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WENNER-GREN FOUNDATION FOR ANTHROPOLOGICAL RESEARCH, INC.
WADSWORTHINTERNATIONAL FELLOWSHIP APPLICATION FORM
(Please limit your responses to the space provided. Press Ctrl + Tab to use tabs.)
1. Name of applicant (Please give full legal name: first, middle, and SURNAME in capital letters):Mailing address:
E-mail:
Telephone: / 2. Home Country:
Host Institution (Name, Department, and Address):
Home Institution (Name, Department, and Address):
3.Date and place of birth:
Citizenship:
Gender: (Select)MaleFemale / 4.Highest academic degree:
Year and institution:
Field of degree:
5.Field of degree/area of specialization to be pursued with fellowship:
Anticipated duration of studies/training (give specific dates): / 6.Total amount requested from Wenner-Gren Foundation for first year of studies or training in U.S. dollars (See Budget Guidelines under Application Procedures):
US$
7.Have you been formally accepted by the Host Institution? (Select)YesNo
If not, when do you expect to receive notification of your acceptance? / 8.Are you competent in the language of the country in which you will be studying? (Select)YesNo
Are special permissions or travel permits required to leave your Home Country? (Select)YesNo
9.Name of Host Sponsor (Please give full legal name: first, middle, and SURNAME in uppercase letters):
Title, department, and institutional affiliation:
Mailing address: / 10.Name of Home Sponsor (Please give full legal name: first, middle, and SURNAME in uppercase letters):
Title, department, and institutional affiliation:
Mailing address:
E-mail:
Telephone:
Citizenship:
Gender:(Select)MaleFemale / E-mail:
Telephone:
Citizenship:
Gender:(Select)MaleFemale
11.What is your plan for study/training?
Describe your plan including your background in anthropology and reasons for undertaking additional study or training. (Please see Questions about Plan of Study and Professional Goals under Application Procedures)
12. What are your research interests?
Describe research interests, either those already developed or those you hope to pursue in the future.(Please see Questions about Plan of Study and Professional Goals under Application Procedures)
13. What are your professional goals/plans and prospects for employment in your Home Country?
State professional goals/plans and prospects for employment upon completion of the proposed study or training. (Please see Questions about Plan of Study and Professional Goals under Application Procedures)
14.Budget Itemization:
Please identify projected expenses for the first year of study/training, using the budget categories listed below.
CategoryAmount in US$
Tuition & Fees......
Books & Supplies......
Living Expenses......
Insurance......
Travel......
Research Expenses......
Taxes (if applicable)......
Other (specify below)......
TOTAL FUNDS REQUESTED FROM WENNER-GREN US$
(Total should not exceed the $17,500 maximum)
If you are requesting funds for travel and/orresearch, please itemize your expenses in the space below. List each trip and the purpose of the travel (e.g. research, travel to host institution). For Research expenses provide the length of the research trip, per diem expenses and details of any equipment, etc. Provide a justification for any other expenses that might need further explanation.
15.Additional sources of funding
Please listadditional sources of funding or assistance for the first year of study/training, and indicate whether this supporthas been received, expected or requested.
Host Institution:
Types of SupportAmount in US$Status
1. (Select)ReceivedExpectedRequested
2. (Select)ReceivedExpectedRequested
3. (Select)ReceivedExpectedRequested
4, (Select)ReceivedExpectedRequested
Others funding sources:
1. (Select)ReceivedExpectedRequested
2. (Select)ReceivedExpectedRequested
3. (Select)ReceivedExpectedRequested
4, (Select)ReceivedExpectedRequested
If you are NOT requesting funds for research purposes, your applicationis now complete. Please go directly to item 17 for instructions on how to submit your application.
Item 16 (below) is only to be completed by those Fellows who intend to use some or all of their Fellowship funds to carry out research.
16. Describe the nature of your proposed research. Is it a pilot study, or your major thesis research? What are your research questions, hypotheses, or objectives? What evidence will you need to collect to answer your questions? Please provide a timeline for the proposed research.
17.Required Attachments for Online Submission of Application
Applicants are required to attach the following documents to their online application.
- Wadsworth International Fellowship Application Form (this document)
- Applicant’s Curriculum Vitae (five pages maximum)
- Host Sponsor’s Curriculum Vitae (five pages maximum)
Attachments must be compatible with the Microsoft Word 2003 or submitted as PDF files.
Required Attachments should use single-line spacing with 10-point font or larger, and have 1-inch (2.5 cm) margins, top, bottom and either side of each page.
18.Online Submission of Application Materials
After completing the official Wadsworth International Fellowship Application Form and required Curriculum Vitae, applicants must submit these application materials using the Foundation’s online application submission procedures.
- Click on or type the URL address into your Internet browser to begin the online application submission process:
For detailed instructions on how to submit your application materials online, please see “Access the Online Application” posted under the “Wadsworth International Fellowship” section on the Wenner-Gren website.
19.Printed Application Materials -- Assembly Instructions
After submitting the application form and required attachments online, applicants must send two (2) printed copies of the official application form, the required attachments, AND the applicant’s official transcripts to the Foundation offices to complete the filing process:
1. Applications must be received in complete and final form, with all questions answered. Revisions and items sent at a later date cannot be accepted.
2.Application must be made using the official Wadsworth International Fellowship Application Form, and all questions and required attachments written in English.
3.Printed materials must be single-side copies.
4.Application materials should be divided into two (2) sets.
Each set must be paper-clipped (NOT stapled) and collated as follows:
- Wadsworth International Fellowship Application Form
- Applicant's and Host Sponsor’s curricula vitae
- Applicant’s official transcripts from Home Institution (if transcripts are not in English, please supply translations)
International Programs
WENNER-GREN FOUNDATION
470 Park Avenue South, 8th Floor North
New York, NY 10016
U.S.A.
PLEASE NOTE: Letters from the Home Sponsor and Host Sponsor must reach the Foundation by the application deadline for the application to be considered.
Applicant Signature
DateApplicant’s Signature