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    Application Form For Year 2011-2012 Instructions

    Uploaded by

    Devi Murdiani
    This document is an application form for API Fellowships for the year 2011-2012. It requests information such as the applicant's name, proposed project title and description, preferred fellowship category and dates, language proficiency, and contact details. The form must be typed and incomplete or handwritten applications will not be accepted. It collects biographical information like date of birth, citizenship, and academic and professional background. Applicants must certify that all information provided is true and correct.

    Copyright:

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

    Application Form For Year 2011-2012 Instructions

    Uploaded by

    Devi Murdiani
    42 views3 pages
    This document is an application form for API Fellowships for the year 2011-2012. It requests information such as the applicant's name, proposed project title and description, preferred fellowship category and dates, language proficiency, and contact details. The form must be typed and incomplete or handwritten applications will not be accepted. It collects biographical information like date of birth, citizenship, and academic and professional background. Applicants must certify that all information provided is true and correct.

    Original Title

    Formulir_2011_2012

    Copyright

    © Attribution Non-Commercial (BY-NC)

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    This document is an application form for API Fellowships for the year 2011-2012. It requests information such as the applicant's name, proposed project title and description, preferred fellowship category and dates, language proficiency, and contact details. The form must be typed and incomplete or handwritten applications will not be accepted. It collects biographical information like date of birth, citizenship, and academic and professional background. Applicants must certify that all information provided is true and correct.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    42 views3 pages

    Application Form For Year 2011-2012 Instructions

    Uploaded by

    Devi Murdiani
    This document is an application form for API Fellowships for the year 2011-2012. It requests information such as the applicant's name, proposed project title and description, preferred fellowship category and dates, language proficiency, and contact details. The form must be typed and incomplete or handwritten applications will not be accepted. It collects biographical information like date of birth, citizenship, and academic and professional background. Applicants must certify that all information provided is true and correct.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    Application Form for Year 2011-2012

    INSTRUCTIONS
    Please answer each question
    clearly and completely. TYPE
    ONLY. Handwritten
    applications will not be API Fellowships Program
    accepted.
    1. Your name as spelled in passport
         
    2. Title of your project
         
    3. Brief description of the project (50 words or less)
         
    4. Which API theme is your focus? (see p. 3)
     Changing Identities and Their Social, Historical,
    and Cultural Contexts
     Reflections on the Human Condition and the
    Search for Social Justice
     Globalization: Structures, Processes, and
    Alternatives
    5. Fellowship category
    Senior Fellowships (40 years of age or more) API Fellowships (under the age of
    40)
    6. Where and when will you carry out the project?
    Note: Fellowship period has to be continuous throughout your fellowship.
    You cannot include the following countries: 1) your native country or country
    of residence and 2) Cambodia, Laos and Vietnam. You can make only one
    visit per country.
    From
    To date
    date Host Institution
    Country (dd/mm/
    (dd/mm/ (What contacts have you made?)
    yyyy)
    yyyy)
                           
                           
                           
                           
    7. Total Fellowship period:      months and      weeks (Note: Maximum is 12
    months.)
    8. How good is your English language, reading, writing, and speaking?
    READING WRITING SPEAKING
    Good Fair Poor Good Fair Poor Good Fair Poor

    9. Have you taken the TOEFL or similar tests?


    Your
    Name of the tests
    score
               
               
               
    10. What language(s) will you need for the project? What preparations have you
    made?
    Note: We cannot provide separate additional funds for interpreters.
    Language(s) Preparations you have made
               
               
               
               
    11. What grants, scholarships, and fellowships have you received over the last ten
    years?
    Please also include those that you are currently applying for.
    Dates
    Grant/Institution Project title From To
    (dd/mm/y (dd/mm/y
    yyy) yyy)
                           
                           
                           
                           
                           
                           
                           
    Datasheet for Applicants for Year 2011-2012
    INSTRUCTIONS
    Please answer each question
    clearly and completely. TYPE
    ONLY. Handwritten
    applications will not be API Fellowships Program
    accepted.
    12. Your title (Dr., Prof., Ms., 13. Date of birth 14. Sex 15. Age
    etc.) (dd/mm/yyyy) Male Female      
               /     /     
    16. Current position/profession/affiliation
    Position/Profession Institution Address
                     
    17. Home address
         
    18. Phone numbers 19. Fax number
    Home Office Mobile
         
                     
    20. E-mail address
         
    21. Country of birth 22. Country of citizenship 23. Country of current
                residence
         
    24. I certify that all the information provided in this application are true and correct.

    DATE:       SIGNATURE:      


    (dd/mm/yyyy) (When applying by e-mail, type
    your name)

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