Fellowship Award Program

FELLOWSHIP AWARD PROGRAM

APPLICATION FORM & REQUIREMENTS

Application Form

Fellowship Program

Specific criteria:

Ø  B.Sc of Engineering degree from accredited university

Ø  Above average professional achievements

Ø  Relevant experience in the field of desalination and water reuse and SWRO

Ø  Responsible career goals for advancement in the chosen field

Ø  Potential to make a significant contribution to desalination and water reuse in particular, and to the field of water and waste water in general

Ø  Benefits of the Attachment to the applicant, his/her utility or company, and the hosts

Ø  Intent to remain connected to the desalination and water-reuse industry through future work

International Desalination Association

P O Box 387, 94 Central Street, Suite 200, Topsfield MA 01987

Applications must be in English and submitted before 13 October 2016.

For more details, refer to the Application Procedure.

I. APPLICANT DETAILS:

Given Name Middle Name Family Name

Affiliation/Place of Employment Job Title:

Address1

Address2

City or APO/AFO

State/Province Zip Code Country

Phone (starting with country code):

Email Address

Nationality Date of Birth Place of Birth

Gender: Insert Photo Here:

II. Type of Membership

Please indicated ONE of the following:

III. APPLICANT’S DATA FOR IDA MEMBER INSTITUTION/ORGANIZATION:

Name of Applicant

Name of IDA Member Organization

Address1

Address2

City or APO/AFO

State/Province Zip Code Country

Phone (starting with country code):

Contact Name

Contact Email Address

Additional Information (Government/Non-governmental/research institute, etc)

Date: Signature:

ADDITIONAL APPLICATION PACKAGE REQUIREMENTS:

Please submit the following items with your application in the following order:

1.  Application Form

2.  Resume/Curriculum Vitae

3.  Fellowship Proposal

4.  Two letters of recommendation, at least one by a Director or distinguished IDA member

5.  Applications must be in English and submitted before 13 October 2016
Submit your completed electronic package to:
Ms. Patti Gorman, International Desalination Association,
via email at:

International Desalination Association 2016-17 Fellowship Award Program Application