CurriculumResourceCenter

Curriculum Research Fellowship
Application Form / / CRC - CentralEuropeanUniversity
Nádor utca 9
H-1051 Budapest V, Hungary
(36-1) 327-3223 or 327-3189
Fax: (36-1) 327-3190
e-mail:

Instructions

a/ Please type or print all information.

b/ Return the completed forms and all required attachments to the CRC (address above, e-mail: ) by 25 November 2005. No applications arriving after the deadline will be considered. The applications can be e-mailed or faxed, but the CRC must receive original letters of recommendation and endorsement.

c/ All application material must be in English.

d/ Please attach the following (Incomplete applications will not be considered!) :

□1. A detailed research proposal of minimum two pages.

□2. Curriculum vitae, which should include a list of publications, conference papers relevant to the topic of the proposed research.

□3. Attach a signed reference letter from a colleague in your discipline.

□4. (If applicable) Letters of agreement and cooperation from institutions where curriculum research is to be carried out

  1. TITLE OF THE RESEARCH PROJECT:
  1. PERSONAL INFORMATION (OF INDIVIDUAL APPLICANT OR GROUP LEADER)

First Name:

As in your passport

Family Name:

As in your passport

Sex:□ Female□ Male

Citizenship:

Date of Birth:

Year / Month / Day

Place of Birth:

City, Country

Contact Information

E-mail address:

IMPORTANT! If you have no e-mail address, then Spouse’s, Friend’s e-mail is needed!

Fax:

Tel:

Home Address

Country:______City:______

Street / number:Post code:

Name and Address of the Institution where you work

University/Institution Name:______

Department:______

Country:______City:______

Street / number:Post code:

Tel.: Fax:

  1. PROFESSIONAL EXPERIENCE

EDUCATIONAL BACKGROUND

Universities attended:

Degrees:

Post-graduate courses:

____________

RESEARCH EXPERIENCE IN AREAS RELATED TO THE PROJECT

year(s)theme funded by

____________

TEACHING EXPERIENCE IN AREAS RELATED TO THE PROJECT

year(s) title of the course at (institution)

____________

DESCRIBE YOUR CURRENT POSITION(S) AND RESPONSIBILITIES AT YOUR DEPARTMENT

____________

WHAT INTERNATIONAL PROGRAMS HAVE YOU PARTICIPATED IN?

□ CRC session

□ Course Development Competition (CDC)

□CEUSummerUniversity (SUN)

□ CEU Junior/Senior Faculty Fellowship

□ Faculty Development Program (FDP-OSI)

□ Central-Asian Research Initiative (CARI)

□ Soros scholarship (NSP)

□ Civic Education Project (CEP)

□ Research Support Scheme (RSS)

□ Other:______

______

____________

ENGLISH LANGUAGE SKILLS

A strong command of English language is essential for CDC grantees.

Number of years you have studied English:

Where did you study English (primary, secondary school, etc.):

Please fill in the self-evaluation form concerning your English language abilities.

Reading:
□ Beginning
□ Intermediate
□ Advanced / Listening:
□ Beginning
□ Intermediate
□ Advanced
Speaking:
□ Beginning
□ Intermediate
□ Advanced / Writing:
□ Beginning
□ Intermediate
□ Advanced

The CRC office will conduct phone interviews with short-listed applicants. Please provide a phone number where you can be contacted for this purpose:______

  1. PROJECT INFORMATION

Title of the Project:______

Name of the university/institution(s) (where research will be carried out)

Brief overview of the research project (please indicate the need and goal of the research, time frame, research approach and methodology)

Implementation Plan

  • Describe all research related activities;
  • If field work required, please specify places to visit, nature of collected research material;
  • If trip outside the country is required, please specify where, when

Expected results of research project (indicate type of research publication):
In case of group projects

List of research team members:

Name and Surname, title, position / Task in research team

LETTER OF RECOMMENDATION

(To be submitted in English)

Name of applicant:______

Title of project: ______

TO THE WRITER OF THIS LETTER OF RECOMMENDATION:

The above named person is applying for a grant under the Curriculum Research Fellowship organised by the Curriculum Resource Centre (CRC). We are particularly interested in the applicant’s ability to carry out the work described in his/her project. Please send this form back to the applicant or directly to the CRC prior to 25 November 2005. ()

Name ______

Signature______Date______

Institution______Position______

E-mail address______

Address______

Work Tel/Fax:______Home Tel:______

BUDGET REQUEST (please provide preliminary costs of research related activities)

Budget Line / Amount Requested (in USD)
  1. Travel (in case you plan trips outside your city)

  1. Accommodation:

  1. Photocopying:

  1. Budget for books you intend to buy in support of your research

5. Other (please specify)
TOTAL:

OTHER FINANCIAL SUPPORT FOR THIS PROJECT

(source, dates, purpose and amount)