Fulbright Master'S and PHD Program Grants: Application For Study in The United States
Fulbright Master'S and PHD Program Grants: Application For Study in The United States
Fulbright Master'S and PHD Program Grants: Application For Study in The United States
PROGRAM GRANTS
APPLICATION FOR STUDY IN THE UNITED STATES
***READ ALL INSTRUCTIONS AND INFORMATION CAREFULLY BEFORE COMPLETING APPLICATION***
ELIGIBILITY
Pakistani citizens with strong academic histories, residing and working in Pakistan and committed to
returning and serving Pakistan are welcome to apply. All disciplines are eligible except clinical medicine.
Applicants are especially encouraged in these priority fields: Energy (all aspects including energy
sciences, energy technology, policy, mining of indigenous gas, petroleum and coal resources, hydroelectric power, alternate energy resources, energy conservation, etc.), Water (all aspects including
hydrology, agricultural hydrology, surface hydrology, hydrogeology, drainage basin management, water
quality, water resource management, effects of climate change on hydrology, etc.), Agriculture, Education,
and Health.
To be eligible, you must:
Be a Pakistani citizen (dual citizens are eligible EXCEPT for dual U.S. - Pakistan citizens or those
having a spouse, parent, fianc or child over 18 years of age who is a U.S. citizen or permanent
resident)
Be Resident and working or studying in Pakistan (and without any pending application for
immigration to any country)
Have completed a 4-year Bachelors degree or a two-year Bachelors and two-year Masters
degree (16 years of formal education) for the Masters Degree Program or a Masters, M.Phil, or
comparable degree (18 years of formal education) from an accredited university for the PhD
Degree Program.
Have not already availed a Fulbright award for any degree program.
Employees of the Fulbright organization, the U.S. Department of State, or USAID and their spouses,
fiancs, siblings, and dependent children are ineligible.
ADDITIONAL REQUIREMENTS
The Graduate Record Examination (GRE) is required for all applicants. According to the old scoring
system, a minimum score of 300 is required on each section of the GRE examination, with a higher score
on the section most applicable to your field of study. Under the new scoring system, minimum scores of
138 in the verbal and 136 in the quantitative sections are required. TOEFL will be required for all shortlisted applicants.
Please note that HEC attested documents are not required with the application. Degree and
transcripts need only be attested by the issuing authority.
INSTRUCTIONS
Please fill out the application form according to the following instructions. YOU SHOULD NOT MAIL THIS
FORM DIRECTLY TO ANY UNIVERSITY IN THE UNITED STATES.
1.
All forms in this application are to be completed in English and typewritten in black ink or printed
from a computer.
2.
Each page of the following application carries its own instructions that should be read carefully
before proceeding.
3.
Questions must be answered completely and carefully. Please make every effort to limit your
responses to the space provided.
4.
5.
6.
Do not mention the names of any U.S. universities you wish to attend in this application. The
University Preference Sheet is included for that purpose.
7.
If you do not hold a valid Pakistani passport, apply for one immediately.
8.
9.
All successful candidates are required to sign a contract with USEFP that binds them to return to
Pakistan immediately after their program in the U.S. and serve the country for the number of
years equivalent to the length of their scholarship program minimum of two years. This contract is
redeemable on a year-for-year basis (minimum of two years) after returning to work in Pakistan,
so that as long as a person fulfills the service requirement, he or she will pay nothing. Otherwise,
a grantee will be legally liable for the cost of his or her scholarship program in the U.S. on a yearfor-year basis. Additionally, successful candidates awarded Fulbright PhD grants are required to
post a bond with the HEC. The bond is redeemable on a year-for-year basis. No grantee will be
required to pay anything as long as they fulfill their contractual/ bond obligation.
10.
USEFP endeavors to place students in the university and program that best matches a students
interests and achievements and offers cost sharing.
11.
SUPPLEMENTAL FORMS
a. Letter of Reference/Recommendation:
You must have three letters of reference (or
on
your
GMAT
(Graduate
Management
Admissions Test):
GMAT is an
admissions requirement for applicants
proposing to study Business or
Management, as well as any fields
which may fall within the scope of
offerings of a Business school or
department. If you are selected for the
Fulbright Scholarship in this field, you
may be asked to take the GMAT at a
later date. It is not requirement for this
Fulbright application.
IMPORTANT
Note carefully, you MUST indicate that you
want your score reports sent to the United
States Educational Foundation in Pakistan
(USEFP). You must indicate the USEFP code
9388 on the registration forms and/or the forms
provided at the time you take the exam.
GRE and GMAT scores are valid for five
years.
TOEFL scores are valid for two years.
First
Last
PERMANENT
ADDRESS:
Middle
Previous Nam
DATE OF
BIRTH:
MALE
FEMALE
Since
Since
ACADEMIC DEGREES
Degree
Major
Date Received
Institution
Coun
DEGREE OBJECTIVE:
Researcher
Bachelors
Master's
Doctorate
Non-degree
Visiting Student
PROPOSED FIELD OF STUDY AND DESCRIPTION OF YOUR STUDY OBJECTIVES (Do Not Attach Additional Sheet)
Family
First
Middle
6. GENDER:
Female
8. COUNTRY OF CITIZENSHIP
U.S. CITIZENSHIP?
DUAL CITIZENSHIP?
U.S. PERMANENT RESIDENCY?
Yes
Yes
Yes
No
No
No
9. COUNTRY OF RESIDENCE:
STUDY PLANS
11. DEGREE OBJECTIVE:
Researcher
Bachelors
Masters
Doctorate
Non-Degree
Visiting Student
12. WHAT IS YOUR PROPOSED MAJOR FIELD OF STUDY? BRIEFLY DESCRIBE THE SPECIFIC AREA OF YOUR FIELD IN
WHICH YOU PLAN TO
SPECIALIZE?
13. FUTURE PLANS: (Describe the career you plan to pursue after completion of study or research in the U.S. (e.g., teaching,
government, business, industry or any plans you might have for continued study or research in your home country). Also
indicate if you will be returning to former employment, or if you have been promised a position in your home country after
completing your U.S. training).
EDUCATION
14. LIST EDUCATIONAL INSTITUTIONS ATTENDED IN REVERSE CHRONOLOGICAL ORDER, INCLUDING
ANY IN WHICH YOU MAY BE PRESENTLY ENROLLED:
INSTITUTION AND LOCATION
(List in reverse order and
write name in full)
MAJOR FIELD OF
STUDY
DATES
(Month and Year)
From
To
ACTUAL NAME OF
DEGREE OR DIPLOMA
(Do not translate)
DATE RECEIVED
EXPECTED
15. LIST SCHOLARSHIPS OR FELLOWSHIPS HELD AT PRESENT OR IN THE PAST (Give source or sponsor, amount, where
held, and duration.)
16. INDICATE ANY ACADEMIC HONORS OR PRIZES WHICH YOU HAVE RECEIVED, WITH TITLES AND DATES
17. LIST ANY BOOKS, ARTICLES OR THESES PUBLISHED BY YOU, ESPECIALLY IN YOUR PROPOSED FIELD OF STUDY
(Give title, place and date of publication)
Application Page 1
18. LIST PROFESSIONAL SOCIETIES, FRATERNITIES OR OTHER ORGANIZATIONS IN WHICH YOU NOW HOLD
MEMBERSHIP OR IN WHICH YOU HAVE BEEN ACTIVE IN THE PAST (Indicate if you have held an elective office.)
Application Page 2
19. TEACHING EXPERIENCE: (Including any teaching positions you have held or currently hold.)
20. RESEARCH: (Including any research you have completed or in which you are currently involved.)
21. IDENTIFY YOUR CURRENT POSITION OR OCCUPATION. (Write the Position title which best describes the activity in which
you are currently involved.)
22. OCCUPATIONAL EXPERIENCE: (List positions held, beginning with the most recent employment, if any.)
NAME AND ADDRESS OF EMPLOYER
TITLE/TYPE OF WORK
23. KNOWLEDGE OF LANGUAGES: (Rate yourself Excellent, Good or Fair. Include all languages in which you have some
competence.)
Mother Tongue
LANGUAGE
READING
WRITING
SPEAKING
English
EXAMINATION RESULTS
25. EXAMINATION DATES AND TEST SCORES: (Date if taken or future date for taking exams (Month/Year))
Date
Score
Percentile
TOEFL
TSE
TWE
GMAT
Other
Other Test
Name
Date
GRE
General
Exam
Date
GRE
Subject
Exam
Verbal
Score
Quantitative
Score
Analytical
Score
Page 3
Application
Score
Subject Name
26IF YOU HAVE TRAVELLED, LIVED, OR STUDIED IN ANY COUNTRY OTHER THAN YOUR OWN FOR MORE THAN A
MONTH, INDICATE PLACES, DATES AND REASONS, (Education, research, business, vacation, etc.)
27 EMERGENCY CONTACT: NAME, ADDRESS AND TELEPHONE NUMBER OF INDIVIDUALS TO BE NOTIFIED IN CASE OF AN EMERGENCY
IN YOUR HOME COUNTRY
NAME:
COUNTRY:
28.
Write a clear and detailed description of your study objectives and give your reasons for wanting to pursue them. Be specific about your major fie
and your specialized interests within this field. Describe the kind of program you expect to undertake, and explain how your study plan fits in with yo
previous training and your future objectives. This statement is an essential part of your application.. Do not mention specific U.S. universities
which you would like to study. NOTE: Please limit your response to the size of this text box.
Application Page 4
NAME:
COUNTRY:
29.
PERSONAL STATEMENT
This personal statement should be a narrative statement describing how you have achieved your current goals. It should not be a mere listing of fac
should include information about your education, practical experience, special interests, and career plans. Describe any significant factors that
influenced your educational or professional development. Comment on the number of years of practical experience already completed in the fie
which academic work will be done in the U.S. Do not mention specific U.S. universities at which you would like to study.
NOTE: Please limit your response to the size of this text box of fifty lines of text.
Application Page 5
NAME:
COUNTRY:
30.
ADDITIONAL INFORMATION
Please refer to the instructions from your Fulbright Program Office. It is possible that the Fulbright Program Office in your home country will have spe
information that it would like you to include on this page. If the Program Office does not have specific requirements, then in this section you may wa
attach a professional resume (usually required for professional degrees such as law and MBAs) or a complete curriculum vitae (sometimes requ
for students pursuing theoretical academic fields).
NOTE: Please limit your response to the size of this text box of fifty lines of text.
Application Page 6
NAME:
COUNTRY:
PERSONAL INFORMATION
31. CURRENT MAILING
ADDRESS
STREET:
CITY:
STATE/PROVINCE:
POSTALCODE:
TELEPHONE :#
COUNTRY:
WORK PHONE:
FAX:
35. PLEASE DESCRIBE ANY PHYSICAL IMPAIRMENT YOU MAY HAVE. (This information is gathered for statistical purposes and to ensure appropr
placement. The Fulbright Program does not discriminate on the basis of race, color, religion, sex, national origin, and/or physical impairment.)
36. OTHER SCHOLARSHIPS: Indicate if you are planning to apply for a fellowship, scholarship, assistantship or other educational grant or loan from
another organization, government or educational institution. (This information will not prejudice your application.)
37. REFERENCES: List the names of persons from whom you have requested letters of reference.
NAME
POSITION
ADDRESS
I.
II.
III.
40. HOW DID YOU LEARN OF THIS FULBRIGHT COMPETITION? (Please indicate all that apply.)
Friend or relative
University (Specify)
Fulbright Website
Previous Fulbrighter
Newspaper (Specify)
Internet Link
Poster/Flyer
Other (Specify)
NAME OF APPLICANT:
COUNTRY:
41.
FUNDS AVAILABLE FOR YOUR FIRST YEAR OF STUDY IN THE UNITED STATES (U.S. Dollars)
(a)
Family Funds
Spouses
occupation:
Mothers occupation:
1.
Fathers
2.
What is the total amount your family can provide for your FIRST YEAR of study in the U.S.?
b)
(c)
Other Funds
Have you been awarded or do you expect to receive financial assistance from a university or institution in
your home country in the U.S. or from any other sources?
Yes
No
$
42.
Estimated Amount
$
$
Subtotal of C
FUNDS AVAILABLE AFTER YOUR FIRST YEAR OF STUDY IN THE UNITED STATES
(a) If you remain for more than a year would the same amount of money as indicated in GRAND TOTAL above
(b)
If No
specify
the amount
that
will be
to you
the SECOND
beplease
available
for your
SECOND
YEAR
of available
study in the
U.S.?
YEAR:
1.
2.
3.
Family Funds:
Your Own Funds:
Other Funds:
$
$
$
Application Page 7
TOTAL of 1, 2 and 3
43.
TRAVEL FUNDS (Do not include funds specified in Sections 41 and 42 above)
(a) Can you pay for your round-trip travel to the U.S. if necessary?
(b)
Specify the amount you have available for round-trip travel:
DEPENDENTS
44.
The Foreign Fulbright Student Program does not provide for dependents. THE FULBRIGHT PROGRAM CANNOT BE RESPONSIBLE IN ANY
Yes
$
No
WAY FOR DEPENDENTS ACCOMPANYING YOU TO THE U.S. Should dependents accompany you, you will be responsible for providing tra
adequate insurance, and support for them.
(a)
List the relationships and ages of any persons who will require financial assistance from you during your stay in the U.S.:
(b)
Yes
No
If Yes, state how you intend to provide for them during your year of study in the U.S.:
Application Page 8
NAME:
COUNTRY:
UNIVERSITY
DEPARTMENT
UNIVERSITY
PREFERENCES
DEGREE
SPECIALIZATION/
SPECIFIC REASONS
CONCENTRATION
AND CONTACTS
It is not a requirement nor is it expected for you to identify U.S. institutions at which you would like to study. However, if you do have preferences, please
1.
list
in priority order three schools
of your choice. Indicate specific
departments and/or programs.
Give specific reasons for each
choice. If you have been
in contact with professors, please provide names, email, and/or phone contacts for each one.
2.
3.
47. It is not expected that you will apply for admission by direct application or correspondence with a university in the United States.
If, however, you have already submitted an application form directly to any universities in the U.S., list the names of these institutions below and indicate
the response you have received, if any. Please attach letters of admission, letters of invitation, and deferral requests to your application.
University/Department
Date of Application
Response to Application
Application Page 9
DEMOGRAPHICS
3. DATE OF BIRTH
3. MARITAL STATUS
4. COUNTRY OF
CITIZENSHIP
NAME
Mr.
Ms.
MONTH
DAY
YEAR
(FAMILY NAME)
(FIRST)
(MIDDLE)
5. PERMANENT ADDRESS
(STREET)
(CITY)
(PROVIDENCE/STATE)
(COUNTRY)
(TELEPHONE)
(E-MAIL)
7. INSTITUTIONS ATTENDED
DATES ATTENDED
DEGREE, DIPLOMA, ETC.
DATE RECEIVED
OR EXPECTED
PRIORITY#
PROGRAM #DESIGNATION
TAX CODE
PERSONAL
FUNDS
FIELD
DEGREE
PROG. ADMIN.
PLACEMENT ADMIN.
CASH TRAVEL
SPECIALIZATION
SUBMISSIONS
SEND BY
CODE
INSTITUTION
DEPARTMENT/DIVISION
MAJOR DEGREE
SENT
RESULT
PLACEMENT INSTITUTION
INSTITUTIONS REQUESTED
UNIVERSITY
DEPARTMENT
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
UNIVERSITY
DEPARTMENT
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
IIE NOTES
TOEFL
SENT:
ENGLISH TRAINING
ASSIGNMENT:
REP DATE:
________/________
TSE
GMAT
________/_______
________/________
Biographic
TWE
First Name:
OTHER
OTHER
________/________
________/______
Information Sheet
Middle Name:
Last Name:
Gender:
Postal Address:
Permanent Address:
Permanent City:
Province:
Phone #:
Mobile #:
Email ID:
Academic Information
Proposed Field of Study:
Current Enrollment:
Current Institution:
Last Enrollment:
Last Institution:
NAME:
COUNTRY:
SIGNATURE FORM
Work Information
Current Position:
Current Employer:
GRE
Verbal:
Quantitative:
Analytical Writing:
TOEFL
Total Score:
Test Date:
Note: Every information on this sheet is important, this sheet will not be accepted if CGPA of Foreign Degree & CGPA of
Home Degree, (whether enrolled or finished) is not mentioned.
INSTRUCTIONS: You must sign and date this form and forward it to the Fulbright Program Office in your home country.
By my signature,
1) to receive, and/or to request my TOEFL, TSE, TWE, GRE, SAT, Achievement Test scores or any other test score reports;
2) to send any of the above score reports to U.S. institutions on my behalf;
3) to apply on my behalf to U.S. institutions;
4) to request and receive information on the status of my application, including financial aid, from U.S. institutions; and,
5) to accept and decline offers of admission and financial aid on my behalf.
AND
I certify that the information given in this application is complete and accurate to the best of my knowledge.
I understand that I am not entitled to hold, nor do I hold, U.S. citizenship or permanent residence.
I understand that formal award of a grant is dependent upon my acceptance to a U.S. institution for study and my eligibility for a visa
to the United States.
Upon the completion of an authorized stay in the United States under the Fulbright Student Program, I agree to return to my home
country for two (2) years to fulfill my J1 visa home residency requirement.
Signature Form
1.
PLEASE
PROVIDEmust
A CANDID
EVALUATION
OFunder
THE APPLICANTS
PAST has
PERFORMANCE
AND ABILITY
PURSUE
ANDfield of study or by
This
letter
of reference
be written
by a teacher
whom the applicant
studied or pursued
researchTO
in the
proposed
SUCCESSFULLY
COMPLETE
A PROGRAM
OFrelated
STUDYtoINthe
THE
PROPOSED
WILL BE GIVEN
someone
who has supervised
the applicant
in work
proposed
field FIELD.
of study.YOUR
This INFORMATION
letter must be typewritten
and inCONSIDERABLE
English. If not in
IMPORTANCE
IN REVIEWING
THIS be
APPLICATION.
English,
then an accurate
translation must
forwarded to the Fulbright Program Office.
NAME OF APPLICANT:
COUNTRY:
NAME OF REFREE
______________________________________________________________________________________________________________
TITLE
__________________________________________________________________________________________________________________________
INSTITUTION OR BUSINESS
_______________________________________________________________________________________________________
Teacher or Professor
3.
Research Adviser
IN THIS RATING CHART, PLEASE EVALUATE THE APPLICANT IN COMPARISON WITH OTHER STUDENTS WHOM YOU HAVE KNOWN DURING YOUR
PROFESSIONAL CAREER.
Excellent
Very Good
Confidential
ConfidentialLetter
LetterofofReference
ReferenceAAPage
Page1 2
Average
Below Average
SIGNATURE:
______________________________________________________________________________
_______________________________
DATE:
PLEASE RETURN THIS COMPLETED FORM TO: U.S. EDUCATIONAL FOUNDATION IN PAKISTAN, P.O. BOX NO. 1128,
ISLAMABAD, PAKISTAN, BY MAY 13, 2015.
NOTE: IIE cannot guarantee this letter's confidentiality once it becomes part of a university's records.
This letter of reference must be written by a teacher under whom the applicant has studied or pursued research in the proposed field of study or by
someone who has supervised the applicant in work related to the proposed field of study. This letter must be typewritten and in English. If not in
English, then an accurate translation must be forwarded to the Fulbright Program Office.
NAME OF APPLICANT:
COUNTRY:
NAME OF REFREE
_______________________________________________________________________________________________________________
TITLE
__________________________________________________________________________________________________________________________
INSTITUTION OR BUSINESS
_______________________________________________________________________________________________________
1.
2.
Teacher or Professor
_______________________
3.
Research Adviser
IN THIS RATING CHART, PLEASE EVALUATE THE APPLICANT IN COMPARISON WITH OTHER STUDENTS WHOM YOU HAVE KNOWN DURING
YOUR PROFESSIONAL CAREER.
Excellent
Very Good
Average
Below Average
Intellectual Ability
Knowledge of Field
Work Habits
Seriousness of Purpose
Emotional Maturity
Leadership Qualities
Teaching Potential
NAME OF APPLICANT:
COUNTRY:
4.
PLEASE PROVIDE A CANDID EVALUATION OF THE APPLICANTS PAST PERFORMANCE AND ABILITY TO PURSUE AND
SUCCESSFULLY COMPLETE A PROGRAM OF STUDY IN THE PROPOSED FIELD. YOUR INFORMATION WILL BE GIVEN CONSIDERABLE
IMPORTANCE IN REVIEWING THIS APPLICATION.
SIGNATURE:
______________________________________________________________________________
_______________________________
DATE:
PLEASE RETURN THIS COMPLETED FORM TO: U.S. EDUCATIONAL FOUNDATION IN PAKISTAN, P.O. BOX NO. 1128,
ISLAMABAD, PAKISTAN, BY MAY 13, 2015.
NOTE: IIE cannot guarantee this letter's confidentiality once it becomes part of a university's records.