2018 Benjamin Franklin Transatlantic Fellows

Summer Institute for Youth

♦ APPLICATION ♦

A. Last (family) name as on passport:

B. First name as on passport:

C. Middle name(s) as on passport:

D. Date of birth (month/day/year – please spell out the month):

E. City of birth:

F. Country of birth:

G. Country of residence:

H. Country of citizenship:

I. Gender:

J. Home Address:

K. Email Address:

L. Home telephone number and mobile phone number:

M. Position (Choose from "Secondary School Student", "University Undergraduate Student", or "Special School, Institute, or Vocational Student".)::

N. Name of high school or college/university:

O. Field of study (if applicable):

P. Medical, physical, dietary, or other personal considerations (Please describe any pre-existing medical conditions, including any prescription medication the candidate may be taking, or any other dietary or personal considerations. This will not affect candidate selection, but will enable the host institution to make any necessary accommodations):

Q. Any other relevant educational, academic and professional experience or training:

R. Active memberships, special interests, or extracurricular activities (please list your achievements, competition results, volunteering):

S. Previous travel or study experience in the United States. Please include dates and purpose:

T. Evidence of competence in written and oral English (e.g. school grades):

U. Future study or career plans:

V. Essay #1 (no more than 700 words):

Why are you an ideal candidate for this program?

W. Essay #2 (no more than 700 words):

What is the greatest hardship you’ve been faced with and how did you overcome it?

To apply: Send your completed application (together with two essays - 700 words maximum each),two recommendation letters (teachers, trainers, coaches, etc.), and academic records from the last school year to the U.S. Embassy by January 5, 2018. Incomplete applications will not be accepted. Please do not send copies of awards, diplomas etc. (please list all of your achievements under R. in this application).

Please send complete documentation by email only to:

You should receive an automatic email reply, confirming that your application was received.

Only short-listed candidates will be contacted for an interview.