US ASEAN Visting Scholarship Program1

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  • 01

    THE REPUBLIC OF THE UNION OF MYANMAR FEDERATION OF CHAMBERS OF COMMERCE AND INDUSTRY

    NO.29, MIN YE KYAW SWAR STREET, LANMADAW TOWNSHIP, YANGON, MYANMAR

    (ESTABLISHED. 1919)

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  • ~H Application

    A complete application set includes: o Original completed application form o Project statement (3-5 pages typed) o Professional resume/curriculum vitae Bibiolography ( up to 3 pages: this is required for research or combined

    teaching/research awards) A copy of your academic transcripts Three letters of recommendation

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  • r5 16 :18851511068 AMEMBAS SV VANGON R'l'llj r r , vv r

    Embassy of the United Slates of America

    September 9/ 2015

    Director General Foreign Economic Relations Department Ministry of National Planning and Economic Development Nay Pyi Taw, Myanmar

    Dear'Director General,

    It is with great pleasure that the Embassy of the United States of America has an opportunity to nominate participantjs) to conduct scholarly research in the United States through the Fulbright U.S.-ASEAN Visiting Scholars Initiative.

    'The Fulbright U.S.-ASEAN Visiting Scholar Program is open for application to all university faculty, ministry officials, and professional staff of NGOs to travel to the United States for three to four months in late 2016 to conduct scholarly and professional research on issues that are useful to ASEAN member nations and central to the U.S.-ASEAN relationship. 'This program seeks to enhance mutual understanding and cooperation through educational and cultural exchange.

    The Department of State makes the final selection of program participants and covers all expenses related to the program in the United States/ including international round-trip airfare, lodging, and meal expenses. Participants In this prugram must have excellent English skills. Attached are the program announcement and application form.

    The Embassy would like to request assistance in distributing the information to other ministries and looks forward to receiving applications for the scholarship program from ministry officials. The Embassy requests that the applicants submit soft copy application forms to [email protected] or hard copy application forms to the Cultural Affairs Unit, Public Affairs Section, American Embassy, 110 University Avenue, Kamayut Township, Yangon, no later than October 15, 2015.

    Further program details can be found on the Embassy's official website: http://burma.usembassy.govIfulbright-asean.html. Additionally, lor Cultural Affairs Assistant Daw Saw Kyi Tha will be pleased to provide further information on the program if requested. My office phone number is 01-536-509, x 4215 and Daw Saw Kyt Tha's office number is 01-536

    509, x 4369. I look forward to receiving applications for the Fulbright U.S.-ASEAN Visiting Scholar Program from ministry officials.

    Sincere!J:._.,

    ->-

    (~/-L-_ .. ,.~._. . . ."'::--..c.:::a -----....Sarah Quinzio Cultural Affairs Officer

  • 2016 FULBRIGHT U.S.-ASEAN VISITING SCHOLAR PROGRAM Program Summary The U.S. Embassy in Yangon is pleased to announce the 2016 U.S.-ASEAN Visiting Scholar Program.

    WHAT: Conduct scholarly, professional research and lecture in the United States for 3-4 months in late 2016; seek opportunities to provide an ASEAN perspective through guest lectures, seminars, or participation in academic or professional conferences.

    WHO: Open to all university faculty, ministry and government officials, and professional staff in the private sector, think tanks, and NGOs.

    FIELDS OF STUDY: Any issue that is relevant and useful to ASEAN member nations and central to the U.S.-ASEAN relationship, including but not limited to: Education, Environmental Sciences, Financial Market Integration, Food Technology, Information Sciences, Journalism, Law, Political Science, Public Administration, Public/Global Health, Statistics, Trade and Investment, Trade Facilitation, Teaching English as a Foreign Language, and many others.

    Eligibility An applicant:

    must be a Myanmar citizen; must hold a Bacheior's Degree or higher; must be proficient in English (minimum TOEFL 550). Note: You do not need a TOEFL score to apply for this program, but you may be asked to take the TOEFL during the application process; should have relevant degrees or professional experience in the proposed field of study; should have little or no previous experience studying or working in the United States; must be able to take leave from home institution or post.

    Application A complete application set includes: 1. Original completed application form 2. Project statement (3-5 pages typed) 3. Professional resume/curriculum vitae 4. Bibliography (up to 3 pages; this is required for research or combined teaching/research awards) 5. A copy of your academic transcripts 6. Three letters of recommendation

    The deadline for applications is October 15, 2015

    For application and instructions, please visit http://burma.usembassy.gov/fulbright-asean.htmlor contact us at Cultural Affairs Unit, Public Affairs Section, American Embassy, 110 University Avenue, Kamayut Township, Yangon, Ph: 01- 536509/505113 Ext: 4369, 4869, email: [email protected]. Follow us on Facebook at http://www.facebook.com/usembassy.rangoon.

  • ULBRIGHT Fulbright Scholar ProgramVisitingScholar ApplicationFormF...... I .Home Country/CountryApplyingfrom: 2.Program: Fulbright Visiting Scholar Program 3.Specialawardname : forFulbrighIVi,il ingScholarProgramforlraqapplicanlsonly: CohortDiscipline: ...,nJ'-"a'- _ 4 .Categoryofgran t: Fulbright U.S.-ASEAN Visiting Schol ar Initiative

    5. Title: 6. Gender: _

    7. FamilyName/Surname: _ First: Middle : _ 8. Countryofcitizenship: _ 9. Countryoflegalresidence: _

    10.Doyouhave orare youapplyingforU.S.permanentresidency(i.e. greencard)? No II . Date otbirth : Place otbirth: -::':'T.::- ----,=,.,,- _ 12. U.S.SociaISecurityNumber: CIl)' _ country

    13.Current position : StartDate: _

    Other: DepartmentName: _

    InstitutionName: D Clickhere ifindependentscholar/unaffiliated(please enteryourresidence address) Address :

    street CIty

    province/state country /xM,talCOJe

    Email :

    Phone: Fax : _ 14.Academic credentials (degrees-listthree highest degrees):

    Name oflnstitutionOne: CityandCountry Discipline Degree DateReceived

    Name oflnstitutionTwo: CityandCountry Discipline Degree DateReceived

    Name oflnstitutionThree: CityandCountry Discipline Degree DateReceived

    15.Mostsignificant professional accomplishments, honors andawards anduptothree significant publications:

    16.PreviousFulbrightgrants: DYes DNo (Ifyes,listmostrecentfirst)

    17.Projecttitle and Project statement (3-5 pages typed) IS.Briefs urnmaryofprojectsta temen t: Notapplicablefor Fulbright Visiting Scholarl'rogramforlraq applicants.

  • Name (Last First, Middle) PROGRAMIPROFESSIONALINFORMATION

    19.Number ofmonths requiredfor project:(No/applicable for FulbrighrVisiting'Scholar Programfor /raqapplicants.) months a.Beginyour project:

    b.Endyourproject: 20.Majoracademic discipline

    21.Spccialization(s) (listsub-fields withinthe academic discipline) :

    22.A. State Department FieldofStudy I3.PrimarySpecialization

    23.Professionaltravelandlorresidence abroad duringthe lastfiveyears.

    Country Purpose ofActivity HowLong

    J CategoryofSponsorship

    24 .Professional Memberships (cultural, educationalandprofessional organizations)

    Organization Your Role HowLong

    25.Refcrences

    Referee One Familyname: First:

    Institution:

    Address:

    Email: city country

    Phone : Fax:

    Referee Two Familyname: First:

    Institution:

    Address:

    Email: CIty country

    Phone : Fax :

    Referee ThreeFamilyname: First:

    Institution:

    Address :

    Email : clfy country

    Phone : Fax:

    26.Self-assessment ofEnglishproficiency:

    Reading: Writing: Speaking:

    Is Englishyour native language?

  • Name(Lasl Firsl .Middle) 27 .Preferredhosti nst itution(s): I fyoumadearrangementsfor affi liationwithaU.S. hostinstitution,providethefoll owinginformationandattachyourletter of youhavenotmadearrangementsforaffiliation,identi/)'threepreferences.Besuretogivedetailedreasonsforeachchoice,andconfirm universities offer programsinyourfieldofinterest.

    I. Professor:

    Department:

    Phone: Fax:------------Email: IAstitHtisA}lame :

    --'==-D __ DAddress: -==----

    Willyoubeattachinga letterofinvitationinthedocumentuploadsection?Yes No If you havenotobtaineda letterofinvitation,pl easeprovidereasonsforsuggestedaffi Iiati on:

    o o

    Initialcontact made: Letter of invitationexpected:

    2. Professor:Department: Phone.Fax.Email: InstitutionName:

    Address:

    Willyoubeattachinga letterofinvitationinthedocumentuploadsection?Yes D No D If you havenotobtaineda letterofinvi tati on,pleaseprovidereasonsforsuggestedaffil iati on :

    Initialcontact made: 0 Letter of invitalionexpected: 0 3. Professor:Department:Phone:Fax:Email:

    InstitutionName:

    Address:

    Willyoubeattachinga letterofinvitationinthedocumentuploadsection?Yes No If you haveeetebteinede IetteroHIl,..itati Oil ,pIeasepro'iidereasollsforstlggestedaffil iati Oil :

    D D

    invitation.lf that these

    _

    _

    _

    _

    _

    _

    Initialcontact made: Letter of invitationexpected:

    o n

  • _Name (Last First, Middle)

    street

    28.Home MailingAddress Address :

    city --:=,-- _

    Email: province/state country

    Phone: Fax: postalcode

    _

    29.EmergencyContactlnformation Familyname: First : _________________Address:

    -'Middle:

    slreel eity

    Email: province/state country

    Phone: _ Fax: postalcode

    _

    30.MaritaIStatus:

    3l.Names ofdependents:(Not applicable for Fulbright Visiting ScholarProgramforIraq applicants.) DependentOne: Relationshiptoyou

    CountryofCitizenship: _ Lengthofstayinthe US:Gender:Fami1yname: First: Middle :Date ofBirth:

    CountryotResidence : .1O.Place ofbirth :

    _

    country

    tormrrycuyCountryotResidence:

    CIty countrY DependentTwo: Relationshiptoyou Lengthofstayinthe US:Gender:Fami1yname: First : MIddle : Date oflsirth: .IO.Place ofbirth:

    CountryofCitizenship: CountryotResidence: CIty

    DependentThree: Relationshiptoyou Lengthofstayinthe US :Gender:Familyname: First: Middle: Date ofBirth: .L.' IO.Place ofbirth: CountryofCitizenship: _ _

    _

    DependentFour: Relationshiptoyou _________________Familyname.

    Lengthofstayinthe US:____ Gender: First: Middle: _

    Date oflsirth, CountryofCitizenship:

    IO.Place ofbirth: cuyCountryotResidence:

    country _

    DependentFi ve: Relationshiptoyou ---Familyname:

    -----

    Lengthofstayinthe US:_____ Gender : First : Middle:

    Date ofBirth :... CountryofCitizenship:

    IO.Place ofbirth: _

    cuyCountryotResidence:

    CtJuniry _

    DependentSix: Relationshiptoyou _____Familyname: Date ofBirth: . CountryofCitizenship:

    First: IO.Place ofbirth:

    _

    dl)' CountryotResidence:

    Lengthofstayinthe US:.,..Middle:

    Gender:

    cuunlijl

    _

    _

    _

  • 32.Doyouexpecttoreceive sabbatical pay, paid leave ofabsenceor DYes o No othersources of financialsupportduringyour Fulbrightgrant?

    IfyouansweredYes, please specify source(s)andarnountinU.S.dollars. Please Sources Amount entertotalamounts fortheexpected grant period,ratherthanmonthlyamounts.

    33.HowdidyouleamabouttheFulbrightVisitingScholarPrograrn?

    o FriendorRelative o FulbrightAlumnus o PosterlFlyer o University(specify) o Newspaper(specify) o OtherPublication(specify) FulbrightWebsite (specify) OtherWebsite (specify) o Other(describe) o 34.Ho~mgdidyouconsiderapplyingfora FulbrightVisitingScholarawardbefore submittingthis application? _

    35.Beyondthe reputationoftheFulbrightprogramitself,whatwere the majorfactors inhelpingyoudecide toapplyfora FulbrightVisitingScholaraward?

    Publicityaboutthe program

    Advice ofa colleague

    Advice ofaformerFulbrighter

    Timewas rightinmycareer

    Other(please describe)

    36.Physicalimpairment(please describe.ifany):

    By rnysignature below,Icertifythattothebest ofmy knowledge,the informationprovidedinallparts ofmy applicationis . accurateandcomplete.I understandthatfinalapproval ofmyapplicationisdependeiltuponmyeligibilityfora J Visa inthe United States.Iagree toreturntomyhome countryuponthe expirationofmy authorizedstayinthe UnitedStates.

    Signature: Date: