fulbright Program? (Please indicate all that apply)

Friend or relative University (specify) Website

Previous Fulbrighter Newspaper (specify) Internet Link

Poster/Flyer Other Publication (specify) Other (specify)

Fulbright Presentation (specify)

29. Please read carefully and sign:

I confirm that I have reviewed the General Prerequisites for all Fulbright applicants and anyspecific guidelines pertaining to the Fulbright-Nehru Doctoral Research Fellowships.

I understand that any incomplete application, or application falsified by omission or

misinformation will automatically be disqualified.

I agree to inform USIEF about any overseas travel plans during the application cycle (July2013 to June 2014).

I understand that initial selection in India does not guarantee me final placement and anaward.

vi



I understand that if selected for the 2014 Fulbright-Nehru Doctoral Research (F-N DR)Fellowship Program, I will submit my thesis only after completion of my fellowship program inthe U.S. I understand that the earliest completion date for the 2014 F-N DR program will bearound May 2015.

I also understand and agree that if I am awarded a Fulbright-Nehru Doctoral ResearchFellowship in the United States, I will abide by the policy guidelines established by the J.

William Fulbright Foreign Scholarship Board in connection with the grant.

____________________________________ Date (dd/mm/yy) Name and Signature of the

Applicant

vii

Documents

Doctoral Research Application Form 2014