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Sample questions on Weinberg Fellowship application form

Italian Academy Fellowship Application (application deadline: Monday, December 4, 2017)

Personal Information
Applicant name (last, first) *
Title *
• ( )Professor
• ( )Doctor
• ( )Ms.
• ( )Mr.
Applicant E-mail *
Birthdate (Day/Month/Year) *
Birthplace *
Citizenship *
Permanent Address (Personal Residence)*
________________________________________
Current Academic Position
Department, Position *
Name of Institution *
Address of Institution *
________________________________________
Project Proposal
Proposal Title *
Discipline/Area of Study *
________________________________________
Recommendations
At least two reference letters are required, from persons familiar with your work. The Academy wishes to know why the candidate's work is best conducted in New York, at Columbia, and in the particular setting of the interdisciplinary Fellowship Program at the Italian Academy.

Recommender #1: Title, Name, Surname
Position, Institution *
Phone *
E-mail Address Recommender #1 *
Your referee will receive a simple UPLOAD link, via e-mail, from "submittable.com." (Please ask your referee to list "submittable.com" as an Approved or Safe Sender, to avoid spam-blockers.)
________________________________________
Recommender #2: Title, Name, Surname *
Position, Institution *
Phone *
E-mail Address Recommender #2*
Your referee will receive a simple UPLOAD link, via e-mail, from "submittable.com." (Please ask your referee to list "submittable.com" as an Approved or Safe Sender, to avoid spam-blockers.)
________________________________________
Recommender #3: Title, Name, Surname
Position, Institution
Phone
E-mail Address Recommender #3*
Your referee will receive a simple UPLOAD link, via e-mail, from "submittable.com." (Please ask your referee to list "submittable.com" as an Approved or Safe Sender, to avoid spam-blockers.)
________________________________________

Academic Qualifications
Please detail your doctorate and other academic degrees.
Highest Degree Held (or Most Recent Degree)*
Institution *
Year Degree was Conferred *
Discipline/Area of Study *
________________________________________
Master’s Degree (or Comparable Degree) *
Institution *
Year Degree was Conferred *
Discipline/Area of Study *
________________________________________
Bachelor’s Degree (or Comparable Degree)
Institution
Year Degree was Conferred
Discipline/Area of Study
________________________________________
Other Degree (Any)
Institution
Year Degree was Conferred
Discipline/Area of Study
________________________________________

About Your Application

Applying for: *
• ( )Fall 2018
• ( )Spring 2019
• ( )Fall & Spring 2018-2019

Have you applied before? *
• ( )Yes
• ( )No
If yes, when?

How did you learn about the Academy Fellowship Program? *

Are you applying for any other fellowships? If so, which? *

Have you ever applied for a United States Visa or Permanent Resident (green) card? *
• ( )Yes
• ( )No
If yes, are you subject to any visa restrictions (i.e., a home-residency rule?)
• ( )Yes
• ( )No

Will you have other income during your proposed stay at the Academy? *
• ( )Yes
• ( )No
If yes, please elaborate.

Project Proposal *
Upload your Project Proposal (which should not exceed 1300 words).
Acceptable file types: pdf, doc, docx, txt, rtf, wpf, odt, wpd.

Curriculum Vitae *
Upload a file.
Acceptable file types: pdf, doc, docx, txt, rtf, wpf, odt, wpd.

________________________________________
When you click Apply (below), all data will be sent.
1) Your application and attachments will come to the Italian Academy.
2) Your requests for reference letters will go to your referees' e-mail inboxes.
3) You will receive an e-message that permits you to review your submitted application.

END of the sample application. You may return to the candidate guidelines here
or proceed to fill out the application form here.