Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 32 views

    Bio-Sheet A: Humphrey Fellowship Program Application 2013

    Uploaded by

    plutarcogriegos
    This document appears to be an application for the Humphrey Fellowship Program. It requests basic biographical information from applicants such as name, address, education history, employment history, emergency contacts, and a proposed program plan. If selected, applicants would undertake academic coursework, internships or professional training in the United States to assist their home country in achieving development goals. They are asked to describe their commitment to public service and how participating in the Humphrey Program would contribute to their leadership and managerial skills.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd

    Bio-Sheet A: Humphrey Fellowship Program Application 2013

    Uploaded by

    plutarcogriegos
    32 views5 pages
    This document appears to be an application for the Humphrey Fellowship Program. It requests basic biographical information from applicants such as name, address, education history, employment history, emergency contacts, and a proposed program plan. If selected, applicants would undertake academic coursework, internships or professional training in the United States to assist their home country in achieving development goals. They are asked to describe their commitment to public service and how participating in the Humphrey Program would contribute to their leadership and managerial skills.

    Original Title

    Solicitud Humphrey

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document appears to be an application for the Humphrey Fellowship Program. It requests basic biographical information from applicants such as name, address, education history, employment history, emergency contacts, and a proposed program plan. If selected, applicants would undertake academic coursework, internships or professional training in the United States to assist their home country in achieving development goals. They are asked to describe their commitment to public service and how participating in the Humphrey Program would contribute to their leadership and managerial skills.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    32 views5 pages

    Bio-Sheet A: Humphrey Fellowship Program Application 2013

    Uploaded by

    plutarcogriegos
    This document appears to be an application for the Humphrey Fellowship Program. It requests basic biographical information from applicants such as name, address, education history, employment history, emergency contacts, and a proposed program plan. If selected, applicants would undertake academic coursework, internships or professional training in the United States to assist their home country in achieving development goals. They are asked to describe their commitment to public service and how participating in the Humphrey Program would contribute to their leadership and managerial skills.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 5

    HUMPHREY FELLOWSHIP PROGRAM APPLICATION 2013

    Bio-Sheet A
    1. NAME OF APPLICANT (EXACTLY AS ON YOUR PASSPORT/TRAVEL DOCUMENTS) : a. Family name b. First name c. Middle name d. Prefix (Mr./Ms./Mrs./Dr.) 2. PERMANENT ADDRESS OF APPLICANT: a. Street and Apt. no.: b. City, Postal Code, Country: c. Home Telephone number: (include country & city codes) Cell Phone number (include country & city codes) d. Work Telephone number: (include country & city codes) e. Fax: (include country & city codes) f. E-mail address: (if none, write none) 3. POSTAL ADDRESS OF APPLICANT: a. Street #, Apt. #: b. City, Postal Code, Country: 4. SEX: (male/female) [Click here and type the requested information] [Click here and type the requested information] [Click here and type the requested information] [Click here and type the requested information] [Click here and type the requested information] [Click here and type the requested information] [Click here and type the requested information] (if same as above, write same) [Click here and type the requested information] [Click here and type the requested information] [Click here and type the requested information] [Click here and type the requested information] [Click here and type the requested information] [Click here and type the requested information] [Click here and type the requested information]

    (Questions 5-8 should be entered exactly as on your passport/travel documents)


    5. PLACE OF BIRTH:(city or town and country) 6. DATE OF BIRTH: (DAY/MONTH/YEAR): 7. COUNTRY OF PRESENT CITIZENSHIP: 8. COUNTRY OF PRESENT RESIDENCE: (Include year[s]. If none, write none) 10. INDICATE HOW YOU LEARNT ABOUT THIS GRANT: [Click here and type the requested information] 11. EDUCATION: List all post-secondary educational institutions attended, beginning with the most recent, including any in which you are currently enrolled. Copies of diplomas, academic transcripts, certificates, and English translations should be attached. (To add more information, copy table onto an additional sheet.)
    Name of institution, university or professional school, and location Major field(s) of study Dates attended (month and year) From To Actual name of diploma or degree (do not translate) Date received or expected

    [Click here and type the requested information] [Click here and type the requested information] [Click here and type the requested information] [Click here and type the requested information] [Click here and type the requested information]

    9. INDICATE YEAR & COUNTRY OF ANY PREVIOUS FULBRIGHT GRANTS

    12. Name your most significant publications/honors/awards/projects/other accomplishments: [Click here and type the requested information] 13. CURRENT OCCUPATION: (Name and address of employer; job title; dates of employment) a. Name & address of employer b. Job title c. Dates of employment [Click here and type the requested information] [Click here and type the requested information] [Click here and type the requested information]

    HUMPHREY FELLOWSHIP PROGRAM APPLICATION 2013


    14. GIVE A 50-WORD SUMMARY OF YOUR PROPOSED PROGRAM PLAN (more complete plan to be outlined on page 3; be sure this summary captures the essence of your program plan).

    FOR IIE USE ONLY: STATUS OF CANDIDATE: PRINCIPAL _______ ALTERNATE _______ RANKING ________ PLACEMENT_________ FOR FSB USE ONLY: APPROVE ______ DISAPPROVE ______ ABSTAIN ______ FSB NAME (print) ________________________________ SIGNATURE ___________________________________ DATE _________

    Bio-Sheet B
    15. Describe your current job responsibilities:

    16. Previous positions held (begin with most recent): (To add more information, copy table onto an additional sheet.) Name and address of Employer Job Title Dates of Employment From (in years) To

    17. Please indicate your computer proficiency and level of skill in word processing, spreadsheets, electronic mail, etc. Please be specific. [Click here and type the requested information] 18. Please indicate countries outside your own, including the United States, in which you have lived, travelled, or studied. Please list dates (months/years) and reasons for each visit. Please attach an additional sheet if necessary. Country visited Reason for visit (e.g. study, work, tourism, conference) Dates of Visit From (mo./yr.) To (mo./yr.)

    19. Persons to be notified in case of emergency: In your home country: Name, address: Telephone number and relationship: In the United States: Name, address: Telephone number and relationship: [Click here and type the requested information] [Click here and type the requested information] [Click here and type the requested information] [Click here and type the requested information]

    HUMPHREY FELLOWSHIP PROGRAM APPLICATION 2013


    I certify that all information given in this application is complete and accurate to the best of my knowledge. I acknowledge that I have completely read and understood the Information and Application Instructions and I agree to comply with all regulations described there. I agree to abide by the Policies governing the selection of Fulbright/Humphrey grantees, as established by the J. William Fulbright Foreign Scholarship Board (FSB) (complete policies available at http://exchanges.state.gov/education/fulbright/ffsb/policies/2004/) which supercede all other documents relating to my application for a Humphrey Fellowship. I also agree to return to my home country upon the expiration of my program in the United States of America. Signature: ___________________________________________________ Date: _______________________________ (You must sign here in INK)

    Program Plan
    Name of Applicant:[Click here and type the requested information] Country:[Click here and type the requested information]

    20. (1) Please describe your major area of interest and explain how this area addresses the specific development needs of your country. [Click here and type the requested information] (2) Describe the type of Humphrey program you would like to undertake in order to meet these challenges. Indicate the kind of academic course work, internship experiences, and/or professional training experiences you would like to undertake. [Click here and type the requested information] (3) Describe how the acquisition of new knowledge and skills will assist you in helping your country to achieve its development goals. [Click here and type the requested information]

    HUMPHREY FELLOWSHIP PROGRAM APPLICATION 2013

    Personal Statements A
    Write a paragraph answering each of the following three questions. Please use only the space provided. 21. Please describe how you have demonstrated a strong commitment to public service in your professional/personal life. (i.e. professional responsibilities, community or civic involvement, etc)

    22. Please state your professional goals for the next five years and indicate how the training received under the Humphrey Program will contribute to your managerial skills, leadership ability, and commitment to public service.

    HUMPHREY FELLOWSHIP PROGRAM APPLICATION 2013

    Personal Statements B
    23. Describe a situation/problem (personal or professional) that required resourcefulness on your part to solve. What did you do? What was the outcome?

    You might also like